摘要
目的 探讨使用国产康多内窥镜手术机器人系统(SR1500型)行经腹入路肾部分切除术(PN)的安全性及有效性.方法 本研究前瞻性观察了 2023年7-8月于北京大学第一医院密云医院使用康多内窥镜手术机器人系统(SR1500型)行经腹PN治疗的5例肾肿瘤患者的围手术期资料,描述手术过程,观察并记录手术时间、病理切缘、术中出血量、住院时间、拔除引流管时间等.结果 5例患者的肿瘤平均直径为1.92 cm、肿瘤TNM分期均为T1a、平均R.E.N.A.L评分5.80分、设备对接时间3.00 min、机械臂操作时间97.20 min、肾脏热缺血时间19.80 min.术后病理检查示所有患者的手术切缘均为阴性.无高级别的围手术期并发症及器械相关的不良事件发生.结论 初步证实采用国产康多内窥镜手术机器人系统(SR1500型)行经腹入路PN是治疗T1a期肾脏肿瘤的一种安全有效的方法.
Abstract
Objective To investigate the safety and efficacy of domestic Kangduo endoscopic robotic surgical system(SR1500)in laparoscopic partial nephrectomy via abdominal approach.Methods Perioperative data of 5 patients with renal tumors undergoing transabdominal partial nephrectomy with SR1500 at Miyun Hospital during Jul.and Aug.2023 were prospectively collected.The surgical procedure,operation time,pathological margins,intraoperative bleeding,hospital stay,and catheter removal time were recorded.Results The average tumor diameter was 1.92 cm,staged as T1a in TNM classification,with an average R.E.N.A.L score of 5.80.The mean docking time of equipment was 3.00 min,robotic arm operating time 97.20 min,and renal warm ischemia time 19.80 min.Postoperative pathology revealed negative surgical margins in all patients.No high-grade perioperative complications or device-related adverse events occurred.Conclusion Laparoscopic partial nephrectomy using the Kangduo endoscopic robotic surgical system(SR1500)via abdominal approach is safe and effective in the treatment of T1a renal tumors.
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