国产MP1000机器人手术系统颌下入路猪甲状腺切除术探索  

Exploration of porcine thyroidectomy via submaxillary approach using MP1000 robotic surgical system in porcine animal model

作　　者：王刚 王猛 贺青卿 朱见 庄大勇 周鹏 李小磊 WANG Gang;WANG Meng;HE Qingqing;ZHU Jian;ZHUANG Dayong;ZHOU Peng;LI Xiaolei(Department of Thyroid and Breast Surgery,The 960th Hospital of Joint Logistics Support Force,Jinan 250031,P.R.China)

机构地区：[1]中国人民解放军联勤保障部队第九六〇医院甲状腺乳腺外科,济南250031

出　　处：《中国普外基础与临床杂志》2023年第11期1329-1332,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：山东省医药卫生科技发展计划项目(项目编号:202204011069)。

摘　　要：目的探讨国产MP1000机器人手术系统辅助行颌下入路猪甲状腺切除术的安全性及可行性。方法回顾性分析中国人民解放军联勤保障部队第九六〇医院采用1头巴马猪行MP1000机器人手术系统颌下入路的甲状腺切除术过程。结果手术按计划在MP1000机器人手术系统下成功完成,未中转开放、无外加或延长手术切口。术中MP1000机器人手术系统未发生任何机械故障。手术时间为53 min,术中估计出血量10 mL。手术操作过程中未出现器械及机械臂抖动,3个手术器械配合娴熟,顺利完成手术操作空间的建立,精准精细解剖甲状腺血管,完成分离、凝闭及切断血管;精细解剖并保护了喉返神经和甲状旁腺。未损伤甲状腺周围颈动脉鞘、气管、食管等重要器官。主从映射频率高,手术操作过程中没有延迟感。MP1000的镜头分辨率为1920×1080,手术视野清晰,没有视野缺损,视野稳定无晃动,光源前置和智能自适应温控系统减少了镜头起雾,术中擦洗镜头4次。结论从本研究实验动物的结果提示,采用MP1000机器人手术系统可顺利完成颌下径路猪甲状腺切除术。Objective To investigate the safety and feasibility of domestic MP1000 robotic surgical system assisted thyroidectomy via submaxillary approach in porcine animal model.Method The thyroidectomy process assisted by the MP1000 robotic surgical system via submaxillary approach for a Bama pig in the 960th Hospital of the Joint Logistics Support Force was retrospectively analyzed.Results The operation was performed as planned programme using the MP1000 robotic surgical system without opening,adding or lengthening the surgical incision.There was no mechanical problems during the MP1000 robotic surgical operation.The operative time was 53 min and the estimated intraoperative blood loss was 10 mL.There was no shaking of instruments and robotic arm during the operation,and the 3 surgical instruments cooperated skillfully,the establishment of surgical operation space successfully was completed,the thyroid blood vessels accurately and finely was dissected,and the separation,coagulation and cutting of blood vessels were smoothly completed.The recurrent laryngeal nerve and parathyroid gland were delicately dissected and protected.The carotid sheath,trachea,esophagus,and other important organs around the thyroid did not be damaged.The master-slave mapping frequency was high,and there was no delay sense during the operation.The lens resolution of MP1000 was 1920×1080,the surgical field of vision was clear,no visual field was defected and the visual field was stable and not shaking,light source front and intelligent adaptive temperature control system reduced the fogging of the lens,and the lens was scoured for 4 times during the operation.Conclusion According to the preliminary results of the experimental animal in this study,MP1000 robotic surgical system can successfully complete thyroidectomy via submaxillary approach in porcine animal model.

关 键 词：MP1000机器人手术系统 机器人甲状腺手术 颌下径路 猪动物模型 

分 类 号：R653[医药卫生—外科学]