兰州大学学报（医学版）2024，Vol.50Issue(11)：30-38,9.DOI:10.13885/j.issn.1000-2812.2024.11.005
达芬奇机器人操作系统中第一助手协作经验分析:基于130例消化系统肿瘤手术的回顾性研究
Analysis of first assistant collaboration in Da Vinci robot operat-ing system:A retrospective study based on 130 cases of digestive system tumor operations
摘要
Abstract
Objective To delve into the significance of collaboration between the first assistant and the prima-ry surgeon in Da Vinci robot-assisted surgeries for digestive system tumors,and to summarize specific cooper-ation experiences with the intention of optimizing surgical procedures and enhancing surgical outcomes.Methods A retrospective analysis was conducted on 130 cases of digestive system tumor surgeries performed using the Da Vinci robot operating system focusing on the specific roles and contributions of the first assistant during preoperative preparation,intraoperative operation assistance,and postoperative reflection and summari-zation,and encompassing preoperative communication,patient assessment,multidisciplinary collaboration,surgical positioning and setup design,instrument management,intraoperative technical support,and close co-operation with other members of the surgical team.Results The findings revealed that the first assistant laid a solid foundation for the smooth conduct of surgery through comprehensive communication,meticulous physi-cal examination,complete preoperative assessments,and effective organization of multidisciplinary discus-sions.During the operation,the first assistant played a pivotal role in optimizing patient positioning,ratio-nalizing team setup,precisely preparing surgical instruments,and flexibly assisting the primary surgeon in their manipulations.They also collaborated efficiently with the primary surgeon,anesthesiologist,nurses,and other team members,significantly enhancing surgical safety and efficiency.Postoperatively,the first assis-tant and primary surgeon jointly reviewed surgical videos,deeply analyzed the surgical process,and summa-rized lessons learned,providing valuable directions for improvement and references for future surgical prac-tices.Conclusion The successful implementation of Da Vinci robotic surgery is highly dependent on a close collaboration between the primary surgeon and the first assistant.The professionalism,coordination skills,and active roles of the first assistant throughout the surgical process are invaluable for improving surgical efficiency,ensuring patient safety,and enhancing patient satisfaction.关键词
达芬奇机器人操作系统/手术第一助手协作/消化系统肿瘤/术前规划与术后评估/手术团队协作Key words
Da Vinci robot operating system/first assistant cooperation during surgery/digestive system tumors/preoperative planning and postoperative evaluation/surgical team collaboration分类
医药卫生引用本文复制引用
崔鸿斌,马斌,马臻,杨金伟,韩晓雯,陈昊..达芬奇机器人操作系统中第一助手协作经验分析:基于130例消化系统肿瘤手术的回顾性研究[J].兰州大学学报（医学版）,2024,50(11):30-38,9.基金项目
国家自然科学基金资助项目(82160129) （82160129）
甘肃省重点人才资助项目(2019RCXM020) （2019RCXM020）
甘肃省科技重大专项资助项目(22ZD6FA054) （22ZD6FA054）
兰州市城关区科技计划资助项目(2020SHFZ0039) （2020SHFZ0039）
兰州市城关区科技计划资助项目(2020JSCX0073) （2020JSCX0073）
甘肃省创新驱动助力工程资助项目(GXH20230817-14) （GXH20230817-14）
兰州大学第二医院"萃英科技创新"计划资助项目(CY2023-ZD-01) （CY2023-ZD-01）
