Royal Marsden NHS Foundation Trust Reports Findings in Liver Surgery (Introducti on of day-case robotic liver surgery: a case series from a tertiary hepatobiliar y and pancreatic centre)
Royal Marsden NHS Foundation Trust Reports Findings in Liver Surgery (Introducti on of day-case robotic liver surgery: a case series from a tertiary hepatobiliar y and pancreatic centre)
一位新闻记者兼机器人与机器学习的新闻编辑每日新闻-外科新研究-肝脏外科手术是一篇报道的主题。根据NewsRx记者从英国伦敦发回的新闻报道，研究表明：“无论肝脏切除的类型如何，肝脏手术都会伴随着大量的住院时间。开放肝脏手术的关键是大切口，而开放肝脏手术是病人康复过程中的主要因素。”新闻记者从皇家马斯登NHS Fou Ndation Trust获得了这项研究的一句话，“对于需要手术切除的小肝实质病变患者，”机器人手术有可能为患者的术后进程提供转变的机会。当患者计划在入院后24小时内出院时，我们机构制定并实施了一个日病例机器人肝脏切除路径。单个外科医生病例系列在2022年9月至2023年11月期间在三级肝胆和胰腺中心进行的病例。纳入标准为非解剖楔形切除。解剖节段性切除2例，左侧晚期肝叶切除术和微创手术。这是英国第一系列robo tic-day病例小肝切除术。本组共收治20例患者,平均手术时间为86.6min~30.9min,平均手术时间为58.6min~24.5min。13例患者(65%)在手术后24小时内被切除。24小时以上住院的主要原因是住院时间超过24小时。无Clavien-Dindo III级或以上并发症，无30天再住院和90天死亡。本病例系列表明机器人日病例肝切除术是安全可行的。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News – New research on Surgery - Liver Surger y is the subject of a report. According to news reporting originating in London, United Kingdom, by NewsRx journalists, research stated, “Liver surgery is assoc iated with a significant hospital stay regardless the type of liver resection. A large incision is essential for open liver surgery which is a major factor in t he course of the patient’s recovery.” The news reporters obtained a quote from the research from Royal Marsden NHS Fou ndation Trust, “For patients with small parenchyma liver lesions requiring surgi cal resection, robotic surgery potentially offers the opportunity to transform t he patient’s post-operative course. A day-case robotic liver resection pathway w as formulated and implemented at our institution when patients were planned for discharge within 24 h of admission for liver surgery. Single surgeon case series of cases performed at a tertiary hepatobiliary and pancreatic centre between Se ptember 2022 and November 2023. The inclusion criteria were non-anatomical wedge resections, <2 anatomical segmental resections, left late ral hepatectomy and minimally invasive surgery. This is the first series of robo tic day-case minor liver resection in the United Kingdom. 20 patients were inclu ded in this case series. The mean operative time was 86.6 ? 30.9 min and mean co nsole time was 58.6 ? 24.5 min. Thirteen patients (65%) were discha rged within 24 h of surgery. The main cause of hospitalisation beyond 24 h was i nadequate pain relief. There were no Clavien-Dindo grade III or above complicati ons, no 30-day readmission and 90-day mortalities. This case series demonstrates that robotic day-case liver resection is safe and feasible.”
Key words
London/United Kingdom/Europe/Emerging Technologies/Gastroenterology/Health and Medicine/Hepatology/Liver Resectio n/Liver Surgery/Machine Learning/Pancreas/Robotics/Robots/Surgery
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