机器人外科学杂志（中英文）2024，Vol.5Issue(3)：312-318,7.DOI:10.12180/j.issn.2096-7721.2024.03.002
人工智能辅助悬吊式无气腹单孔腹腔镜在妇科手术中的应用价值
Application value of AI-assisted suspended gasless single-port laparoscopic surgery in gynecology
摘要
Abstract
Objective:To explore the clinical application value of AI-assisted suspended gasless single-port laparoscopic surgery in gynecology.Methods:Clinical data of 60 patients who underwent gynecological surgery in our hospital from October 2021 to October 2022 were retrospectively analyzed and divided into the group A(n=30)and group B(n=30)according to different surgical methods.Patients in the group A received AI-assisted suspended gas less single-port laparoscopic surgery,while patients in the group B underwent CO2 Pneumoperitoneum laparoscopic surgery.The blood pressure,heart rate,peak inspiratory pressure(PIP),partial pressure of end-tidal CO2(PetCO2),operative time,intraoperative blood loss,postoperative anesthesia recovery time,postoperative intestinal function recovery time,postoperative length of hospital stay,surgical complications,satisfaction degree of incision and score of incision pain of the two groups were compared.Results:There was no significant difference in blood pressure,heart rate,PIP and PetCO2 of patients in group A undergoing suspended gasless surgery before and after anesthesia(P>0.05).The blood pressure,heart rate,PIP and PetCO2 of patients in the group B at different time points of surgery were significantly higher than those before anesthesia(P<0.05).The partial pressure of arterial blood oxygen(PaO2)and partial pressure of arterial carbon dioxide(PaCO2)in the group A were significantly higher than those in the group B(P<0.05).There was no significant difference between the two groups in terms of operative time,intraoperative bleeding,postoperative complications,hospitalization expenses and incision satisfaction(P>0.05).The time of anabiosis after surgery,time of intestinal function recovery after surgery,postoperative hospitalization time and incision pain score of patients in the group A were less than those in the group B,and the difference was statistically significant(P<0.05).Conclusion:AI-assisted suspended gasless single-port laparoscopic surgery is feasible and safe in gynecology,and is worthy of clinical application.关键词
人工智能/腹腔镜手术/悬吊式/无气腹/单孔腹腔镜Key words
Artificial Intelligence/Laparoscopic Surgery/Suspended/Gasless/Single-port分类
医药卫生引用本文复制引用
党建红,孙昊,隋晓馨,楚靖,高京海,金志军,刘晓军..人工智能辅助悬吊式无气腹单孔腹腔镜在妇科手术中的应用价值[J].机器人外科学杂志（中英文）,2024,5(3):312-318,7.基金项目
海军军医大学第二附属医院院内医疗技术重点项目(YLJS2021A-04) Medical Technology Key Project of the Second Affiliated Hospital of Naval Military Medical University(YLJS2021A-04) （YLJS2021A-04）
