遥控宙斯机器人胆囊切除术的临床应用  

Laparoscopic cholecystectomy with remote Zeus surgical robotic system: report of 16 cases

作　　者：周汉新[1] 余小舫[1] 李富荣[1] 鲍世韵[1] 刘嘉林[1] 张悦[1] 任永功[2] 魏安山[2] 郑群[3] 黄俊卿[3] 李素琼[3] 曾兰芬[3] 

机构地区：[1]深圳市人民医院(暨南大学第二附属医院)微创外科,518020 [2]深圳市人民医院(暨南大学第二附属医院)麻醉科,518020 [3]深圳市人民医院(暨南大学第二附属医院)手术室,518020

出　　处：《中华医学杂志》2005年第3期154-157,共4页National Medical Journal of China

基　　金：吴阶平医学基金会临床科研资助基金项目(2003-49-A)

摘　　要：目的探讨遥控外科机器人胆囊切除的手术方法和操作技术要领。方法2004年4月26日至8月31日,在经过严格训练和成功完成3例活体动物模拟实验的前提下,遥控宙斯(Zeus)外科机器人完成16例腹腔镜胆囊切除术,观察记录患者一般资料、术前准备、手术时间(min)、出血量(ml)、手术并发症、术后住院天数(d)。结果16例接受遥控外科机器人胆囊切除术患者术中经过顺利,随着手术经验的积累,术前准备时间由90min缩短为30min,平均为417min;手术时间由120min显著缩短到30min,平均为644min;平均出血量为277ml;术后平均住院24d。术后30d电话随访无异常。结论遥控Zeus机器人胆囊切除术是安全、有效,且具有术野图像更清晰稳定、操作更精细和远程手术优势。Objective To explore the methodology and operative essentials of laparoscopic cholecystectomy with remote Zeus surgical robotic system.Methods Based on strict training and successful experiment in animal model of swine, laparoscopic cholecystectomy using Zeus robotic system was performed on 16 patients with biliary diseases, including choledocholithiasis, cholelithiasis, polyposis of gallbladder, and chronic cholecystitis, 10 males and 16 females, aged 33 (14~27), 26 April to 31 August 2004. The general data, preoperative preparation time, operation time, amount of bleeding, complications, and hospitalization time were analyzed.Results All operations were performed without event. Along with the accumulation of experience the preoperative preparation time was shortened from 90 min to 30 min with an average of 41.7 min, and the operation time from 120 min to 30 min with an average of 64.4 min. The average amount of bleeding was 27.7 ml, and the average postoperative hospitalization time was 2.4 d. A telephone follow-up 30 days after operation showed no abnormality.Conclusion Laparoscopic cholecystectomy with Zeus surgical robotic system is feasible and reliable with the advantages of clearer images in the field of operation, more precise handling, and remote surgery or education.

关 键 词：临床应用 胆囊切除术 外科 术后 手术时间 术前准备 出血量 机器人 遥控 远程 

分 类 号：R657.4[医药卫生—外科学] TP242[医药卫生—临床医学]