共查询到17条相似文献,搜索用时 703 毫秒
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摘 要:[目的] 总结利用达芬奇机器人平台开展中位直肠癌经自然腔道取标本手术(NOSES)的操作技巧与经验。[方法] 回顾性分析采用达芬奇机器人手术平台开展中位直肠癌NOSES-Ⅱ式治疗患者的临床资料与手术特点。[结果] 患者成功行达芬奇机器人辅助下腹部无辅助切口经肛门拉出切除标本的中位直肠癌扩大根治术。手术时长约220 min,术中出血50 mL,术后24 h患者可以沿床边坐起,术后住院时间为8 d,预后较好。术中操作时需注意达芬奇机器人手术平台操作要点、团队配合技巧等。[结论] 利用达芬奇机器人手术平台开展中位直肠癌NOSES-Ⅱ式具备术后恢复快、学习曲线短、术中图像清晰程度高等优势,科学的手术步骤和操作技巧能实现患者预后质量的最优化。 相似文献
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作为20世纪最伟大的发明之一的机器人技术,在医学领域的代表为达芬奇机器人手术系统,该系统代表了精确微创外科技术的实现及发展方向。全文从达芬奇机器人手术系统的组成、国内外拥有情况及外科手术应用情况、该系统在普胸外科的应用情况加以阐述,并详细系统地介绍了达芬奇机器人与电视胸腔镜技术、3-D电视胸腔镜技术相比较的优劣势,并对沈阳军区总医院应用达芬奇机器人手术系统在肺癌根治术中的应用现状进行了详细描述,对达芬奇机器人手术系统的未来发展方向等方面进行了较详细、系统地综述及展望。 相似文献
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近年来,达芬奇机器人手术系统在外科手术领域中发展迅速,取得了受人瞩目的进展。尽管其目前在头颈部肿瘤中的应用较少,但因其如微创、美观及恢复快等优势,有着良好的发展前景。该文探讨达芬奇机器人在头颈部肿瘤中的应用,就其手术方式、适应症、优点及前景等进行综述。 相似文献
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近几年机器人辅助实体肿瘤切除已经在国内各大医院广泛开展,然而,由于头颈部腔隙狭小,机器人辅助头颈肿瘤手术相对于胸腔、腹腔手术来说开展得相对迟缓,手术量也相对较少。同时外科机器人的研发与临床应用也在不断更新,美国FDA批准并且国内引进在头颈部手术中使用最广泛的是达芬奇机器人系统,本文就国内外近期达芬奇机器人在头颈肿瘤中的应用及进展予以综述。 相似文献
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背景 与目的目前,对肺肿瘤的治疗仍以外科手术为主,手术治疗逐渐微创化,胸腔镜已普遍应用于临床,而达芬奇机器人手术也快速发展,为进一步认识两者疗效的差异,本研究应用meta分析法比较达芬奇机器人辅助胸外科(robotic-assisted thoracic surgery,RATS)与电视胸腔镜辅助胸外科(video a... 相似文献
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目的:评价加速康复外科(enhanced recovery after surgery,ERAS)在达芬奇机器人胃癌根治术中的可行性及有效性。方法:选取西安交通大学第一附属医院行达芬奇机器人胃癌根治术患者50例,其中25例采用胃癌术后常规围手术期护理模式,25例采用快速康复外科护理模式干预。比较两组患者手术时间、术中出血量、肛门排气时间、术后住院时间、术后炎症指标、术后住院费用、术后并发症情况等。结果:两组患者的一般病理特征并无显著差异(P>0.05)。在手术时间、术中出血量上比较,差异无统计学意义(P>0.05)。ERAS组在肛门排气时间、术后营养状态、术后炎症指标方面、术后住院时间、术后住院费用方面均较对照组显示出优势(均P<0.01);两组在术后并发症上并无统计学差异(P=0.554)。结论:ERAS理念在达芬奇机器人胃癌根治术中应用是安全、可靠的,且其与传统围手术期护理模式相比,在促进患者胃肠功能恢复、降低住院费用上具有一定优势。 相似文献
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Oouchida K Ieiri S Kenmotsu H Tomikawa M Hashizume M 《Gan to kagaku ryoho. Cancer & chemotherapy》2012,39(1):1-7
Surgical operation is still one of the important options for treatment of many types of cancer. In the present-day treatment of cancer, patients' quality of life is focused on and surgeons need to provide minimally invasive surgery without decreasing the curability of disease. Endoscopic surgery contributed to the prevalence of minimally -invasive surgery. However it has also raised a problem regarding differences in surgical techniques among individual surgeons. Robot-assisted surgery provides some resolutions with 3D vision and increases the freedom of forceps manipulation. Furthermore, 3D visual magnification, scaling function, and the filtering function of surgical robots may make it possible for surgeons to perform microsurgery more delicate than open surgery. Here, we report the present status and the future of the representative surgical robot, and the da Vinci surgical system. 相似文献
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Shibasaki Susumu Suda Koichi Hisamori Shigeo Obama Kazutaka Terashima Masanori Uyama Ichiro 《Gastric cancer》2023,26(3):325-338
Gastric Cancer - Robotic gastrectomy (RG) using the da Vinci Surgical System for gastric cancer was approved for national medical insurance coverage in Japan in April 2018, and its number has been... 相似文献
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BackgroundSafety and efficacy of robotic surgery in advanced gastric cancers (AGC) have not been proven by randomized control trials (Ojima et al., 2018) [1], and therefore, standard procedure for AGC is still open surgery. Robotic surgery, however, plays an essential role in ergonomics and offers advantages, such as motion scaling, tremor filtering, seven degrees of wrist-like motion, and three-dimensional vision. Here, we initially report successful robotic gastric cancer surgery on a 49-year-old male with proximal gastric cancer adherent to tail of pancreas and mesentery of the colon.MethodsThe patient underwent a diagnostic laparoscopy 10 days before surgery, confirming negative peritoneal dissemination and washing cytology. The patient was placed in a supine position and we inserted five ports. We performed robotic D2 total gastrectomy with en-mass removal of the spleen and body and tail of the pancreas using the da Vinci Xi Surgical System (Intuitive, Sunnyvale, CA) (Japanese Gastric Cancer Association, 2017) [2]. After gastrectomy, to evaluate the blood supply of transverse colon, we employed Indocyanine Green fluorescence using the da Vinci Firefly system and performed a partial resection of the transverse colon and a colostomy. In order to avoid anastomotic leakage of colocolostomy due to pancreatic fistula, we chose to have end colostomy. Roux-en-Y esophago-jejunostomy and jejuno-jejunostomy reconstruction were performed robotically (Ojima et al., 2019) [3]. After the operation, a nasal feeding tube was inserted.ResultsThe operation took 472 min with no intraoperative complications and blood loss of 105 ml. Final pathological examination showed poorly-differentiated adenocarcinoma (T4BN1M0, TNM stage IIIC). The patient was discharged uneventfully on postoperative day 25. He is receiving adjuvant chemotherapy. At six months, there was no evidence of complications or recurrence.ConclusionsRobotic D2 total gastrectomy with en-mass distal pancreatectomy and splenectomy are feasible and safe in advanced gastric cancer, however, its oncological value has yet to be determined. 相似文献
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目的:分析并比较达芬奇机器人与单孔、三孔胸腔镜肺癌根治术的临床疗效。方法:回顾性分析2018年1月至2019年8月我院行肺癌根治术的患者129例,其中,单孔胸腔镜组为42例,三孔胸腔镜组为56例,达芬奇机器人组为31例。比较三组的术中出血量、清扫淋巴结数量、手术时间以及术后疼痛情况、胸腔总引流量、住院时间、住院总费用等。结果:三种手术方式在手术时间、术中出血量及清扫淋巴结个数方面差异均无统计学意义(P>0.05),在术后疼痛、住院时间、住院总费用方面差异有统计学意义(P<0.05)。与三孔胸腔镜组相比,达芬奇机器人组的术中出血量较少[(72.14±36.72)ml,P=0.026]、清扫淋巴结个数较多(18.13±8.24,P=0.029)、住院时间较短[(5.31±2.98)d,P<0.001]。结论:达芬奇机器人手术相较于三孔胸腔镜手术优势明显,而相较于单孔胸腔镜手术优势不明显,但在复杂手术操作中是一种较好的手术选择方式。 相似文献
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子宫内膜癌是常见的女性生殖系统恶性肿瘤,肥胖和年龄是子宫内膜癌的危险因素。肥胖对患者的生理尤其是呼吸循环系统产生影响,腹壁较厚的脂肪层也给手术带来挑战。高龄患者的器官功能衰弱、代偿能力差、常常不可耐受创伤较大的手术。近年来,达芬奇机器人手术系统(Da Vinci surgical system,DVSS)在肥胖或高龄合并子宫内膜癌患者的微创治疗中得到广泛地应用,并获得良好的临床疗效。与传统腹腔镜相比,DVSS显示出较明显的优势。本文就DVSS在肥胖或高龄合并子宫内膜癌患者治疗中的应用进行综述。 相似文献
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《Expert review of anticancer therapy》2013,13(11):1317-1321
Since the 1990s, minimal access surgery has been utilized in urology. In the past 15 years, robotic surgery has evolved and become a natural part of minimal access surgery. The dissemination has been fast and the opportunity of prospective trials has been missed. Nevertheless, robotic surgery has obvious benefits for the surgeon and patient. Even though the scientific evidence is not strong, robotic surgery is here to stay. However, there are lessons to learn from the implementation of the da Vinci system with regards to patient safety and prospective evaluation of the new technology. The future of surgery will include technologies derived from robotic surgery. 相似文献