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首页> 外文期刊>Surgical Endoscopy >Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer.
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Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer.

机译：机器人辅助腹腔镜下前路全切除直肠系膜全切除术。

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BACKGROUND: With advanced stereoscopic vision, lack of tremor, and the ability to rotate the instruments surgeons find that robotic systems are ideal laparoscopic tools. Because of its high operating cost, however, robotic surgery should be reserved to procedures in which the technology can be of maximum benefit, usually when precise dissections in confined spaces are required. Because conventional laparoscopic total mesorectal excision is a challenging procedure, we have sought to assess the utility of the DaVinci robotic system in laparoscopic low anterior resections for cancer of the rectum. METHODS: Between November 2004 and May 2005 robotic-assisted low anterior resection with total mesorectal excision was performed on six consecutive patients with rectal cancer. These cases were compared with six consecutive low anterior resections performed with conventional laparoscopic techniques by the same surgeon. RESULTS: There were no conversions in either group. Operative and pathological data, complications, and hospital stay were similar in the two groups. Robotic operations appeared to cause less strain for the surgeon. CONCLUSIONS: Robotic-assisted laparoscopic low anterior resection for rectal cancer is feasible in experienced hands. This technique may facilitate minimally invasive radical rectal surgery.
机译：背景：凭借先进的立体视觉，没有震颤以及外科医生能够旋转器械的能力，发现机器人系统是理想的腹腔镜工具。但是，由于其高昂的运营成本，通常应在需要在狭窄空间内进行精确解剖的情况下，将机器人外科手术留给该技术可以发挥最大效益的手术。由于常规的腹腔镜全直肠系膜切除术是一项具有挑战性的手术，因此我们寻求评估达芬奇机器人系统在腹腔镜直肠癌低位前切除术中的实用性。方法：2004年11月至2005年5月，对连续6例直肠癌患者进行了机器人辅助的低位前路全切除直肠系膜切除术。将这些病例与同一位外科医生用常规腹腔镜技术进行的连续六次低位前切除术进行比较。结果：两组均无转化。两组的手术和病理数据，并发症和住院时间相似。机器人操作似乎对外科医生造成的压力较小。结论：机器人辅助腹腔镜低位前切除术治疗直肠癌可行。该技术可以促进微创根治性直肠手术。

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