北京大学学报（医学版）2025，Vol.57Issue(4)：662-665,4.DOI:10.19723/j.issn.1671-167X.2025.04.005
国产单孔蛇形臂机器人手术系统在儿童肾盂成形术中的应用
Preliminary application of domestic single-port serpentine arm robotic surgical system in children's pyeloplasty
摘要
Abstract
Objective:To investigate the safety and feasibility of the domestic single-port serpentine-arm robotic surgical system for pyeloplasty in children with congenital ureteropelvic junction obstruction(UPJO).Methods:Data of UPJO patients who underwent pyeloplasty using a domestic single-port ser-pentine-arm robotic surgical system(Beijing Surgerii Robotics Co.,Ltd.)in Beijing Children's Hospital from November 2023 to February 2024 were retrospectively collected.The patients who were not receiving surgical treatment for the first time,had hydronephrosis caused by other reasons(such as ureterovesical junction obstruction,posterior urethral valve,urinary tract stones,vesicoureteral reflux,ureterocele,etc.),had other urinary tract malformations(such as duplicated kidneys,congenital renal dysplasia,etc.),had severe atrophy of the affected kidney,severe urinary tract infection or severe renal insufficien-cy were excluded.All the surgeries were performed through the umbilicus and abdominal cavity,and the operation time,number of intraoperative incisions,incision size,intraoperative blood loss,and peri-operative complications were recorded.Statistical analysis was performed to compare changes in the an-teroposterior pelvic diameter(APD)and renal cortical thickness before surgery and 6 months postopera-tively.Results:A total of 10 patients were included(8 males and 2 females),with an average age of(10.20±3.12)years.Nine patients were on the left side and one patient was on the right side.The average height was(142.0±17.8)cm and the average weight was(37.6±17.9)kg.All the patients underwent surgery using the domestic single-port robotic surgery system,and no patient was converted to open pyeloplasty.The total operation time was(237±96)min,and the operation time on the operating table was(162.0±69.3)min.The intraoperative blood loss was 5.00(2.25,5.00)mL.No compli-cations,such as bleeding,urine extravasation,fever,and poor wound healing occurred during the perioperative period.Compared with the preoperative measurements,the APD was significantly shortened postoperatively(P=0.005),and the renal cortical thickness significantly increased(P=0.011).Con-clusion:The domestic single-port serpentine arm robotic surgical system is safe and feasible for UPJO pyeloplasty in children,with good surgical results,and can be promoted and applied in most domestic medical centers.关键词
单孔手术机器人/机器人手术/肾盂积水/肾盂成形术/儿童Key words
Single-port surgical robot/Robotic surgical procedures/Hydronephrosis/Pyeloplasty/Children分类
医药卫生引用本文复制引用
李宗瀚,黄洋阅,李宁,李明磊,宋宏程,张潍平,刘超..国产单孔蛇形臂机器人手术系统在儿童肾盂成形术中的应用[J].北京大学学报（医学版）,2025,57(4):662-665,4.基金项目
北京市科学技术委员会、中关村科技园区管理委员会"医药创新品种及平台培育"专项(Z231100004823034)Supported by the Science and Technology Planning Program of Beijing Municipal Science & Technology Commission and Administrative Commission of Zhongguancun Science Park(Z231100004823034) （Z231100004823034）
