达芬奇手术机器人从引进到使用过程中的科学管理  

Scientific management of the introduction of Da Vinci surgical robot into the use process

作　　者：张琥 曾昭宇[1] 程弓[1] 周慧婷[1] 黄杰[1] 张智强 ZHANG Hu;ZENG Zhaoyu;CHENG Gong;ZHOU Huiting;HUANG Jie;ZHANG Zhiqiang(Medical Equipment Department of Chengdu Third People’s Hospital, Chengdu 610031)

机构地区：[1]成都市第三人民医院医学装备部,成都610031

出　　处：《北京生物医学工程》2021年第1期101-104,共4页Beijing Biomedical Engineering

基　　金：四川省医学科研课题(S18038)资助。

摘　　要：随着外科手术精准化及微创化发展,越来越多的医院引进达芬奇手术机器人,设备已从第一代发展到第四代。相较于传统手术,“医生+机器人”的组合突破了传统腔镜器械无法转弯、深层次血管缝合无法百分之百精准的问题,在保证灵活性及平稳性的基础上实现失血量、组织创伤、炎性反应等问题的同步降低。第四代达芬奇手术机器人具有悬吊式手术臂结构并具有多角度摆位设定的关节,可以由内到外地延展手术工作区域,内置荧光成像技术可实时显示和评估血管、胆管和组织灌注的情况。由于手术机器人价格昂贵,结构复杂精密,医院需要进行充分论证、精细化管理,才能保证设备引进后实现最佳的社会效益及经济效益。本文以达芬奇XI手术机器人为例介绍了设备的引进、安装、培训、验收及使用全流程的科学管理,为医院引进手术机器人全过程管理提供科学的方法及思路。With the development of precision and minimally invasive surgery,more and more hospitals have introduced Da Vinci surgical robot,and the equipment has developed from the first generation to the fourth generation.Compared with traditional surgery,the combination of“doctor+robot”has made breakthrough in the areas where traditional endoscopic instruments cannot turn and deep blood vessel suture cannot be 100%accurate.On the basis of flexibility and stability,blood loss,tissue injury and inflammatory response can be reduced simultaneously.The fourth-generation Da Vinci surgical robot has the structural characteristics of suspended surgical arm and joints with multi-angle positioning setting,which can extend the working area of the operation from inside to outside.The built-in fluorescent imaging technology can display and evaluate the situation of blood vessel,bile duct and tissue perfusion in real time.Due to the high price and complex structure of surgical robots,hospitals should conduct full demonstration and fine management to ensure the best social and economic benefits after the introduction of the equipment.Taking Duffenqi XI surgical robot as an example,this paper presents scientific management of the whole process of the introduction,installation,training,acceptance and use of the equipment,and provides scientific methods and ideas for the whole process management of the introduction of surgical robot in hospitals.

关 键 词：达芬奇手术机器人 引进 安装 培训 验收 使用 

分 类 号：R318.04[医药卫生—生物医学工程] TP242[医药卫生—基础医学]