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首页> 外文期刊>Surgical Endoscopy >Totally endoscopic Nissen fundoplication with a robotic system in a child.
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Totally endoscopic Nissen fundoplication with a robotic system in a child.

机译：小儿使用机器人系统完全内窥镜尼森胃底折叠术。

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The Da Vinci robot device represents the latest advance in laparoendoscopic surgery. We report the case of an endoscopic Nissen fundoplication performed with the aid of a telemanipulation robot system in a 10-year-old girl. To our knowledge, this is the first such case to be reported. In addition to standard monitoring, we used invasive blood pressure monitoring during the 282-min period of general anesthesia. Arterial blood gas samples were analyzed at short intervals. During surgery, which included a 172-min period of intraperitoneal insufflation of carbon dioxide (CO2), no significant changes were observed in PH, arterial oxygen pressure (PaO2), arterial carbon dioxide pressure (PaCO2), heart rate, or mean arterial pressure. Body temperature was maintained with an external warming blanket. Total intravenous anesthesia with continously administered propofol, remifentanil, and mivacurium for continous muscle relaxation allowed extubation immediately after skin closure. The girl was discharged from hospital on postoperative day 6. Robot-assisted techniques have the potential to significantly improve the performance of laparoendoscopic surgery. However, despite our encouraging first results, the potential risks of robot-assisted surgery have not yet been definitively established. Therefore, patients submitted to this type of procedure require intensive and even invasive monitoring.
机译：达芬奇机器人设备代表了腹腔镜手术的最新进展。我们报道了一个内窥镜尼森胃底折叠术的病例，该术式是通过一个遥控机器人系统在一个10岁的女孩中进行的。据我们所知，这是第一个报告这种情况。除标准监测外，我们还在全身麻醉的282分钟内使用了有创血压监测。短时间分析动脉血气样本。在手术期间（包括腹膜内注入二氧化碳（CO2）172分钟），在PH，动脉氧压（PaO2），动脉二氧化碳压（PaCO2），心率或平均动脉压方面均未观察到明显变化。用外部加热毯保持体温。连续静脉注射异丙酚，瑞芬太尼和米伐库铵用于静脉连续麻醉，以使肌肉持续松弛，皮肤闭合后可立即拔管。该女孩在术后第6天出院。机器人辅助技术具有显着改善腹腔镜手术性能的潜力。然而，尽管我们取得了令人鼓舞的初步结果，但尚未明确确定机器人辅助手术的潜在风险。因此，接受此类手术的患者需要加强甚至侵入性监测。

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