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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/OL]. 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/OL]. 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.
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