双医生控制台下术中转移设备对提高达芬奇手术机器人使用效率的初步探索  

A preliminary exploration of the intraoperative equipment transfer under the dual-console to improve the utilization efficiency of Da Vinci surgical robot

作　　者：叶赐君 李明天[1] 陈丽结[1] 李川 刘艳玲[1] YE Cijun;LI Mingtian;CHEN Lijie;LI Chuan;LIU Yanling(Department of Surgical Anesthesia,Sun Yat-sen University Cancer center,Guangzhou 510000,China)

机构地区：[1]中山大学肿瘤防治中心手术麻醉科,广东广州510000

出　　处：《机器人外科学杂志(中英文)》2025年第4期633-637,共5页Chinese Journal of Robotic Surgery

基　　金：广东省食管癌研究所科技计划项目(M202126)。

摘　　要：目的:回顾性分析双医生控制台下术中转移设备对达芬奇手术机器人使用效率的影响。方法:通过39例次术中转移达芬奇机器设备的经验,总结并制定适用于双医生控制台下提高达芬奇手术机器人使用效率的方法。结果:39例次双医生控制台下达芬奇机器人手术均顺利完成,无中转开放手术或普通腹腔镜手术,住院期间均未行二次手术,未出现因空间布局、用物准备、手术配合、器械消毒供应等问题造成的手术开台时间延迟或手术时间延长。通过术中转移达芬奇机器设备,每例次手术接台时间节省(125.59±63.69)min,单日单机手术量增加(2.29±1.11)台。结论:双医生控制台下术中转移达芬奇机器设备,可显著节省手术接台时间,提高达芬奇手术机器人单日单机手术量和使用效率。Objective:To retrospectively analyze the impact of intraoperative equipment transfer on the utilization efficiency of Da Vinci surgical robot under a dual-console setup.Methods:Based on 39 cases of intraoperative Da Vinci robotic equipment transfer experiences,a protocol to enhance the utilization efficiency of Da Vinci surgical robot under dual-surgeon console conditions were summarized and established.Results:39 cases of Da Vinci robotic surgeries under the dual-console setup were successfully completed without conversion to open surgery or conventional laparoscopic surgery.No secondary surgeries were required during hospitalization,and no delays in surgical start time or prolonged operative duration occurred due to spatial layout,material preparation,intraoperative coordination,or instrument sterilization issues.By implementing intraoperative equipment transfer,the average turnover time was reduced by(125.59±63.69)min per case,and the daily per-machine surgical volume increased by(2.29±1.11)cases.Conclusion:Intraoperative Da Vinci equipment transfer under dual-console setup could significantly reduce surgical turnover time,increase daily per-machine surgical volume,and improve the utilization efficiency.

关 键 词：双医生控制台 手术机器人 使用效率 移机 

分 类 号：R608[医药卫生—外科学] R473.6[医药卫生—临床医学]