切换至 "中华医学电子期刊资源库"

中华结直肠疾病电子杂志 ›› 2019, Vol. 08 ›› Issue (06) : 638 -640. doi: 10.3877/cma.j.issn.2095-3224.2019.06.018

所属专题: 机器人手术 经典病例 文献

病例报道

达芬奇机器人经肛门微创直肠肿瘤切除
黄彬1, 叶景旺1, 田跃1, 童卫东1,()   
  1. 1. 400042 重庆,陆军军医大学大坪医院胃肠外科
  • 收稿日期:2019-01-15 出版日期:2019-12-25
  • 通信作者: 童卫东
  • 基金资助:
    国家自然科学基金项目(No.81770541,81570483); 第三军医大学临床创新课题(No.2014YLC04)

Da Vinci robotic-assisted transanal microsurgery for excision of rectal tumor

Bin Huang1, Jingwang Ye1, Yue Tian1, Weidong Tong1,()   

  1. 1. Department of Gastroenterology, Daping Hospital, Army Medical University, Chongqing 400042, China
  • Received:2019-01-15 Published:2019-12-25
  • Corresponding author: Weidong Tong
  • About author:
    Corresponding author: Tong Weidong, Email:
引用本文:

黄彬, 叶景旺, 田跃, 童卫东. 达芬奇机器人经肛门微创直肠肿瘤切除[J]. 中华结直肠疾病电子杂志, 2019, 08(06): 638-640.

Bin Huang, Jingwang Ye, Yue Tian, Weidong Tong. Da Vinci robotic-assisted transanal microsurgery for excision of rectal tumor[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(06): 638-640.

陆军军医大学附属大坪医院胃肠外科于2017年6月7日应用Da Vinci机器人系统完成1例早期低位直肠癌经肛门微创直肠肿瘤局部切除术。手术成功实施,手术时间80 min,术中出血小于3 mL,术中、术后未出现手术相关并发症。术后病理结果提示肿瘤切除完整,上下切缘均未见癌组织。Da Vinci机器人系统的裸眼三维立体影像,清晰、放大倍数高、逼真的手术视野,良好的精准性和灵活性更有利于经肛门微创手术操作,未来发展潜力巨大。

The Department of Gastrointestinal Surgery ( Daping Hospital, Army Military Medical University) applified Da Vinci robot to perform transanal microsurgery for excision of rectal tumor for a patient with low rectal carcinoma on June 7, 2017. The operation was successfully performed with no operative or postoperative complication, and the operation time was 80 min, and the intraoperative bleeding was fewer than 3 mL. Postoperative histological report suggested a complete tumor excision with free upper and lower margins. The magnification, high-definition, three-dimensional view of the target anatomy surgical site can help enhance precision, flexibility of transanal minimally invasive surgery, thus providing great potential in the future.

图6 送检组织病理结果
[1]
O′Neill CH, Platz J, Moore JS, et al. Transanal endoscopic microsurgery for early rectal cancer: A single-center experience [J]. Dis Colon Rectum, 2017, 60(2): 152-160.
[2]
Thompson EV, Bleier JI. Transanal minimally invasive surgery [J]. Clin Colon Rectal Surg, 2017, 30(2): 112-119.
[3]
Brown CJ, Gentles JQ, Phang TP, et al. Transanal endoscopic microsurgery as day surgery-a single-centre experience with 500 patients [J]. Colorectal Dis, 2018, 20(10): o310-o315.
[4]
Gilshtein H, Duek SD, Khoury W. Transanal endoscopic microsurgery: Current and future perspectives [J]. Surg Laparosc Endosc Percutan Tech, 2016, 26(3): e46-49.
[5]
Kawakita H, Katsumata K, Kasahara K, et al. a case of advanced rectal cancer in which combined prostate removal and isr using the da vinci surgical system with preoperative chemotherapy allowed curative resection [J]. Gan To Kagaku Ryoho, 2016, 43(12): 1629-1631.
[6]
Schwaibold H, Wiesend F, Bach C. The age of robotic surgery-is laparoscopy dead? [J]. Arab J Urol, 2018, 16(3): 262-269.
[7]
Peters BS, Armijo PR, Krause C, et al. Review of emerging surgical robotic technology [J]. Surg Endosc, 2018, 32(4): 1636-1655.
[8]
Harr JN, Obias V. Robotic-assisted transanal excision of a large rectal mass--a video vigNETste [J]. Colorectal Dis, 2016, 18(1): 107-108.
[9]
Harr JN, Luka S, Kankaria A, et al. Robotic-assisted colorectal surgery in obese patients: A case-matched series [J]. Surg Endosc, 2017, 31(7): 2813-2819.
[10]
Serra-Aracil X, Mora-Lopez L, Alcantara-Moral M, et al. Transanal endoscopic surgery in rectal cancer [J]. World J Gastroenterol, 2014, 20(33): 11538-11545.
[11]
Pal RP, Koupparis AJ. Expanding the indications of robotic surgery in urology: A systematic review of the literature[J]. Arab J Urol, 2018, 16(3): 270-284.
[12]
de′Angelis N, Portigliotti L, Azoulay D, et al. Transanal total mesorectal excision for rectal cancer: A single center experience and systematic review of the literature [J]. Langenbecks Arch Surg, 2015, 400(8): 945-959.
[13]
Becker T, Egberts JE, Schafmayer C, et al. robot-assisted rectal surgery: Hype or progress? [J]. Chirurg, 2016, 87(7): 567-572.
[14]
童卫东,叶景旺,周涛, 等. 完全机器人下右半结肠根治性切除术[J/CD]. 中华普外科手术学杂志(电子版), 2017, 11(1): 19.
[15]
童卫东,叶景旺,黄彬, 等. 机器人辅助经肛全直肠系膜切除术[J]. 中华胃肠外科杂志, 2017, 20(8): 900-903.
[16]
Gettman M, Rivera M. Innovations in robotic surgery [J]. Curr Opin Urol, 2016, 26(3): 271-276.
[17]
Tsukamoto S, Nishizawa Y, Ochiai H, et al. Surgical outcomes of robot-assisted rectal cancer surgery using the da vinci surgical system: A multi-center pilot phase ii study [J]. Jpn J Clin Oncol, 2017, 47(12): 1135-1140.
[1] 康夏, 田浩, 钱进, 高源, 缪洪明, 齐晓伟. 骨织素抑制破骨细胞分化改善肿瘤骨转移中骨溶解的机制研究[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 329-339.
[2] 代莉, 邓恢伟, 郭华静, 黄芙蓉. 术中持续输注艾司氯胺酮对腹腔镜结直肠癌手术患者术后睡眠质量的影响[J]. 中华普通外科学文献(电子版), 2023, 17(06): 408-412.
[3] 王得晨, 杨康, 杨自杰, 归明彬, 屈莲平, 张小凤, 高峰. 结直肠癌微卫星稳定状态和程序性死亡、吲哚胺2,3-双加氧酶关系的研究进展[J]. 中华普通外科学文献(电子版), 2023, 17(06): 462-465.
[4] 唐旭, 韩冰, 刘威, 陈茹星. 结直肠癌根治术后隐匿性肝转移危险因素分析及预测模型构建[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 16-20.
[5] 张生军, 赵阿静, 李守博, 郝祥宏, 刘敏丽. 高糖通过HGF/c-met通路促进结直肠癌侵袭和迁移的实验研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 21-24.
[6] 张焱辉, 张蛟, 朱志贤. 留置肛管在中低位直肠癌新辅助放化疗后腹腔镜TME术中的临床研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 25-28.
[7] 李婷, 张琳. 血清脂肪酸代谢物及维生素D水平与结直肠癌发生的关系研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 661-665.
[8] 付振保, 曹万龙, 刘富红. 腹腔镜直肠癌低位前切除术中不同缝合方法的回肠双腔造口术临床效果研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 684-687.
[9] 贺亮, 王松林, 周业江. 两种预防性回肠造口在腹腔镜ISR术治疗超低位直肠癌的效果对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 697-700.
[10] 倪文凯, 齐翀, 许小丹, 周燮程, 殷庆章, 蔡元坤. 结直肠癌患者术后发生延迟性肠麻痹的影响因素分析[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 484-489.
[11] 范小彧, 孙司正, 鄂一民, 喻春钊. 梗阻性左半结肠癌不同手术治疗方案的选择应用[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 500-504.
[12] 杨红杰, 张智春, 孙轶. 直肠癌淋巴结转移诊断研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 512-518.
[13] 马慧颖, 凡新苓, 覃仕瑞, 陈佳赟, 曹莹, 徐源, 金晶, 唐源. 磁共振加速器治疗局部晚期直肠癌的初步经验[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 519-523.
[14] 关旭, 王锡山. 基于外科与免疫视角思考结直肠癌区域淋巴结处理的功与过[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 448-452.
[15] 顾睿祈, 方洪生, 蔡国响. 循环肿瘤DNA检测在结直肠癌诊治中的应用与进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 453-459.
阅读次数
全文


摘要