胸部外科手術における大腿筋膜の有用性(新しい手術手技, 第22回日本呼吸器外科学会総会)

高持 一矢, 鈴木 一也, 船井 和仁, 春藤 恭昌, 浅野 寿利, 数井 暉久
2005 The Journal of the Japanese Association for Chest Surgery  
【 Background 】Anumber of innovative technologies have re ⊂ ently been introduced into rnedical fields , alld a cornputer − enhanced robotLc surge 特 y system is one of achievements of such illtegratiQn 、 We presenl an experience of cor 冂 pute − aided gel ユeral thDracic surgery , and perspective of 熱ture developrnent. 【 Experience of robo 血c surgery 】 AmQng sixty surgeries usirlg a master . slave type manipulator ( da Virlci or Zeus ) in our departmellt ,5cases were thoracoscopic surgeries
more » ... ic surgeries including two thymomectomies σ Thorac Cardiovasc SuT ' g , 2001). an extellded thymectomy .訊n extirpa 匸ion of posterior rnediastinal cyst ( Ann Thorac Surg 、 2002 ) , athoracic sympathectomy 、 All surgeries were totally cornple 【 ed by rQbotic procedures but one case of extended thymectomy for rnyasthenia gravis . No surgical complication was experienced in all cases .【 Computer − guided na 、・ igation】Now we have s 匸 artじd tQ investlgate utility of virtual reality imaging reconstructed frorn preoperative CT or MR 目 mages fQr slmulation and navigation of general thoracic surgery such as VATS or complex resection 「 or ma ] ignancy. Using this technlque 、 small pulrllorla 匡 y nodules Qr mediastinal mass was easilv detected in a rea1 ・ time vi 由 a 目 mage meunted Qn an eIldoscopic videolnonito1
doi:10.2995/jacsurg.19.359_3 fatcat:vr47hgr2ybbvvj3ocvkupfwwnm