Objectives To evaluate the effectiveness of the da Vinci® robotic surgical system in the treatment of patients with intractable constipation.Methods A retrospective analysis was performed on the clinical data of 10 patients who underwent robotic surgery for intractable constipation between July 2016 and April 2024.The primary diagnoses of the patients included 2 cases of slow transit constipation,1 case of adult idiopathic megacolon,4 cases of mixed constipa-tion,and 3 cases of internal rectal prolapse.Basic information,intraoperative conditions,and postoperative recovery of each patient were recorded.Postoperative follow-up was conducted through outpatient visits or telephone interviews.Re-sults Among the 10 patients,4 had a history of abdominal surgery;3 underwent total colectomy,and 1 underwent sub-total colectomy;2 underwent totally robotic surgery.No conversion to open surgery was required in any of the patients.One patient with a history of abdominal surgery who underwent total colectomy experienced hypotension due to acciden-tal hemorrhage from the ileal mesentery during the surgery.One patient developed inflammatory intestinal obstruction postoperatively,which improved after conservative treatment.Two patients who underwent total colectomy experienced di-arrhea postoperatively,which gradually resolved within approximately 1 year after surgery.Among the 8 patients with ef-fective follow-up,all self-reported satisfaction with the surgical outcomes.Conclusion In patients with intractable consti-pation,the da Vinci® robotic surgical system is safe and feasible to carry out surgical procedures such as total colectomy,subtotal colectomy,and ventral mesh rectopexy.
维普
万方数据