Mesh : Humans Robotic Surgical Procedures / methods Herniorrhaphy / methods instrumentation Incisional Hernia / surgery Hernia, Ventral / surgery Female Middle Aged Male Abdominal Wall / surgery Laparoscopy / methods

来  源:   DOI:10.1097/SLE.0000000000001231

Abstract:
BACKGROUND: Robotic ventral hernia repair has been increasing globally, with comparable outcomes to laparoscopic repair and lower rates of conversion to open surgery. Robotic surgery is increasing in popularity, and there is a number of new robotic systems entering the marketing. We report the first case of a Roboic eTEP using the Versius robotic system in a patient with an incisional hernia.
METHODS: Surgery was performed using the Versius system from CMR surgical which consists of bedside units for each instrument and a console. The patient presented with an incisional hernia measuring 9.5×5 cm in the left flank.
RESULTS: The patient was discharged on postoperative day (POD) 2 with a drain. There was no need for opioids. The drain was removed at POD 7. The patient presented at POD 10 with erythema and cellulitis in the area that previously had tape on it, and it was resolved with a short course of oral antibiotics.
CONCLUSIONS: The eTEP technique for hernia surgery was safe and feasible using the Versius robotic system. Implementation is possible in experienced hands with minimal changes to the surgical techniques.
摘要:
背景:机器人腹侧疝修补术在全球范围内一直在增加,与腹腔镜修补术具有可比性的结果和较低的中转开腹手术率。机器人手术越来越受欢迎,并且有许多新的机器人系统进入市场。我们报告了第一例使用Versius机器人系统在切口疝患者中使用RoboiceTEP的情况。
方法:使用CMR外科的Versius系统进行手术,该系统包括每个仪器的床边单元和一个控制台。患者左侧腹侧有9.5×5cm的切口疝。
结果:患者在术后第2天(POD)用引流管出院。不需要阿片类药物。在POD7处移除排水管。患者在POD10处出现红斑和蜂窝织炎,该区域以前有胶带,短期口服抗生素就解决了.
结论:使用Versius机器人系统的eTEP技术用于疝气手术是安全可行的。在对手术技术进行最小改变的情况下,在有经验的手中实现是可能的。
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