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首页> 外文期刊>Surgical Endoscopy >Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery
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Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery

机译：使用XI机器人平台进行总腹部联合膜结肠切除术：在微创结直肠手术中向前一步

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BackgroundThe use of the da Vinci robotic platform for total colectomy has been limited by the need to reposition the patient-side surgical cart from one side of the patient to the other, which increases operative time. In this study, we examined the feasibility of robotic total colectomy using the da Vinci Xi model, which offers a rotating boom-mounted system and laser-targeted trocar positioning.MethodsThe study cohort consisted of 23 patients who underwent minimally invasive total colectomy for cancer or polyposis syndromes at a comprehensive cancer center between 2015 and 2017. Of the 23 colectomies, 15 were robotic and eight were laparoscopic. For the robotic colectomies, trocars were placed in the supraumbilical region and all four quadrants. The da Vinci Xi robot was placed between the patient's legs, and the boom was rotated from left to right and then to the middle in order to work sequentially on the right colon, the left colon, and the pelvis. Operating time and short-term outcomes were compared between the patients who underwent robotic surgery and the patients who underwent laparoscopic surgery.ResultsThe two groups of patients were comparable in age, gender, BMI, physical status, and disease types. In the robotic group, median length of stay (4 vs. 6days, p=0.047) was significantly shorter and median operative time (243 vs. 263min, p=0.97) and median estimated blood loss (50 vs. 100ml; p=0.08) were similar between the groups.ConclusionsWith the da Vinci Xi boom-mounted system, total abdominal colectomy can be performed without the need to move the patient-side surgical cart and is associated with shorter length of stay and similar operative time compared to the laparoscopic approach.
机译：背景技术Da Vinci机器人平台用于总高层膜的使用受到限制，需要将患者侧手术推车从患者的一侧重新定位到另一侧，这增加了操作时间。在这项研究中，我们使用Da Vinci XI模型检查了机器人总联合术的可行性，该模型提供了一种旋转的动臂安装的系统和激光靶向套管针定位。方法研究队列由23名患者接受过最微创的癌症全面癌症或癌症2015年至2017年间综合癌症中心的息肉综合症。在23中的23个联合膜中，15名是机器人，8个是腹腔镜。对于机器人联合膜，轨道被置于超微区域和所有四个象限。 Da Vinci XI机器人被放置在患者的腿之间，并且臂从左到右旋转，然后向中间旋转，以便在右上结肠，左上结肠和骨盆上顺序地工作。在接受机器人手术和接受腹腔镜手术的患者之间比较了操作时间和短期结果。两组患者在年龄，性别，BMI，身体状态和疾病类型上进行了相当的相当。在机器人组中，中值逗留时间（4 vs.6days，P = 0.047）显着较短，中值操作时间（243 vs.263min，p = 0.97）和中值估计失血（50 vs.100ml; p = 0.08 ）在组之间类似于达芬奇XI蓬勃发展的系统，可以在没有需要移动患者侧外科手术车的情况下进行总腹部聚焦，并且与腹腔镜相比，与较短的住宿长度和类似的操作时间相关联方法。

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