国产机器人手术系统用于普通外科手术治疗的探索性研究  

An exploratory study of the domestic robotic surgical system for general surgery

作　　者：杨婧[1] 张泽平 杨国渊 彭一耘 宋梅娟 詹渭鹏[1] 田宏伟[1] 狐鸣[1] 苗长丰 陈东东[1] 房伟[1] 景武堂[1] 马云涛[1] Yang Jing;Zhang Zeping;Yang Guoyuan;Peng Yiyun;Song Meijuan;Zhan Weipeng;Tian Hongwei;Hu Ming;Miao Changfeng;Chen Dongdong;Fang Wei;Jing Wutang;Ma Yuntao(Department of General Surgery,Gansu Provincial People's Hospital,Lanzhou 730000,China;The First Clinical Medical College of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃省人民医院普外一科,兰州730000 [2]甘肃中医药大学第一临床医学院,兰州730000

出　　处：《中华普通外科杂志》2024年第9期698-702,共5页Chinese Journal of General Surgery

基　　金：甘肃省自然科学基金(22JR5RA663)。

摘　　要：目的评估国产机器人手术系统在普通外科手术中应用的安全性和有效性。方法前瞻性单中心单臂探索性研究2022年6月至2023年10月在甘肃省人民医院采用图迈■内窥镜手术机器人系统治疗的54例患者的临床资料。主要研究终点为手术成功率,次要研究终点为术中出血量、手术时间、并发症、系统性能、住院天数。结果52例患者均成功完成机器人手术,2例甲状腺手术因出血转为开放,成功率96%,术中无器官损伤或死亡,未发生系统故障。手术类型包括胆囊切除术、胃癌根治术、结直肠癌根治术、腹股沟疝修补术、肝脏部分切除术、甲状腺全切除术及胆总管-空肠吻合术。结论研究初步证实图迈■内窥镜手术机器人系统对普通外科疾病的常规手术治疗具有安全性和有效性。Objective To evaluate the safety and efficacy of the domestic robotic surgical system for general surgery.Methods A prospective single-center,single-arm exploratory study was conducted at Gansu Provincial People's Hospital from Jun 2022 to Oct 2023,enrolling 54 patients undergoing general surgery using domestically produced Toumai■Endoscopic Surgical Robotic System.The primary study endpoint was surgical success rate,and the secondary study endpoints were intraoperative bleeding,operative time,complications,system performance,hospitalization days.Results In this study,robotic surgery was successfully completed in 52 patients,and in 2 patients undergoing thyroid operation it was converted to open surgery due to bleeding,with a success rate of 96%,no organ injury or death during surgery,and no system failure.The types of surgery included cholecystectomy,radical gastric cancer resection,radical colorectal cancer resection,inguinal hernia repair,partial hepatectomy,total thyroidectomy and choledocho-jejunal anastomosis.Conclusion The study provides preliminary evidence of the safety and efficacy of the Toumai■Endoscopic Surgical Robotic System for the treatment of general surgical diseases.

关 键 词：普通外科 外科手术 腹腔镜手术机器人 

分 类 号：R61[医药卫生—外科学]