This paper systematically reviewed and analyzed the recent publications of robotic-assisted surgeries in the field of tissue repair and reconstruction.Surgical robots can elevate skin flap more accurately and shorten ...This paper systematically reviewed and analyzed the recent publications of robotic-assisted surgeries in the field of tissue repair and reconstruction.Surgical robots can elevate skin flap more accurately and shorten the time of tissue harvest.In addition,robotic-assisted surgery has the advantage of minimal tissue trauma and thus forms minimal scar.The utilization of surgical robots reduces the occurrence of complications after oral radical tumor resection while achieving cosmetic sutures.Robotic-assisted radical mastectomy could radically remove invasive breast cancer lesions and achieve breast reconstruction in the first stage through the small incisions in the operation areas.Surgical robots enable precise microvascular anastomosis and reduce tissue edema in the surgical field.Robotic-assisted technology can help appropriately locate the target tissues at different angles during sinus and skull base surgeries and accurately place tissues during urethroplasty.The robotic-assisted technology provides a new platform for surgical innovation in the field of tissue repair and reconstruction.However,the uncertainty in the survival rate after tumor radical surgery,the increase of operating time,and the high costs are barriers for its clinical application in tissue repair and reconstructive surgery.Nevertheless,robotic-assisted technology has already demonstrated an impact on the field of tissue repair and reconstruction in a meaningful way.展开更多
Introduction:Pilomatricoma is usually a solitary,deep dermal firm nodule with an overlying normal epidermis.Bullous pilomatricoma is rarely reported;thus,its pathogenesis has not been elucidated.We report a case prese...Introduction:Pilomatricoma is usually a solitary,deep dermal firm nodule with an overlying normal epidermis.Bullous pilomatricoma is rarely reported;thus,its pathogenesis has not been elucidated.We report a case presenting the pilomatricoma with bullous change.Case presentation:A 19-year-old female presented a firm nodule covered by a bulla on her right upper arm.Histopathological examination showed the tumor was composed of basophilic basal-like cells and shadow cells.No cellular atypia or abnormal mitotic figures were observed.All these clinical characteristics and pathological results point to the diagnosis of bullous pilomatricoma.The tumor was surgically removed by enlargement.Discussion:We hypothesize that a history of trauma and rapid growth may contribute to the diagnosis of the bullous pilomatricoma.The appearance of the bullous can be explained by the dilated lymphatic vessels seen in histopathologic examination.We give a case report help clinicians to better diagnose this entity and decrease the rate of misdiagnosis.Conclusion:We observed a rare bullous variant of pilomatricoma.Hence,when identifying a patient of bullous pilomatricoma,a detailed medical history and physical examination are essential.展开更多
基金The Capital City Special Fund of the Science and Technology Project of Beijing, China (Z151100004015199)Natural Science Foundation of China (81372051).
文摘This paper systematically reviewed and analyzed the recent publications of robotic-assisted surgeries in the field of tissue repair and reconstruction.Surgical robots can elevate skin flap more accurately and shorten the time of tissue harvest.In addition,robotic-assisted surgery has the advantage of minimal tissue trauma and thus forms minimal scar.The utilization of surgical robots reduces the occurrence of complications after oral radical tumor resection while achieving cosmetic sutures.Robotic-assisted radical mastectomy could radically remove invasive breast cancer lesions and achieve breast reconstruction in the first stage through the small incisions in the operation areas.Surgical robots enable precise microvascular anastomosis and reduce tissue edema in the surgical field.Robotic-assisted technology can help appropriately locate the target tissues at different angles during sinus and skull base surgeries and accurately place tissues during urethroplasty.The robotic-assisted technology provides a new platform for surgical innovation in the field of tissue repair and reconstruction.However,the uncertainty in the survival rate after tumor radical surgery,the increase of operating time,and the high costs are barriers for its clinical application in tissue repair and reconstructive surgery.Nevertheless,robotic-assisted technology has already demonstrated an impact on the field of tissue repair and reconstruction in a meaningful way.
基金supported by Open Project of Fujian Provincial Key Laboratory(Nos.XHZDSYS202004 and XHZDSYS202005)Starting Package of Xiang'an Hospital of Xiamen University(No.PM201809170010).
文摘Introduction:Pilomatricoma is usually a solitary,deep dermal firm nodule with an overlying normal epidermis.Bullous pilomatricoma is rarely reported;thus,its pathogenesis has not been elucidated.We report a case presenting the pilomatricoma with bullous change.Case presentation:A 19-year-old female presented a firm nodule covered by a bulla on her right upper arm.Histopathological examination showed the tumor was composed of basophilic basal-like cells and shadow cells.No cellular atypia or abnormal mitotic figures were observed.All these clinical characteristics and pathological results point to the diagnosis of bullous pilomatricoma.The tumor was surgically removed by enlargement.Discussion:We hypothesize that a history of trauma and rapid growth may contribute to the diagnosis of the bullous pilomatricoma.The appearance of the bullous can be explained by the dilated lymphatic vessels seen in histopathologic examination.We give a case report help clinicians to better diagnose this entity and decrease the rate of misdiagnosis.Conclusion:We observed a rare bullous variant of pilomatricoma.Hence,when identifying a patient of bullous pilomatricoma,a detailed medical history and physical examination are essential.
