机器人外科学杂志（中英文）2026，Vol.7Issue(4)：581-588,8.DOI:10.12180/j.issn.2096-7721.2026.04.005
机器人辅助心脏外科手术的安全性及中期疗效:一项单中心队列研究
Safety and mid-term outcomes of robot-assisted cardiac surgery:a single-center cohort study
摘要
Abstract
Objective:To summarize the clinical efficacy and treatment experience of robot-assisted cardiac surgery.Methods:Clinical data of 31 patients who underwent robot-assisted cardiac surgery using the Da Vinci Xi surgical system at the Department of Cardiovascular Surgery,Xi'an International Medical Center Hospital Affiliated to Northwest University from July 2020 to September 2022 were collected.Perioperative indicators and postoperative follow-up outcomes were analyzed.Results:There were three cases of intraoperative conversion to thoracotomy and two cases of secondary thoracic exploration.Postoperatively,one patient received extracorporeal membrane oxygenation(ECMO)due to severe pulmonary injury,seven patients experienced prolonged mechanical ventilation(＞24 h)due to lung injury,two patients required continuous renal replacement therapy due to renal failure,and 11 patients developed surgery-related liver injury.No surgery-related stroke occurred.One patient died early postoperatively due to low cardiac output syndrome,and the remaining 30 patients were successfully discharged.The maximum follow-up duration was 61 months,and the 1-year and 5-year survival rates were both 93.55％.Conclusion:Robot-assisted cardiac surgery is characterized by minimal invasiveness,safety,reliability,and favorable medium-term prognosis.However,it has a steep learning curve.Prolonged aortic cross-clamp time,cardiopulmonary bypass time,and total operative time can be observed in the initial phase,which tend to decline progressively with accumulated surgical experience.关键词
手术机器人/心脏外科手术/瓣膜置换/瓣膜修复/先天性心脏病Key words
Surgical Robot/Cardiac Surgery/Valve Replacement/Valve Repair/Congenital Heart Disease分类
医药卫生引用本文复制引用
王臻,陈冬辉,徐照华,康伟,白丽君,张金洲..机器人辅助心脏外科手术的安全性及中期疗效:一项单中心队列研究[J].机器人外科学杂志（中英文）,2026,7(4):581-588,8.基金项目
陕西省自然科学基础研究计划一般项目(2023-JC-YB-815) General Project of Natural Science Basic Research Program of Shaanxi Province(2023-JC-YB-815) （2023-JC-YB-815）
