• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Robotic-assisted sacrocolpopexy: technique and learning curve.
【24h】

Robotic-assisted sacrocolpopexy: technique and learning curve.

机译：机器人辅助sa腔cro：技术和学习曲线。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Laparoscopic sacrocolpopexy (LSCP) offers a minimally invasive approach for treating vaginal vault prolapse. The Da Vinci robotic surgical system may decrease the difficulty of the procedure. The objective of this study was to describe the surgical technique of robotic-assisted sacrocolpopexy (RASCP) and evaluate its feasibility, safety, learning curve, and perioperative complications. METHODS: Eighty patients underwent RASCP between November 2004 and June 2007. Robotic dissection of the planes between the bladder and vagina anteriorly and between the vagina and rectum posteriorly was performed. A peritoneal incision was made to expose the sacral promontory and extended down to the vaginal apex. A Y-shaped mesh was sutured to the anterior and posterior surfaces of the vagina. The tail end of the mesh was sutured to the sacral promontory. Intracorporeal knot tying was used in all sutures. The peritoneal incision was closed to cover the mesh using a running suture. RESULTS: Mean operative time was 197.9 [standard deviation (SD) 66.8] min. After completion of the first ten cases, mean operative time decreased by 25.4% [64.3 min, 95% confidence interval (CI) 16.1-112.4 min, p < 0.01]. Two (2.5%) patients had injury to the bladder, one (1.2%) patient had a small bowel injury, and one (1.2%) patient had a ureteric injury. Postoperatively, five (6%) patients developed vaginal mesh erosion, one (1.2%) patient developed a pelvic abscess, and one (1.2%) patient had postoperative ileus. Four (5%) cases were converted to laparotomy. Mean follow-up period was 4.8 months (range 1-24 months). CONCLUSIONS: RASCP is a feasible procedure with acceptable complication rates and short learning curve.
机译：背景：腹腔镜sa腔穿刺术（LSCP）提供了一种微创方法来治疗阴道穹ault脱垂。达芬奇机器人手术系统可以减少手术难度。这项研究的目的是描述机器人辅助col腔结肠切除术（RASCP）的手术技术，并评估其可行性，安全性，学习曲线和围手术期并发症。方法：2004年11月至2007年6月，对80例患者进行了RASCP。对膀胱前部与阴道之间以及阴道后部与直肠之间的平面进行了机械解剖。进行腹膜切口以暴露the海角并向下延伸至阴道顶点。将Y形网眼缝合到阴道的前表面和后表面。网格的尾部被缝合到to海角。在所有缝合线中均使用了体内打结。使用连续缝合线关闭腹膜切口以覆盖网孔。结果：平均手术时间为197.9 [标准差（SD）66.8]分钟。前十例完成后，平均手术时间减少了25.4％[64.3分钟，95％置信区间（CI）16.1-112.4分钟，p <0.01]。 2名（2.5％）的患者膀胱受伤，1名（1.2％）的患者有小肠损伤，而1名（1.2％）的患者有输尿管损伤。术后有五名（6％）患者发生阴道网状糜烂，一名（1.2％）患者发生了盆腔脓肿，一名（1.2％）患者患有术后肠梗阻。四（5％）例被转为剖腹手术。平均随访期为4.8个月（范围1-24个月）。结论：RASCP是一种可行的方法，具有可接受的并发症发生率和较短的学习曲线。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号