达芬奇机器人操作系统中第一助手协作经验分析:基于130例消化系统肿瘤手术的回顾性研究  

Analysis of first assistant collaboration in Da Vinci robot operating system:A retrospective study based on 130 cases of digestive system tumor operations

作　　者：崔鸿斌[1,2] 马斌 马臻 杨金伟[1,2] 韩晓雯 陈昊[1,2] Cui Hongbin;Ma Bin;Ma Zhen;Yang Jinwei;Han Xiaowen;Chen Hao(Department of Surgical Oncology,The Second Hospital of Lanzhou University,Lanzhou 730030,China;Key Laboratory of Environmental Oncology of Gansu Province,Lanzhou 730030,China;The Second Clinical Medical School,Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院肿瘤外科,甘肃兰州730030 [2]甘肃省环境肿瘤学重点实验室,甘肃兰州730030 [3]兰州大学第二临床医学院,甘肃兰州730030

出　　处：《兰州大学学报（医学版）》2024年第11期30-38,共9页Journal of Lanzhou University（Medical Sciences）

基　　金：国家自然科学基金资助项目(82160129);甘肃省重点人才资助项目(2019RCXM020);甘肃省科技重大专项资助项目(22ZD6FA054);兰州市城关区科技计划资助项目(2020SHFZ0039);兰州市城关区科技计划资助项目(2020JSCX0073);甘肃省创新驱动助力工程资助项目(GXH20230817-14);兰州大学第二医院“萃英科技创新”计划资助项目(CY2023-ZD-01)。

摘　　要：目的本研究旨在深入探讨在达芬奇机器人辅助的消化系统肿瘤手术中,第一助手与主刀医生协作的重要性,并总结具体的配合经验,以期优化流程、提升效果。方法回顾性分析130例采用达芬奇机器人操作系统完成的消化系统肿瘤手术案例。研究聚焦于第一助手在术前准备、术中操作配合及术后总结反思中的具体作用与贡献,包括但不限于术前沟通、患者评估、多学科协作、手术体位与站位设计、器械管理、术中技术支持以及与手术团队其他成员的紧密配合等。结果术前第一助手通过全面沟通、细致查体、完善术前检查及组织多学科讨论为手术的顺利进行奠定了坚实基础。术中,第一助手在优化患者体位、合理布局站位、精准准备手术器械、灵活协助主刀医生操作等方面发挥了至关重要的作用,并与主刀医生、麻醉医师、护士等团队成员形成了高效协同的工作模式,显著提升了手术的安全性和效率。术后,第一助手与主刀医生共同观看手术录像,深入剖析手术过程,总结经验教训,为未来的手术实践提供了宝贵的改进方向和参考依据。结论达芬奇机器人手术的成功实施高度依赖于主刀医生与第一助手的紧密协作。第一助手的专业素养、配合能力及其在手术全过程中的积极作用,对于提高手术效率、保障患者安全及提升患者满意度具有重要作用。Objective To delve into the significance of collaboration between the first assistant and the primary surgeon in Da Vinci robot-assisted surgeries for digestive system tumors,and to summarize specific cooperation experiences with the intention of optimizing surgical procedures and enhancing surgical outcomes.Methods A retrospective analysis was conducted on 130 cases of digestive system tumor surgeries performed using the Da Vinci robot operating system focusing on the specific roles and contributions of the first assistant during preoperative preparation,intraoperative operation assistance,and postoperative reflection and summarization,and encompassing preoperative communication,patient assessment,multidisciplinary collaboration,surgical positioning and setup design,instrument management,intraoperative technical support,and close cooperation with other members of the surgical team.Results The findings revealed that the first assistant laid a solid foundation for the smooth conduct of surgery through comprehensive communication,meticulous physical examination,complete preoperative assessments,and effective organization of multidisciplinary discussions.During the operation,the first assistant played a pivotal role in optimizing patient positioning,rationalizing team setup,precisely preparing surgical instruments,and flexibly assisting the primary surgeon in their manipulations.They also collaborated efficiently with the primary surgeon,anesthesiologist,nurses,and other team members,significantly enhancing surgical safety and efficiency.Postoperatively,the first assistant and primary surgeon jointly reviewed surgical videos,deeply analyzed the surgical process,and summarized lessons learned,providing valuable directions for improvement and references for future surgical practices.Conclusion The successful implementation of Da Vinci robotic surgery is highly dependent on a close collaboration between the primary surgeon and the first assistant.The professionalism,coordination skills,and active roles of the first ass

关 键 词：达芬奇机器人操作系统 手术第一助手协作 消化系统肿瘤 术前规划与术后评估 手术团队协作 

分 类 号：R615[医药卫生—外科学]