达芬奇机器人手术系统辅助下腔静脉滤器取出术的临床疗效

doi:10.3877/cma.j.issn.1674-6899.2019.05.009

中华腔镜外科杂志(电子版) ›› 2019, Vol. 12 ›› Issue (05) : 292 -297. doi: 10.3877/cma.j.issn.1674-6899.2019.05.009

所属专题：机器人手术；文献；

论著

达芬奇机器人手术系统辅助下腔静脉滤器取出术的临床疗效

张荣杰¹, 孙龙¹, 杨世伟¹, 孙伟¹, 刘平¹, 胡春芳¹, 刘建龙², 郝迎学¹^,^†(

)

^1. 400038　重庆，陆军军医大学西南医院血管外科
^2. 100035　北京积水潭医院血管外科

收稿日期:2019-09-04 出版日期:2019-10-30
通信作者: 郝迎学
基金资助:
陆军军医大学临床医学科研人才培养计划(2018XLC3015); 陆军军医大学第一附属医院创新团队培养计划(SWH2018TD-03)

Clinical efficacy of Da Vinci robotic surgical system assisted inferior vena cava filter retrieval

Rongjie Zhang¹, Long Sun¹, Shiwei Yang¹, Wei Sun¹, Ping Liu¹, Chunfang Hu¹, Jianlong Liu², Yingxue Hao¹^,^†()

^1. Department of Uascular Surgery, Southwest Hospital, Army Military Medical University, Chongqing 400038, China
^2. Vascular Surgery of Beijing Jishuitan Hospital, Beijing 100035, China

Received:2019-09-04 Published:2019-10-30
Corresponding author: Yingxue Hao
About author:
Corresponding author: Hao Yingxue, Email: haoyingxue@hotmail.com

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引用本文：

张荣杰, 孙龙, 杨世伟, 孙伟, 刘平, 胡春芳, 刘建龙, 郝迎学. 达芬奇机器人手术系统辅助下腔静脉滤器取出术的临床疗效[J/OL]. 中华腔镜外科杂志(电子版), 2019, 12(05): 292-297.

Rongjie Zhang, Long Sun, Shiwei Yang, Wei Sun, Ping Liu, Chunfang Hu, Jianlong Liu, Yingxue Hao. Clinical efficacy of Da Vinci robotic surgical system assisted inferior vena cava filter retrieval[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(05): 292-297.

目的

达芬奇机器人手术系统辅助下下腔静脉滤器取出术的临床疗效。

方法

采用回顾性描述性研究方法，收集2019年7月陆军军医大学西南医院血管外科收治的亚洲首例行达芬奇机器人手术系统辅助下下腔静脉滤器取出术患者的临床资料。患者下腔静脉滤器置入术后2个月余，血管腔内技术无法取出下腔静脉中的滤器，在达芬奇机器人手术系统辅助下取出下腔静脉滤器。观察指标：术中及术后情况；随访及生存情况。采用门诊进行随访，了解患者术后生存情况。随访时间截至2019年8月。

结果

患者成功行达芬奇机器人手术系统辅助下下腔静脉滤器取出术。手术时间326 min，术中出血量100 ml，完成下腔静脉滤器取出术后，下腔静脉切口吻合良好，无出血及狭窄，无术中并发症发生。患者术后住院时间3 d。随访及生存情况：患者术后随访1个月，腹部穿刺套管孔愈合良好，患者生存良好。

结论

达芬奇机器人手术系统辅助下下腔静脉滤器取出术安全可行。

关键词: 达芬奇机器人手术系统, 下腔静脉, 下腔静脉滤器, 微创手术

Objective

To explore the clinical efficacy of Da Vinci robotic surgical system assisted Inferior Vena Cava filter retrieval.

Methods

The retrospective descriptive study was conducted.The clinical data of the first patient in asia who underwent Da Vinci robotic surgical system assisted inferior vena cava filter retrieval in the department of vascular surgery of Southwest Hospital of Army Military Medical University in Jul. 2019 were collected. The patient underwent retrievable inferior vena cava filter implantation two months ago, and failed to removal of inferior vena cava filters by endovascular measures and underwent inferior vena cava filter retrieval assisted by Da Vinci robotic surgical system. Observation indicators: intra-and post-operative situations; follow-up and patients’ survival. Follow-up using outpatient examination to detect the patients’ postoperative survival and swelling reduction of affected extremity up to Aug.2019.

Results

Intra- and post-operative situations: patient underwent inferior vena cava filter retrieval using Da Vinci robotic surgical system successfully. Operation time was 326 minutes and estimated blood loss was 100 ml. After removal of inferior vena cava filter, the incision of inferior vena cava was anastomosed well without bleeding or stenosis. No intraoperative complications occurred. Duration of hospital stay after surgery was 3 days.Follow-up and patients’ survival: patient was followed up for 1 month.The patient had a good survive without any complications.

Conclusions

The Da Vinci robotic surgical system is safe and feasible in inferior vena cava filter retrieval.

Key words: Da Vinci robotic surgical system, Inferior vena cava, Inferior vena cava filter, Minimally invasive surgery

图1 术中置入下腔静脉滤器

图2 穿刺套管布局、机械臂摆位、取出下腔静脉滤器

图3 手术步骤示意

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