第四代达芬奇机器人辅助慢性放射性肠炎确定性手术一例(附视频)  

A case of definitive surgery for chronic radiation enteritis assisted by the Fourth-Generation Da Vinci Robot

作　　者：李元新[1,2] 徐田磊 刘伯涛 Li Yuanxin;Xu Tianlei;Liu Botao(Department of Gastrointestinal Surgery,Beijing Tsinghua Changgung Hospital,102218 Bejing,China;School of Clinical Medicine,Tsinghua University,100084 Beijing,China)

机构地区：[1]清华大学附属北京清华长庚医院胃肠外科,102218 [2]清华大学临床医学院,北京100084

出　　处：《中华结直肠疾病电子杂志》2024年第5期435-440,共6页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：慢性放射性肠炎(CRE)的病理特征为肠壁纤维化和闭塞性小动脉内膜炎,约1/3的CRE需要手术治疗。理想的手术策略是切除放射性损伤的肠管并进行一期消化道重建。结合达芬奇机器人手术系统的高清影像、灵活操作优势和本中心多年的CRE确定性手术经验,我们首次将机器人应用于CRE确定性手术,并在戳卡布孔、手术入路、粘连松解策略及消化道重建方面进行深入探讨,设计出切实可行的手术方案。Chronic radiation enteritis(CRE)is characterized by intestinal wall fibrosis and obliterative endarteritis,with approximately one-third of CRE cases requiring surgical intervention.The ideal surgical strategy involves resection of radiation-damaged intestinal segments followed by primary digestive tract reconstruction.Leveraging the high-definition imaging.and flexible operation capabilities of the Da Vinci robotic surgical system,combined with our center's extensive experience in definitive surgery for CRE,we have pioneered the application of robotic-assisted definitive surgery for CRE.This study explores key aspects such as trocar placement,surgical approach,adhesion release strategies,and digestive tract reconstruction,resulting in the development of a feasible and effective surgical protocol.

关 键 词：机器人 慢性放射性肠炎 确定性手术 

分 类 号：R656.9[医药卫生—外科学]