实用医学杂志2023，Vol.39Issue(24)：3275-3280,6.DOI:10.3969/j.issn.1006-5725.2023.24.022
国产单孔手术机器人辅助腹腔镜下肾部分切除术的可行性及安全性分析
Feasibility and safety analysis of domestic single-port robot system-assisted laparoscopic partial nephrec-tomy
摘要
Abstract
Objective To study the feasibility of domestic single-port surgical robot assisted endoscopic system for partial nephrectomy,and analyze its safety in clinical partial nephrectomy based on experimental results Methods Three qualified experimental pigs were selected,two senior urological professors and a senior resident doctor used a domestic single-port surgical robot to perform partial nephrectomy on the left and right kidneys.Recorded the operation duration,hot ischemia duration,suture time,estimated blood loss,volume of renal parenchyma excision and other information.Results There were 8 wedge resection and 4 heminephrectomies.The kidney volume of wedge resection was(7.35±0.81)mL and the blood loss was(8.50±11.09)mL.The total operation time was(41.67±8.50)min,and the time of resection was(5.88±3.27)min and the stitching time was(11.75±2.82)min.The kidney volume of heminephrectomy was(24.30±2.18)mL,and the blood loss was(6.25±4.35)mL.The total operation time of heminephrectomy was(47.00±11.27)min,and the time of resection was(3.25±1.5)min and the stitching time was(10.00±5.25)min.No bleeding was observed on the wound after the Bull dog was released in all operations.There was no significant difference in operation time and blood loss between the heminephrectomy group and the wedge resection group.There was no significant difference in operation time or blood loss between the senior doctor group and the senior resident doctor group.The NASA-TLX scale was used to assess the degree of workload of the operator during surgical operations,and the results showed that none of the three surgeons had a high level of frustration.There were no adverse events related to the single-port surgical robot system during the operation.Conclusion It is safe and feasible for a domestic single-port surgical robot system to perform a partial nephrectomy.关键词
单孔手术机器人/微创/肾部分切除/安全性/动物实验Key words
single-port surgical robot system/minimally invasive/partial nephrectomy/safety/animal experiment分类
医药卫生引用本文复制引用
罗城,郭胜杰,张志凌,周芳坚..国产单孔手术机器人辅助腹腔镜下肾部分切除术的可行性及安全性分析[J].实用医学杂志,2023,39(24):3275-3280,6.基金项目
广东省重点领域研发计划资助项目(编号:2020B1111140002) （编号:2020B1111140002）
