两种机器人辅助下微创心脏手术的体外循环管理  

The CPB Management of Mini Invasive Surgical Heart Operations by Two Different Robotic Assisted Systems

作　　者：赵赟[1] 程玥[1] 胡克俭[1] 魏来[1] 沈金强[1] 徐德民[1] 王春生[1] 

机构地区：[1]复旦大学附属中山医院心脏外科,上海200032

出　　处：《生物医学工程学进展》2013年第2期75-77,共3页Progress in Biomedical Engineering

基　　金：上海市重点学课建设项目(B116)

摘　　要：目的分析比较两种机器人系统(AESOP3000和Da vinci S)辅助下微创心脏手术中体外循环管理和特点。方法 41例患者接受体外循环下微创机器人辅助心脏手术,两组均行股动静脉插管,A组(AESOP3000)共17例采用双极股静脉插管,D组(Da vinci S)共24例采用单极股静脉插管(Edward24/28F),加用离心泵辅助引流或负压辅助引流或颈内静脉插管辅助引流,建立体外循环。结果两组术中均引流充分,转流平稳,血流动力学稳定,监测指标均在正常范围,无手术死亡和围手术期并发症。结论根据不同的机器人辅助系统和不同的手术方式,选择正确合适的灌注引流途径,术中充分引流和灌注以及长时间稳定的灌注管理调整是保证机器人辅助微创心脏手术顺利、成功的重要因素。Objective To summarize and analyze the experience of CPB establishment and management underwent with AESOP3000 and DA VINCI S robotic assisted systems.Methods 41 cases had been done with AESOP3000 and DA VINCI S robotic assisted systems.They were divided into two groups: AESOP3000 group(group A,n =17);DA VINCI S group(group D,n =24).The CPB was established through the cannulation into femoral artery and vein.Double-hole femoral vein cannulation was used in group A.While,sigle-hole femoral vein cannulation was applied in group D combined with Inter-jugular vein cannulation,vacuum assisted venous drainage or centrifugal assisted system.Results It was well-balanced and stably in CPB.All monitor indexes were in the normal range.No death and no paraoperative complication occurred in two groups.Conclusion We should choose the appropriate perfusion and drainage method according to the different surgical approaches and robotic assisted systems.And the sufficiency outflow and the well long-time perfusion management were the keys to surgical operation success.

关 键 词：体外循环 AESOP机器人辅助系统 DA VINCI机器人辅助系统 心脏外科 

分 类 号：R654.1[医药卫生—外科学]