国产模块化手术机器人系统辅助肾部分切除术的可行性和安全性分析  

Feasibility and safety analysis of domestic modular surgical robot system-assisted partial nephrectomy

作　　者：郑浩轲 于栓宝 王泽远 崔金山 刘云龙 陶金[1] 张雪培[1] ZHENG Haoke;YU Shuanbao;WANG Zeyuan;CUI Jinshan;LIU Yunlong;TAO Jin;ZHANG Xuepei(Department of Urology,First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州450000

出　　处：《临床泌尿外科杂志》2025年第1期39-42,共4页Journal of Clinical Urology

基　　金：河南省自然科学基金项目(No:232300420254);河南省科技攻关项目(No:242102311074)。

摘　　要：目的:评估国产模块化海山一^(®)腔镜手术机器人辅助肾部分切除手术的有效性和安全性。方法:前瞻性纳入2024年6月—7月在郑州大学第一附属医院接受海山一^(®)腔镜手术机器人辅助肾部分切除术的10例患者,收集患者的一般情况、肿瘤影像学资料、术中操作相关参数、术后病理、术中及术后并发症发生情况、术者操作的主观感受等。结果:10例患者均顺利完成手术,无中转开放或腹腔镜手术。患者年龄为(56.0±13.9)岁,体重指数为(24.8±2.4)kg/m^(2)。术前TNM分期均为T1aN0M0期,肿瘤直径为(2.0±0.9)cm,R.E.N.A.L.评分为(4.8±0.6)分。设备对接时间为(6.6±3.1)min,机械臂操作时间为(70.1±33.6)min,出血量为(57±24.5)mL,热缺血时间为(13.4±11.6)min,其中有2例患者未阻断肾动脉。术后住院时间为(6.5±1.4)d,病理切缘均为阴性,术中及术后共4例患者出现Clavien-DindoⅠ级并发症。术中操作具有很好的稳定性、灵活性及较低的延迟。结论:初步研究表明海山一^(®)腔镜手术机器人辅助肾部分切除术是安全可行的。Objective:To evaluate the feasibility and safety of the domestically modular Carina^(TM)Platform for partial nephrectomy.Methods:A prospective study was conducted,including 10 patients who underwent partial nephrectomy by the Carina^(TM)Platform in our hospital from June to July 2024.Data collected included patients'general conditions,tumor imaging data,intraoperative parameters,postoperative pathology,intraoperative and postoperative complications,and the subjective experience of the operators.Results:All 10 patients successfully completed the surgery without conversion to open or laparoscopic surgery.The patients'age was(56.0±13.9)years,and the body mass index was(24.8±2.4)kg/m^(2).Preoperative TNM staging was T1aN0M0,with a tumor diameter of(2.0±0.9)cm and R.E.N.A.L score was(4.8±0.6).The docking time was(6.6±3.1)min,and the robotic arm operating time was(70.1±33.6)min.The blood loss was(57.0±24.5)mL,and the warm ischemia time was(13.4±11.6)min.Renal artery clamping avoided in 2 patients.The postoperative hospital stay was(6.5±1.4)days,and all pathological margins were negative.Four patients experienced Clavien-Dindo gradeⅠcomplications intraoperatively and postoperatively.The intraoperative manipulation was stable,flexible,and had low latency.Conclusion:The preliminary study indicates that the Carina^(TM)Platform-assisted partial nephrectomy is safe and feasible.

关 键 词：模块化机器人 肾肿瘤 肾部分切除术 

分 类 号：R737.11[医药卫生—肿瘤]