达芬奇机器人治疗胃癌合并低位直肠癌一例  

Experience and technique of simutaneous robot resection for synchronous gastric cancer and low rectal cancer: a case report

作　　者：张旭[1] 龚航军[1] 韩刚[1] Zhang Xu;Gong Hangjun;Han Gang(Department of Gastrointestinal Surgery,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200120,China)

机构地区：[1]上海中医药大学附属曙光医院胃肠外科,200120

出　　处：《中华腔镜外科杂志（电子版）》2022年第6期381-384,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的总结一例胃癌合并低位直肠癌患者的诊治过程,探讨达芬奇机器人治疗胃癌合并低位直肠癌的可行性及安全性。方法回顾性分析上海中医药大学附属曙光医院胃肠外科2021年8月收治的一例胃癌合并低位直肠癌患者的临床诊治过程,结合相关文献分析达芬奇机器人用于胃癌合并直肠癌同期手术的可行性及安全性。结果患者同期行全机器人腹会阴联合直肠癌根治术+全胃切除术+食管空肠Roux-en-Y吻合术,手术时间450 min,术中出血量100 ml。术后无吻合口瘘、肠梗阻、切口感染等并发症,于术后11 d顺利出院。结论达芬奇机器人应用于胃、直肠多发癌有助于减少患者手术创伤,安全性高。Objective We investigated the feasibility and safety of the synchronous robotic resection of the low rectal and stomach malignancies by reporting a case of successful use of robotic surgery for low rectal cancer associated with gastric cancer.Methods To discuss the feasibility and safety of the synchronous robotic resection of the low rectal and stomach malignancies, we retrospctively make an analysis of the clinical data from a patient diagnosed as synchronous low rectal cancer and gastric cancer and relevant literature.Results The patient underwent totally robotic abdominoperineal resection and total gastrectomy. The operation time was 450 min and the intraoperative blood loss was 100 ml. There were no complications such as anastomotic leakage, intestinal obstruction and incisional infection after operation and he was successfully discharged on the 11th day after surgery.Conclusions Simultaneous robotic resection for synchrounous gastric cancer and rectal cancer is feasible and safe and could provide a better mininally invasive option for patients.

关 键 词：机器人手术 胃癌 直肠癌 

分 类 号：R73[医药卫生—肿瘤]