首页|国产精锋单孔腔镜手术机器人辅助气管吻合术的动物实验研究

国产精锋单孔腔镜手术机器人辅助气管吻合术的动物实验研究

Single-port robot-assisted endoscopic airway reconstruction using the newly developed Chinese EDGE SP robotic surgical sysem:A preclinical experiment in rabbits

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目的:评估国产单孔机器人系统[精锋(EDGE SP)]在家兔气管重建中的效果,探讨该机器人手术系统学习曲线特征.方法:本研究共纳入27例家兔进行气管重建,按手术方式分为机器人手术组、胸腔镜手术组和开放手术组,每组9例.比较各组的吻合时间及并发症等,分析机器人手术系统学习曲线.结果:27例家兔实验均顺利完成,3组并发症发病率差异无统计学意义(P>0.05).机器人手术组的吻合时间为(18.49±3.87)min,显著低于胸腔镜组[(23.02±1.66)min,P<0.05],但显著高于开放手术组[(6.95±0.25)min,P<0.05].与胸腔镜组相比,机器人手术组出现的震颤较少.随着机器人实验组例数的增加,家兔气管吻合手术时间逐步稳定.结论:单孔机器人辅助家兔气管吻合是安全、可行、有效的手术方法,可明显降低术中震颤及术者的疲劳感.我们的研究也展示了机器人辅助气道重建的学习曲线.随着机器人临床经验的进一步积累以及耗材费用的降低,机器人辅助手术将在未来的微创胸外科发挥更大的价值.
Objective:To evaluate the safe and efficacy of the robot system EDGE SP in rabbit tracheal re-construction and explore the learning curve characteristics of the robot surgical system.Methods:A total of 27 rabbits were included in this study for tracheal reconstruction,which were divided into ro-bot surgery group,thoracoscopic surgery group,and open surgery group according to surgical meth-ods,with 9 cases in each group.We compared the anastomosis time and complications between each groups,and analyzed the learning curve of the robot surgery system.Results:The experiment of 27 rabbits was successfully completed,and there was no significant difference in the incidence rate of complications between the three groups(P>0.05).The anastomosis time in the robotic surgery group was(18.49±3.87)min,which was significantly lower than that in the thoracoscopic group(vs.(23.02±1.66)min,P<0.05),but was significantly higher than that in the open surgery group(vs.(6.95±0.25)min,P<0.05).Compared with the thoracoscopy group,the robotic surgery group showed fewer tremors.As the number of cases in the robot experimental group increases,the time for tracheal anastomosis surgery in rabbits gradually stabilizes.Conclusion:Uniportal robot assisted tra-cheal anastomosis in rabbits is a safe,feasible,and effective surgical method that can significantly re-duce intraoperative tremor and operator fatigue.Our research also demonstrates the learning curve of robot assisted airway reconstruction.With the further accumulation of clinical experience with robots and the reduction of consumables costs,robot assisted surgery will play a greater role in minimally in-vasive thoracic surgery in the future.

Tracheal AnastomosisUniportal Robot Surgical SystemMinimally Invasive Thoracic Surgery

黄楚坚、蔡松华、邓友君、张百华、马锴、于振涛、郭晓彤

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国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院胸外科 广东 深圳 518116

气管吻合术 单孔机器人手术系统 微创胸外科

广东省重点领域研发计划项目深圳市"医疗卫生三名工程"资助项目深圳市医学重点学科建设经费

2020B1111140002SZSM201612097SZXK075

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(2)
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