首页> 外文期刊>Minimally invasive therapy and allied technologies: MITAT : official journal of the Society for Minimally Invasive Therapy >Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis.
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Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis.

机译:机器人辅助腹腔镜手术,用于回肠J袋肛门吻合术的恢复性结肠直肠癌切除术。

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摘要

Restorative proctocolectomy (RP) with ileal pouch-anal anastomosis (IPAA) is the surgical procedure of choice for chronic ulcerative colitis (CUC). Robotic-assisted laparoscopic surgery (RALS) has been shown to have its greatest merits in colorectal procedures involving the pelvis. The aim of this study was to evaluate the safety and feasibility of RP with IPAA using an innovative robotic technique. A total of five consecutive patients underwent RALS RP with IPAA between August 2008 and February 2010. Patient demographics, intraoperative parameters, and postoperative outcomes were tabulated and assessed. Surgery was indicated for medically intractable CUC in three patients (60%), CUC-related dysplasia in one patient (20%) and CUC-related adenocarcinoma in one patient (20%). An ileal pouch-anal anastomosis was successful in all five cases. The mean operative time was 330 min and estimated blood loss was 200 cc. There were no intraoperative complications or conversions. The mean length of hospital stay was 5.6 days and no patients developed major postoperative complications. RALS is an innovative technique offering technical and visual advantages to the colorectal surgeon and can be offered for those who are seeking restorative proctolectomy for chronic ulcerative colitis.
机译:合并回肠囊肛门吻合术(IPAA)的恢复性直肠结肠切除术(RP)是慢性溃疡性结肠炎(CUC)的首选手术方法。机器人腹腔镜手术(RALS)已被证明在涉及骨盆的结直肠手术中具有最大的优点。这项研究的目的是使用创新的机器人技术评估IPAA进行RP的安全性和可行性。在2008年8月至2010年2月之间,总共有5位连续患者接受了IPAA的RALS RP治疗。对患者的人口统计学资料,术中参数和术后结果进行了制表和评估。手术表明有3例患者(60%)有医学上难治性CUC,1例患者(20%)有CUC相关的发育异常,而1例患者(20%)有CUC相关的腺癌。在所有五例病例中,回肠囊袋肛门吻合术均成功。平均手术时间为330分钟,估计失血量为200 cc。没有术中并发症或转换。平均住院天数为5.6天,没有患者出现严重的术后并发症。 RALS是一项创新技术,可为结直肠外科医生提供技术和视觉优势,可以为那些正在寻求对慢性溃疡性结肠炎进行直肠直肠切除术的人提供服务。

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