计算机辅助机器人远程手术。前肠手术的初步经验。
Computer-enhanced robotic telesurgery. Initial experience in foregut surgery.
作者信息
Melvin W S, Needleman B J, Krause K R, Schneider C, Wolf R K, Michler R E, Ellison E C
机构信息
Department of Surgery and Center for Minimally Invasive Surgery, Ohio State University School of Medicine and Public Health, Columbus, OH, USA.
出版信息
Surg Endosc. 2002 Dec;16(12):1790-2. doi: 10.1007/s00464-001-8192-9. Epub 2002 Sep 23.
BACKGROUND
A new type of computer-enhanced telemanipulator device for "robotic" laparoscopic surgery was recently approved. We prospectively evaluated the initial patients undergoing procedures with this new device at our institution.
METHODS
Patient demographics, operative indications, port placement, operative time, robot time, complications, and hospital stay were recorded. Follow-up evaluation was appropriate for the individual procedure.
RESULTS
Initially, 35 cases were managed. There were 22 anti-reflux procedures, 9 Heller myotomies, 1 pyloroplasty, 1 distal pancreatectomy with splenectomy, 1 esophagectomy with intrathoracic anastomosis, and 1 diagnostic laparoscopy. The operative times ranged from 88 to 458 min. The robot use times were between 16 and 185 min. There were no device-related complications.
CONCLUSIONS
Computer-enhanced robotic telesurgery is a safe and effective treatment method for a variety of diseases of the proximal gastrointestinal tract. Further study is needed to determine the benefits of this approach as compared with current technology.
背景
一种新型的用于“机器人”腹腔镜手术的计算机增强型远程操作设备最近获得批准。我们前瞻性地评估了在我们机构使用这种新设备进行手术的首批患者。
方法
记录患者人口统计学资料、手术指征、端口放置、手术时间、机器人操作时间、并发症和住院时间。根据个体手术情况进行随访评估。
结果
最初，共处理了35例病例。其中有22例抗反流手术、9例贲门肌切开术、1例幽门成形术、1例远端胰腺切除术加脾切除术、1例胸内吻合的食管切除术和1例诊断性腹腔镜检查。手术时间从88分钟到458分钟不等。机器人使用时间在16分钟到185分钟之间。没有与设备相关的并发症。
结论
计算机增强型机器人远程手术是治疗各种近端胃肠道疾病的一种安全有效的治疗方法。需要进一步研究以确定这种方法与现有技术相比的优势。
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