The application experience of Robot-assisted laparoscopic ultrasound in Da Vinci robotic operations
Zhou Jun
Liang Chaozhao
Tai Sheng
Yang Chen
Shi Haoqiang
Hao Zongyao
Abstract：Objective:To explore the application value of Robot-assisted laparoscopic ultrasound in Da Vinci robotic operations.Methods:A retrospective analysis on the clinical data of 18 cases subject to Da Vinci robotic as-sisted laparoscopic surgery in our hospital using laparoscopic ultrasound(Robot-assisted laparoscopic ultrasound, RLUS)in operations were collected,between September 2014 and September 2017.There were 13 cases of endog-enous renal tumor receiving partial nephrectomy;1 case of renal carcinoma combined with inferior vena cava tumor thrombus receiving radical nephrectomy and thrombectomy and 4 cases of ureteropelvic junction obstruction com-bined renal calculi receiving pyeloplasty and ureteroscopic lithotripsy with RLUS positioning.Results:All 18 cases were performed successfully with robotic assisted laparoscopic surgery.The operative time of 13 cases of partial nephrectomy was 55-70 min(average 60 min),and estimated blood loss was 20-100 mL(average 35 mL).There were 12 cases of clear cell carcinoma,and 1 case of papillary carcinoma.All samples had negative margin,postop-erative follow-up period was 3-35 months,and no recurrence or metastasis was found.The surgical time of radical nephrectomy and thrombectomy was 135 min,and estimated blood loss was 110 mL.The renal clear cell carcino-ma with inferior vena cava tumor thrombus was confirmed pathologically,and during a follow-up period of 3 months,no recurrence or metastasis was found.The operative time of pyeloplasty and ureteroscopic lithotripsy was 95-135 min(mean 110 min),and the double J tube was removed at 2nd month after surgery.Hydronephrosis was significantly alleviated at 3rd month after operations,and IVU reexamination showed the clear unobstructed ureter in 2 cases.Conclusions:The application of Robot-assisted laparoscopic ultrasound in Da Vinci robotic opera-tions can accurately locate the focus and achieve a series of complicated operations.
Keywords：robot assisted laparoscopic surgeryintraoperative Robot-assisted laparoscopic ultrasoundpartial nephrectomyradical nephrectomy and thrombectomypyeloplasty and ureteroscopic lithotripsy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1-5 )