输尿管狭窄的机器人辅助修复术。

IF 2.2 3区 医学 Q2 SURGERY Journal of Robotic Surgery Pub Date : 2024-09-28 DOI:10.1007/s11701-024-01993-9
Mu-Yang Xu, Zheng-Yao Song, Chao-Zhao Liang
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引用次数: 0

摘要

随着机器人辅助腹腔镜技术的不断发展,其复杂性和精细程度日益提高,输尿管狭窄的微创治疗也取得了重大进展。本摘要旨在概述和介绍利用机器人修复输尿管狭窄的各种手术技术。我们总结了这些手术方法的进展,并着重介绍了这些手术的最新进展。与开放手术相比,机器人辅助重建技术在治疗输尿管狭窄方面表现出更优越的功能效果、更少的术后并发症和更快的恢复速度。本摘要旨在概述和介绍利用机器人修复输尿管狭窄的各种手术技术。机器人输尿管狭窄矫正术已成为一种有价值的治疗选择,尤其是在内窥镜手术不可行的情况下。与传统的开放式手术相比,机器人方法治疗效果更佳,术后并发症更少,恢复更快。根据狭窄的程度和位置,可以进行再植、腰肌搭桥、Boari皮瓣、输尿管与输尿管吻合、阑尾移植、颊粘膜移植(BMG)、回肠移植或肾脏自体移植等重建手术。机器人手术技术还具有一些优势,如视野更开阔,可采用萤火虫成像(FireflyTM)、吲哚菁绿(ICG)和近红外荧光(NIRF)成像等辅助技术。不过,有必要进一步开展长期、多中心调查,以验证现有病例系列报告中的积极发现。与开放手术相比,机器人辅助重建技术在治疗输尿管狭窄方面具有更佳的功能效果、更少的术后并发症和更快的恢复速度。
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Robot-assisted repair of ureteral stricture.

As robot-assisted laparoscopic techniques continue to advance, becoming increasingly complex and refined, there has been significant progress in the minimally invasive treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques that utilize robots for repairing ureteral strictures. We have summarized the progression of these surgical methods and highlighted the latest advancements in the procedures. When compared to open surgery, robot-assisted reconstruction techniques demonstrate superior functional outcomes, fewer postoperative complications, and a faster recovery in the treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques utilizing robots to repair ureteral strictures. Robotic ureteral stricture correction has emerged as a valuable therapeutic option, particularly when endoscopic procedures are not feasible. Compared to traditional open surgery, robotic methods exhibit superior therapeutic effectiveness, fewer postoperative complications, and accelerated recovery. Reconstructive procedures such as reimplantation, psoas hitch, Boari flap, ureter-to-ureter anastomosis, appendix graft, buccal mucosa graft (BMG), ileal transplantation, or kidney autotransplantation can be performed depending on the extent and location of the stricture. Robotic surgical techniques also offer advantages, such as an expanded field of vision and the incorporation of supplementary technologies such as FireflyTM, indocyanine green (ICG), and near-infrared fluorescence (NIRF) imaging. However, further long-term, multicenter investigations are necessary to validate the positive findings reported in existing case series. Compared with open surgery, robot-assisted reconstruction techniques yield superior functional outcomes, fewer postoperative complications, and accelerated recovery for the treatment of ureteral strictures.

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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
期刊最新文献
Correction: Body mass index influence on short-term perioperative results in robotic-assisted laparoscopic partial nephrectomy: a comprehensive systematic review and meta-analysis. KangDuo surgical robot versus da Vinci robotic system in urologic surgery: a systematic review and meta-analysis. Risk factors for urinary retention after robot-assisted radical cystectomy with orthotopic neobladder diversion: a multicenter study. Single-port robotic versus single-incision laparoscopic cholecystectomy in patients with BMI ≥ 25 kg/m2: a systematic review and meta-analysis. The crucial role of 5G, 6G, and fiber in robotic telesurgery.
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