国产手术机器人辅助单孔腹腔镜技术在泌尿外科的初步应用  

Primary study on domestic robot-assisted laparoscopic single-site surgery in urology

作　　者：丛戎 邵云强 田金勇 孙杰 白巍 刘立虎 吾尔开西·多里坤 吴连俊 张嘉宜[1] 依力亚斯·吐尔逊 艾克拜尔·阿不来提 买买提江·达吾提 阿力米江·依米提 杨杰[1,2] 宋宁宏[1,2] CONG Rong;SHAO Yunqiang;TIAN Jinyong;SUN Jie;BAI Wei;LIU Lihu;Wuerkaixi DUOLIKUN;WU Lianjun;ZHANG Jiayi;Yiliyasi TUERXUN;Aikebaer ABULAITI;Maimaitijiang DAWUTI;Alimijiang YIMITI;YANG Jie;SONG Ninghong(Department of Urology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Urology,Kizilsu Kirghiz Autonomous Prefecture People’s Hospital Affiliated to Nanjing Medical University,Kizilsu Kirghiz Autonomous Prefecture 845350,China;Shanghai MicroPort MedBot(Group)Co.,Ltd.,Shanghai 201203,China)

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210029 [2]南京医科大学附属克州人民医院泌尿外科,新疆克孜勒苏柯尔克孜自治州845350 [3]上海微创医疗机器人(集团)股份有限公司,上海201203

出　　处：《机器人外科学杂志（中英文）》2023年第6期533-539,共7页Chinese Journal of Robotic Surgery

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.2020-14-5);国家自然科学基金(82071638);自治州科技攻关重点项目(科技援疆项目);国家青年科学基金项目(82103580)。

摘　　要：目的:探讨国产“图迈”手术机器人辅助单孔腹腔镜技术在泌尿外科手术中的安全性及可行性。方法:回顾性分析2022年2月—2022年5月在南京医科大学附属克州人民医院泌尿外科行机器人辅助单孔腹腔镜手术的6例患者的临床资料,观察患者的性别、年龄、既往手术史、术前诊断、手术方式、合并症、手术时间、术中出血量以及术后住院时间等指标。结果:所有手术均顺利完成,其中2例精索静脉曲张高位结扎术,1例肾盂输尿管切开取石术,1例肾囊肿去顶减压术,1例膀胱切开取石术,1例肾部分切除术。所有患者平均手术时间为(93.33±33.12)min,术中出血量为(42.50±30.65)ml,术后住院时间为(3.33±1.49)d。术后1个月随访,所有患者伤口愈合良好。结论:“图迈”手术机器人辅助单孔腹腔镜技术在泌尿外科的应用是安全、有效的,但仍需更大样本量的临床研究加以验证。Objective:To investigate the safety and feasibility of Toumai robot-assisted laparoscopic single-site surgery in urology.Methods:The clinical data of 6 patients who underwent robot-assisted single-port laparoscopic surgery in the Department of Urology,Kizilsu Kirghiz Autonomous Prefecture People’s Hospital Affiliated to Nanjing Medical University from February to May 2022 were retrospectively analyzed.The gender,age,history of previous surgery,preoperative diagnosis,surgical approach,complications,operative time,intraoperative blood loss,postoperative hospital stay and other indicators were observed.Results:All surgeries were successfully completed,including 2 cases of varicocele high ligation,1 case of pyeloureterotomy,1 case of renal cyst decompression,1 case of cystotomy,1 case of partial nephrectomy.The average operative time was(93.33±33.12)min,the average intraoperative blood loss was(42.50±30.65)ml,and the average postoperative hospital stay was(3.33±1.49)d.All patients were followed up 1 month after surgery,and the wounds healed well.Conclusion:The application of of Toumai robot-assisted single-port laparoscopy in urology could be safe and effective,but it still needs to be verified by a larger sample size of clinical studies.

关 键 词：机器人辅助手术 单孔腹腔镜 微创 泌尿外科 

分 类 号：R699.2[医药卫生—泌尿科学]