Zeus手术机器人胆囊切除术与常规腹腔镜胆囊切除术的对比研究  

Zeus robot-assisted laparoscopic cholecystectomy in comparison with manual laparoscopic cholecystectomy

作　　者：周汉新 [1] 郭跃华 [2] 余小舫 [1] 鲍世韵 [1] 刘嘉林 [1] 张悦 [1] 任永功 [3] 郑群 [4] 

机构地区：[1]518020,深圳市人民医院(暨南大学第二附属医院)微创外科 [2]华中科技大学同济医学院肝胆外科博士研究生 [3]518020,深圳市人民医院(暨南大学第二附属医院)麻醉科 [4]518020,深圳市人民医院(暨南大学第二附属医院)手术室

出　　处：《中华普通外科杂志》2005年第6期341-343,共3页Chinese Journal of General Surgery

基　　金：吴阶平医学基金会临床科研资助基金项目(200349A)

摘　　要：目的探讨Zeus手术机器人用于胆囊切除术的价值。方法将40例择期胆囊切除术患者分为Zeus手术机器人胆囊切除组(A组)和腹腔镜胆囊切除组(B组),每组20例。结果A组擦镜次数(1.1±1.0)次和调整术野时间(2.2±0.7)min显著少于B组(4.5±1.5)次,(7.5±1.2)min。A组解剖动作次数(337±86)次和操作失误率(10%)少于B组(389±94)次,(25%)。A组手术时间(104.9±20.5)min和系统建立时间(29.5±9.8)min显著长于B组(78.6±17.1)min,(12.6±2.5)min。两组术中出血量(35.6±25.2)ml∶(31.8±16.4)ml和术后住院天数(2.8±0.8)d:(2.8±0.7)d相近,均无术后并发症,各有1例中转开腹手术。结论手术机器人胆囊切除术与腹腔镜手术相比,手术时间长,但术野控制能力好,动作精确性和稳定性更大。Objective To evaluate Zeus robot-assisted laparoscopic cholecystectomy. Methods Forty patients were divided into two groups receiving respectively Zeus robot-assisted laparoscopic cholecystectomy (group A, 20 cases), and laparoscopic cholecystectomy (group B, 20 cases). A variety of clinical parameters were evaluated. Compared between these two groups. Results Camera clearing (1.1±1.0) times and time used for operation field adjustment in group A (2.2±0.7) min were significantly less than those in group B (4.5±1.5,7.5±1.2) min. Dissection actions(337±86)times and operative errors(10%) in group A were less than those in group B(389±94) times,25%. The operation time(104.9±20.5) min and setup time (29.5±9.8) min in group A were longer than those in group B (78.6±17.1) min,(12.6±2.5) min. The blood loss,and postoperative hospital stay were similar. There were no postoperative complications in either groups, and conversion to open surgery was done in one each patients. Conclusions Compared with laparoscopic technique, Zeus robotic surgical system offers greater ability of controlling operation field, precise and stable operative manipulations though it requires longer operation time.

关 键 词：Zeus手术机器人 腹腔镜 胆囊切除术 机器人辅助 手术设备 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]