Int J Med Robot - Robotic single-access splenectomy using the Da Vinci Single-Site? platform: a case report.

Tópicos

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Resumo

CKGROUND: Single-access laparoscopic splenectomy can offer patients some advantages. It has many difficulties, such as instrument clashing, lack of triangulation, odd angles and lack of space. The Da Vinci Single-Site? robotic surgery platform could decrease these difficulties. We present a case of single-access robotic splenectomy using this device.METHODS: A 37 year-old female with idiopathic thrombocytopenic purpura was operated on with a single-site approach, using the Da Vinci Single-Site robotic surgery device.RESULTS: The procedure was successfully completed in 140 min. No intraoperative and postoperative complications occurred. The patient was discharged from hospital on day 3.CONCLUSIONS: Single-access robotic splenectomy seems to be feasible and safe using the new robotic single-access platform, which seems to overcome certain limits of previous robotic or conventional single-access laparoscopy. We think that additional studies should also be performed to explore the real cost-effectiveness of the platform.

Resumo Limpo

ckground singleaccess laparoscop splenectomi can offer patient advantag mani difficulti instrument clash lack triangul odd angl lack space da vinci singlesit robot surgeri platform decreas difficulti present case singleaccess robot splenectomi use devicemethod yearold femal idiopath thrombocytopen purpura oper singlesit approach use da vinci singlesit robot surgeri deviceresult procedur success complet min intraop postop complic occur patient discharg hospit day conclus singleaccess robot splenectomi seem feasibl safe use new robot singleaccess platform seem overcom certain limit previous robot convent singleaccess laparoscopi think addit studi also perform explor real costeffect platform

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