Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Surg Endosc. 2002 Sep;16(9):1271-3. doi: 10.1007/s00464-002-8523-5. Epub 2002 Jun 27.
The objective of this study was to describe the technique of laparoscopic hysterectomy using a computer-enhanced robotic surgical system.
Eleven patients underwent laparoscopic hysterectomy and bilateral salpingo-oophorectomy using a computer-enhanced surgical robot. Four trocars were used: one for the camera, two for the robotic arms controlled by the operating surgeon from the surgeon's console, and an additional port for use by the surgical assistant.
Ages ranged from 27 to 77 years, and weight ranged from 54 to 100 kg. Operative time ranged from 4.5 to 10 hours. Estimated blood loss ranged from 50 to 1500 ml. The patients tolerated the procedure and recovered satisfactorily.
This is the first case series reporting the use of a computer-enhanced surgical robot for performing hysterectomy in humans. It is feasible and well tolerated in this series of patients. As this technology develops, the applications for its use in gynecology and gynecologic oncology will increase.
本研究的目的是描述使用计算机增强型机器人手术系统进行腹腔镜子宫切除术的技术。
11例患者使用计算机增强型手术机器人接受了腹腔镜子宫切除术和双侧输卵管卵巢切除术。使用了四个套管针：一个用于摄像头，两个用于由手术医生在手术控制台控制的机器人手臂，还有一个额外的端口供手术助手使用。
年龄范围为27至77岁，体重范围为54至100千克。手术时间为4.5至10小时。估计失血量为50至1500毫升。患者耐受该手术且恢复情况良好。
这是首例报告使用计算机增强型手术机器人在人体中进行子宫切除术的病例系列。在这组患者中该方法可行且耐受性良好。随着这项技术的发展，其在妇科和妇科肿瘤学中的应用将会增加。
