- 期刊
Robot-Assisted Thoracoscopic Resection of a Superior Mediastinal Tumor
以機器手臂輔助胸腔內視鏡切除上縱膈腔腫瘤：病例報告
摘要
過去十年來有很多學者描述了用胸腔內視鏡手術切除縱膈腔腫瘤的報告。最近引進的機器手臂系統變革了內視鏡手術。這些系統可以讓外科醫師執行複雜的胸腔內視鏡手術。它同時提供了讓手術安全所需要的精細度與靈巧度。過去發表過有關機器手臂輔助性胸腔內視鏡手術的病例並不多，特別是上縱膈腔的腫瘤。這裡我們首先介紹了一個四十四歲無症狀的女性患者上縱膈腔神經源性腫瘤，成功地用機器手臂輔助性胸腔內視鏡手術切除腫瘤。術後並無併發症。對於治療縱膈腔腫瘤的病人，機器手臂輔助性胸腔鏡手術或許是一個有效率的另類手術方式。
關鍵字
無資料並列摘要
Although a thoracoscopic approach has been used for thoracic neurogenic tumors for several decades, it is the recent introduction of robotic systems that has revolutionized videoscopic surgery by allowing surgeons to perform complex thoracoscopic procedures safely. However, there have been few reports describing robot-assisted thoracoscopic surgery, especially for tumors of the apical thorax. Herein we present our experience with successful robot-assisted thoracoscopic surgery for a 44-year-old woman with a superior mediastinal neurogenic tumor that was discovered during workup for a chronic dry cough of about one month's duration. No obvious complication was noted after the procedure, and recovery was uneventful. Robot-assisted thoracoscopic surgery may be an effective alternative in treating selected patients with mediastinal tumors.
延伸閱讀
- 方躍霖、陳奕宏（2023）。單一醫學中心運用機器人手臂行成人橫膈膜疝氣修補手術之經驗。台北市醫師公會會刊，67(2)，40-44。https://www.airitilibrary.com/Article/Detail?DocID=P20110322001-N202302210009-00002
- Lai, C. Y., Lin, T. S., Cheng, C. Y., Soon, M. S., Lai, F. M., Hsin, K. C., Hou, C. T., Cheng吳金燕, C. Y., & Chang, C. L. (2002). 電視輔助胸腔鏡施行早期食道癌切除手術. The Changhua Journal of Medicine, 7(4), 201-206. https://www.airitilibrary.com/Article/Detail?DocID=16801504-200210-7-4-201-206-a
- Wu, C. J. (2017). 達文西機器手臂由單側摘取雙側內乳動脈冠狀動脈繞道手術之早期經驗 [master's thesis, Kaohsiung Medical University]. Airiti Library. https://www.airitilibrary.com/Article/Detail?DocID=U0011-2806201710490800
- Yeow, K. M., Liu, H. P., & Hsieh, M. J. (2000). 以電腦斷層植入定位鉤以利肺部細小結節之胸腔內視鏡切除. 中華放射線醫學雜誌, 25(2), 73-77. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200004-25-2-73-77-a
- Tsai, S. H., Tsai, I. C., Chen, M. C., Lin, P. C., Tsai, W. L., Chan, S. W., & Chen, C. C. C. (2009). 穿胸骨電腦斷層導引切片術於前縱膈腫瘤之應用：病例報告. 中華放射線醫學雜誌, 34(4), 277-282. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200912-201005210053-201005210053-277-282