国产多孔手术机器人辅助胸腔镜下肺段切除术:国内首例报道(附手术视频)  

Domestic multi-port surgical robot-assisted thoracoscopic pulmonary segmentectomy:the first case reported in China(with surgical video)

作　　者：贾骁腾 李鑫[2] 孙大强 JIA Xiaoteng;LI Xin;SUN Daqiang(Clinical School of Thoracic,Tianjin Medical University,Tianjin 300270,China;Department of Thoracic Surgery,Tianjin Chest Hospital of Tianjin University,Tianjin 300000,China)

机构地区：[1]天津医科大学胸科临床学院,天津300270 [2]天津大学附属天津市胸科医院胸外科,天津300000

出　　处：《机器人外科学杂志(中英文)》2025年第4期529-532,共4页Chinese Journal of Robotic Surgery

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-018A)。

摘　　要：天津大学附属天津市胸科医院于2024年1月10日通过精锋^(®)多孔腔镜手术机器人MP1000成功完成1例右肺下叶背段切除术。患者手术顺利,无中转开胸,无肺组织误损伤。手术总时间为105 min,机器准备时间17 min,得到标本时间57 min,手术操作时间88 min,淋巴结清扫顺利,未出现顽固性出血,鼓肺试验未出现漏气。术后患者无明显皮下气肿,刀口疼痛感未见明显异常,疼痛视觉模拟法评分为3分。患者于术后第3天拔除胸腔引流管,伤口愈合良好,无伤口感染。病理结果显示为右肺下叶背段的浸润性非粘液性腺癌,患者于术后第5天顺利出院。此例患者手术的顺利完成标志着国产手术机器人在肺部肿瘤切除领域的可行性、安全性和有效性。然而,未来仍需大样本的前瞻性研究以及长期随访数据进一步验证国产机器人手术系统的有效性和安全性。Tianjin Chest Hospital of Tianjin University completed a case of dorsal segmental resection of the lower lobe of the right lung with the Edge^(®)Multi-port Endoscopic Surgical Robot MP1000 successfully on January 10,2024.The surgery went smoothly,with no midrotation chest opening and no lung tissue misinjury.The total operation time was 105 min,machine preparation time was 17 min,specimen obtaining time was 57 min,and operation time was 88 min.Lymph node dissection went smoothly without persistent bleeding,and there was no air leakage in the lung recruitment maneuver.Postoperatively,the patient had no obvious subcutaneous emphysema,no abnormal incision pain,and a score of 3 on the Visual Analog Scale for pain.The chest drain was removed on the 3rd postoperative day,and the wound healed well without wound infection.Pathologic findings showed an invasive non-mucinous adenocarcinoma in the dorsal segment of the lower lobe of the right lung,and the patient was discharged from the hospital on the 5th postoperative day.The successful completion of the surgery in this case demonstrates the feasibility,safety,and efficacy of domestic robots in the field of lung tumor resection.However,prospective studies with large samples and long-term follow-up data are needed to validate the efficacy and safety of the domestic robotic surgical system.

关 键 词：机器人辅助手术 多孔腔镜手术机器人 肺段切除术 

分 类 号：R734.2[医药卫生—肿瘤]