Xijing Hospital successfully implemented the first robotic rectal prolapse suspension in China

Release date: 2015-12-23

Recently, a robotic rectal prolapse suspension was successfully performed in the Xijing Digestive Disease Hospital. The patient walked down to the ground 3 hours after surgery. There was no obvious pain and other adverse reactions, and he was discharged from the hospital on the third day after surgery. After surgery, this procedure is the first in the country and provides valuable experience for precision and minimally invasive surgery.

The patient is a male, 60 years old. When there was a bowel movement 2 years ago, there was always a tumor from the anus. It was diagnosed as "rectal prolapse". Due to the busy work, it was not treated in time. The rectum was prolapsed frequently in the past year, and the prolapse was increasing. The rectum is in the form of a "concentric ring" and is about 8 cm away from the anus. Afterwards, it must be carefully carried back by hand. It can be pulled out when coughing and lifting heavy objects, which seriously affects work and life. Traditional open rectal suspension and internal fixation has large trauma, slow recovery and many complications. At the same time, the patient is obese, the laparoscopic surgery is difficult, the suturing technique is high, and the operation risk is large. The Da Vinci robotic surgery system provides flexible operation and clear vision in a small space, and the surgical arm can completely mimic the human wrist movement, with 7 degrees of freedom, up to 540° free rotation, and its range of motion is much larger than The hand is very dexterous and easy to stitch. Therefore, after a comprehensive evaluation, it was decided to perform surgery on the patient using the Da Vinci robotic surgery system.

On the afternoon of December 18, after careful preparation, in the operation room and anesthesiology department, the deputy director of the Department of Digestive Surgery Zheng Jianyong successfully implemented the robotic rectal prolapse and suspension fixation for the patient. The operation only hit four 0.8- on the abdominal wall of the patient. 1 cm of the wound hole, making full use of the robot's fine operation, precise anatomy for the rectum's free and nerve protection, and using the dexterous arm to suture both sides of the rectum and the patch, so that the rectum is fixed and suspended to the humerus And suture up to close the pelvic floor to move the pelvic floor up, the operation lasted more than 1 hour, the intraoperative bleeding was about 2ml.

The Da Vinci Robotic Surgery System is a comprehensive surgical equipment that integrates many modern high-tech methods. In recent years, it has been gradually promoted and applied in many disciplines at home and abroad. It has achieved good clinical results and is recognized, with 3D stereoscopic vision. Precision, no tremor, fatigue, smart operation, fine anatomy and remote control, especially through the delicate robot to complete the fine operation in the pelvis, especially suitable for rectal surgery. The success of this operation marks a new step in the field of minimally invasive surgery in Xijing Digestive Disease Hospital.

Source: Medical Forum Network

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