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首页> 外文期刊>Surgical Endoscopy >Totally robotic low anterior resection with total mesorectal excision and splenic flexure mobilization
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Totally robotic low anterior resection with total mesorectal excision and splenic flexure mobilization

机译：全机器人低位前切除术全直肠系膜切除和脾曲张动员

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摘要

Some limitations of conventional laparoscopy have been overcome by the enhanced dexterity of the robotic da Vinci system, and its use in gastrointestinal procedures is evolving. However, difficulties accessing multiple quadrants of the abdomen with the first robotic system led to a rather slow introduction of the da Vinci into the field of abdominal surgery compared with its success with urologic and cardiac procedures. The new da Vinci S HD system offers improved range of motion that allows for easier access to a wider surgical field. The authors developed a new “one-step” setup to perform a low anterior resection with total mesorectal excision and splenic flexure mobilization for rectal cancer using a completely robotic approach. This technical report describes all the major aspects for successful performance of this complex minimally invasive procedure.
机译：达芬奇机器人系统的灵活性增强，克服了常规腹腔镜检查的某些局限性，并且它在胃肠道手术中的应用正在不断发展。然而，与泌尿外科和心脏外科手术的成功相比，第一个机器人系统难以进入腹部的多个象限，导致达芬奇进入腹腔外科领域的步伐相当缓慢。新型达芬奇S HD系统可提供更好的运动范围，从而更容易进入更广阔的手术领域。作者开发了一种新的“一步式”设置，可以使用完全自动的方法对直肠癌进行全直肠系膜切除和脾曲张动员，进行低位前切除。本技术报告介绍了成功执行此复杂的微创手术的所有主要方面。

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