机器人结直肠手术：切口较小，疼痛减轻，更快的愈合
机器人手术现在在美国和宾夕法尼亚州卫生系统中广泛使用，并在结肠和直肠外科手术处使用118金宝搏抽水Penn State Health Milton S. Hershey Medical Centeris no exception. Robotic surgery offers many benefits over laparoscopic or open surgery, including smaller incisions, less pain and faster recovery, and current evidence suggests similar outcomes.1
“我们试着用它来我们所有可以选择的to treat diverticulitis, colorectal cancer, Crohn’s disease and ulcerative colitis,” saysDr. Jeffrey Scow, a colorectal surgeon at the Milton S. Hershey Medical Center and an assistant professor of surgery in the Division of Colon and Rectal Surgery.
高级技术和专业经验
Penn State Health uses Intuitive’s most advanced robotic surgery system, the da Vinci Xi. The system offers the latest features, such as a simplified docking procedure, integrated table motion and multi-quadrant access for complex procedures, which makes it more suitable for colorectal surgery than previous models. Some reviewers have deemed it easier to use than previous systems.2
Two highly experienced surgeons, Scow andDr. Michael Deutsch，在这里定期进行机器人结肠直肠手术，并且均经过培训和董事会认证。
Penn State Health has been performing robotic colorectal surgery for more than seven years. Our faculty members also help train future colorectal surgeons in the use of robotic surgery.
“We have dedicated robotics-trained surgical technicians and nurses, so our whole team is experienced in robotic colorectal surgery,” Scow stated. “We’re committed to growing the program and are excited about the future of this technology.”
During a da Vinci® procedure, the surgeon is 100% in control of the system, which offers high-definition 3D views and translates hand movements into small, precise movements.
Faster Recovery, Similar Outcomes
The procedure itself may take a bit longer, but because robotic surgery uses smaller incisions than laparoscopic or open surgery, the recovery is quicker. Most hospital stays range from three to five days, according to Scow.
“The patients appreciate that they are back at home and back to work more quickly than in years past,” Scow said.
尽管机器人手术的成本一直是一些辩论的主题，但最近的一些研究表明，机器人结直肠手术与常规的腹腔镜手术相当，成本，转换为开放手术和住院时间。3在大多数情况下，Medicare和大多数保险将涵盖机器人结直肠手术。
As the technology continues to improve and more long-term results are documented, robotic colorectal surgery will likely become even more widely used.
“We want to stay on top of that evolution and help drive its progress,” Scow says.
Jeffrey Scow, MD
Assistant Professor, Department of Surgery, Division of Colon and Rectal Surgery, Penn State Health Milton S. Hershey Medical Center and Penn State Cancer Institute
电话：717-531-4950
电子邮件：mjscow@pennstatehealth.psu.edu
奖学金：Colon/Rectal Surgery, Mayo Graduate School of Medicine, Rochester, Minn.
Residency:明尼苏达州罗切斯特的梅奥医学院梅奥医学院通用外科。
Medical School:Creighton University School of Medicine, Lincoln, Neb.
在Doximity上与医学博士Jeffrey Scow联系
参考：
1. Cheng CL, Rezac C. The role of robotics in colorectal surgery.The BMJ. 2018;360:j5304. Available atncbi.nlm.nih.gov/pubmed/29440057.
2. NGU JC，Tsang CB，KOH DC。Da Vinci XI：对机器人结直肠手术的能力，多功能性和潜在作用的评论。Robotic Surgery: Research and Reviews. 2017;4:77–85. Available athttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193435/
3. Vasudevan V，Reusche R，Wallace H，KazaS。比较腹腔镜和机器人结直肠手术的临床结果和成本效益分析。手术内窥镜检查. 2016;30(12):5490-5493. Available athttps://www.ncbi.nlm.nih.gov/pubmed/27126626