达芬奇手术机器人房间隔缺损修补术安全性分析  

Safety analysis of atrial septal defect closure using Da Vinci surgical system

作　　者：林德清 李福平[1] 唐文帅[1] 赵树林[1] 宋毅[1] 严曼蓉 赵孝英[1] 钟前进[1] 周林[1] 

机构地区：[1]陆军军医大学大坪医院野战外科研究所,重庆400042

出　　处：《医疗卫生装备》2017年第11期106-108,共3页Chinese Medical Equipment Journal

摘　　要：目的:分析达芬奇手术机器人房间隔缺损修补术的安全性。方法:选取某院2016年7—12月期间入院接受治疗的先天性房间隔缺损患者23例,所有患者均行达芬奇手术机器人心内修补术,观察患者体外循环下完成房间隔缺损修补术的效果。结果:所有患者均成功完成手术,手术时间(2.8±0.5)h,术中体外循环时间(35.4±18.4)min,主动脉阻断时间(25.9±8.4)min,术后呼吸机辅助时间(5.7±1.5)h,胸液引流量50~300 ml,术后住院时间(7±5.1)d;全组无病死患者。出院后1个月、3个月随访结果显示所有患者均无术后并发症,胸片和心脏彩超也无异常,手术效果满意。结论:达芬奇手术机器人房间隔缺损修补术安全可靠,患者临床效果满意,且手术切口小、创伤较小、临床恢复快,有较好的发展前景,值得推广。Objective To analyze the safety of atrial septal defect closure using Da Vinci surgical system.Methods Totally23 atrial septal defect patients hospitalized from July to December 2016 underwent atrioseptopexy by using Da Vinci surgical system.The effect of atrioseptopexy was observed under cardiopulmonary bypass conditions.Results All the patients had the operation completed successfully, with the operating time being（2.8 ±0.5）h, the intraoperative cardiopulmonary bypass time being（35.4±18.4）min, aortic clamping time being（25.9±8.4）min, postoperative mechanical ventilation time being（5.7±1.5）h,amount of thoracic drainage fluid from 50 to 300 ml and postoperative hospital stay being（7 ±5.1）d.The follow-up 1 and 3 months after discharge showed there were no complications and death occurred, and the examinations by chest X-ray film and heart color ultrasound found no abnormality.Conclusion Da Vinci surgical system gains advantages in safety, reliability,patient satisfaction, operative incision and surgical trauma, and thus is worthy promoting clinically.

关 键 词：达芬奇手术机器人 房间隔缺损修补术 安全性 体外循环 微创手术 

分 类 号：R654.2[医药卫生—外科学] TP242[医药卫生—临床医学]