腹腔镜超声在机器人辅助腹部手术中的初步应用.pdfVIP

临床姐商医学杂志2010 年 11 月第 12 警第 11 期 J Ultrasound ín Clin Med ,Novemeber 2010 , VoL 12 , l\Io.!1 • 757 • ·临床研究· 腹腔镜超声在机器人辅助腹部手术中的初步应用 郭二川自4-培源周宁新白妓蝶刘爽马敏涛梁耀匀 摘 要 目的初步探讨腹腔镜超声在机器人辅助腹部孚术中的临床价值。方法对6 例患者(肝内阳智结在 1 例，肝占位2 例，腕腺占位2 例，腹膜后占位 1 例)实施腹腔镜瞌声引导下机器人辅助腹部手术治疗。应用术中腹腔镜超 声:治疗前，探资病变部位、稳度及与周闸组织结构关系以班择手术方式:治疗时引导手术路径:治疗后，即刻初步评价疗 效。手术后采用 CT 增强扫描或生化指标等进一步评价手术放果。结果 6 例患者均成功究成腹股镜崩声引导机器人 辅助腹部手术治疗，术中及术后均未出现严重并发症，~化指标恢复或接近正常水平，术后超卢复查占{哎性病变治疗区 未见血流信号，CT 增强扫描米见强化，朋管制商与 CT 检资均未见异常。随访 1 -12 个月，生存状况均较满意。结论 服腔镜踊商在机器人辅助腹部手术中不仅可发挥引导定位作用，且可在术中指导手术方式的选捧，有助于手术的成功 实施。随着机器人手术的日益成熟，腹腔镜超声将成为实施该乎术不可缺少的组成部分。 关键词 腹腔镜超声;机器人;手术 [中圈法分提号]R445.1 [立献栋识码] A Preliminaηappli幽.tion of laparωωpic ultrasound in robot 叩刷is铅d abdominal surgery GUO Yujuan ,MU Peiyu酬，ZHOU Ningxin ,BAI Yu棚刷刷，UU Shuang ,MA Mint品。， UANG Yaoyur1 Department of ul忧郁。und ， Renmin Ho由pital of Wuhan Universíty , Wuhan 43以刘0 ， China ABSTRACf Objective To study the primary clinical applicatíon value of laparoscopic ultrasound in robot assisted abdominal surgery. Me仙创s Aωtal of 6 patients (1 case of bile duct stone , 2 cωes of hepatic tumor , 2 cases of panCl1ωlíc tumor , 1 cωes of tumor in retroperitoneal space) underwent 也.e laparoscopíc ul忧郁。山d 叩伊ided robot 叩 assí毗d 必dominal sugery. laparoscopic ultrasound was used to determine the location and level of the lesion , relationship with the tissue nearby , and ch棚e 由e best 阳gical me曲。d before the treatment; 伊ide the patheway duri吨由e treatmeant; primarily evaluate the effecl immediately after treatment. The re峰时ts were evaluated by ultrasound , contrast 幽暗nhanced CT scans and biochemical parameters after operatíon. Rωul臼All sw回cal pl1OCedur，创 were perfonned successf