该视频片段展示了达芬奇 Xi® 机器人平台在一名被诊断患有乙状结肠降结肠交界癌的 51 岁患者中应用机器人左结肠切除术和体内重叠吻合术。该视频强调了机器人手术在结直肠手术中的优势，展示了完整的结肠系膜切除术，包括从内侧到外侧的解剖、动员脾曲、结扎左结肠和乙状动脉以及切除腹壁等步骤结核。该演示强调了手术的精确度和效率，包括最少的失血量和无并发症，手术时间为 190 分钟。术后结果良好，患者于第八天出院，后续治疗包括针对 pT4bN1aM1c 期中分化腺癌的化疗和腹腔热灌注化疗 (HIPEC)。该案例强调了机器人平台在复杂结直肠手术中的增强能力，特别是在实现细胞减灭术 (CRS) 和通过提高 R0 切除率确保吻合安全方面。© 2024。Springer Nature Switzerland AG。

This video vignette illustrates the application of the da Vinci Xi® robotic platform for robotic left colectomy and intracorporeal overlap anastomosis in a 51-year-old patient diagnosed with sigmoid-descending colon junction cancer. Emphasizing the advantages of robotic surgery in colorectal procedures, the video showcases a complete mesocolic excision, involving steps such as medial-to-lateral dissection, mobilization of the splenic flexure, ligation of the left colic and sigmoid arteries, and resection of an abdominal wall nodule. The presentation highlights the surgical precision and efficiency achieved, including minimal blood loss and no complications, with an operation time of 190 min. The postoperative outcome was favorable, with the patient discharged on the eighth day and subsequent management involving chemotherapy and hyperthermic intraperitoneal chemotherapy (HIPEC) for stage pT4bN1aM1c moderately differentiated adenocarcinoma. This case underscores the enhanced capabilities of robotic platforms in complex colorectal surgeries, particularly in achieving cytoreductive surgery (CRS) and ensuring anastomosis safety with improved R0 resection rates.© 2024. Springer Nature Switzerland AG.