中国内镜杂志2024，Vol.30Issue(6)：17-22,6.DOI:10.12235/E20240089
柔性臂消化内镜手术机器人在食管内镜黏膜下剥离术中的应用效果
Application of flexible auxiliary single-arm transluminal endoscopic robot in esophageal endoscopic submucosal dissection
摘要
Abstract
Objective To compare the efficacy of endoscopic submucosal dissection(ESD)using the flexible auxiliary single-arm transluminal endoscopic robot(FASTER)with that of the traditional technique,and explore a safer and more efficient ESD operation method.Methods FASTER-assisted ESD and traditional ESD were used to operate in the isolated pig esophagus model.The differences of total procedure time,ESD time,the rate of direct-vision dissection,complete en bloc resection and complication rate between the two groups were compared and analyzed.Results The total procedure time[(19.2±2.9)and(28.9±8.2)min]and ESD time[(13.0±2.9)and(21.6±8.3)min]were significantly shorter in FASTER-assisted ESD group than those in traditional ESD group,the differences were statistically significant(P<0.01);The rate of direct-vision dissection was significantly higher than that of the traditional ESD(96.2%and 65.4%),the difference was statistically significant(P=0.014).Muscle layer injury rate was significantly lower than of the traditional group(19.2%and 69.2%),the difference was statistically significant(P<0.01).There was no significant difference in complete en bloc resection rate and perforation rate between the two groups(P>0.05).These advantages were more apparent in esophageal non-gravity lesions.Conclusion Esophageal ESD assisted by FASTER is safer and more efficient than traditional ESD.关键词
柔性臂消化内镜手术机器人(FASTER)/传统手术/内镜黏膜下剥离术(ESD)/食管Key words
flexible auxiliary single-arm transluminal endoscopic robot(FASTER)/traditional surgery/endoscopic submucosal dissection(ESD)/esophagus分类
医药卫生引用本文复制引用
李清敏,张瑞昕,李茂生,季锐..柔性臂消化内镜手术机器人在食管内镜黏膜下剥离术中的应用效果[J].中国内镜杂志,2024,30(6):17-22,6.基金项目
泰山学者青年专家经费资助(No:tsqn202312333) （No:tsqn202312333）
