机器人完全不插管全胸腺切除术安全专家共识  

Expert consensus on the safety of tubeless robotic thymectomy

作　　者：徐惟 许世广 刁玉刚 王述民 中国医师协会医学机器人医师分会胸外科专业委员会 XU Wei;XU Shiguang;DIAO Yugang;WANG Shumin;The Committee of Thoracic Surgery,Doctor Society of Medical Robotics,Chinese Medical Doctor Association(Department of Thoracic Surgery,General Hospital of Northern Theater Command,Shenyang,110000,P.R.China;Department of Anesthesiology,General Hospital of Northern Theater Command,Shenyang,110000,P.R.China;不详)

机构地区：[1]北部战区总医院胸外科,沈阳110000 [2]北部战区总医院麻醉科,沈阳110000 [3]不详

出　　处：《中国胸心血管外科临床杂志》2022年第12期1554-1561,共8页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：全胸腺切除是临床治疗胸腺瘤及重症肌无力的重要方法。通过微创手术方法实现全胸腺切除,进而实现术后快速康复是普胸外科手术技术发展的趋势。手术机器人因其本身的技术优势及多年来在纵隔肿瘤切除术中的应用实践,得到广泛认可。探讨如何在手术安全前提下,使机器人技术优势更好地满足医患对快速康复的需求是本共识目的。为此我们邀请国内多位机器人胸外科领域专家,对不插管麻醉下全胸腺切除手术安全、技术问题做一讨论,经过多轮探讨、修改制定本共识。Thymectomy is an important treatment for thymoma and myasthenia gravis.The application of minimally invasive surgery to complete thymectomy and rapid recovery of patients after surgery is a developmental goal in thoracic surgery technology.Surgical robots have many technical advantages and are applied for many years in mediastinal tumor resections,a process that has led to its recognition.We published this consensus with the aim of examining how to ensure surgical safety based on the premise that better use of surgical robots achieving rapid recovery after surgery.We invited multiple experts in thoracic surgery to discuss the safety and technical issues of thymectomy under nonintubated anesthesia,and the consensus was made after several explorations and modifications.

关 键 词：全胸腺切除 机器人手术 不插管麻醉 安全性 专家共识 

分 类 号：R655.7[医药卫生—外科学]