使用新开发的腹腔镜操纵器对10例胆结石患者进行腹腔镜胆囊切除术。

Laparoscopic cholecystectomy using a newly developed laparoscope manipulator for 10 patients with cholelithiasis.

作者信息

Tanoue K, Yasunaga T, Kobayashi E, Miyamoto S, Sakuma I, Dohi T, Konishi K, Yamaguchi S, Kinjo N, Takenaka K, Maehara Y, Hashizume M

机构信息

Department of Innovative Medical Technology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

出版信息

Surg Endosc. 2006 May;20(5):753-6. doi: 10.1007/s00464-005-0177-7. Epub 2005 Dec 6.

Abstract

BACKGROUND

Laparoscopic surgery has continued to gain popularity in almost all fields of abdominal surgery, and robotic systems have been introduced in general surgery. Naviot is a new remote-controlled laparoscope manipulator system controlled by the operator's hand. This study assessed its introduction into clinical practice.

METHODS

A group of 10 consecutive patients with cholelithiasis underwent laparoscopic cholecystectomy assisted by the Naviot system (Naviot group). Another group of 41 patients who underwent laparoscopic cholecystectomy with a conventional human camera holder (human camera group) were selected for a comparison of their operative results with those of the Naviot group.

RESULTS

The operative time of 89.3 +/- 27.1 min for the Naviot group was significantly longer than that of 74.8 +/- 28.1 min for the human camera group (p < 0.05). However, when the setup time for the Naviot system was excluded, the operative time was not significantly different from that for the human camera group. Other operative results showed no significant difference between the two groups.

CONCLUSIONS

The authors believe that the new Naviot system is feasible for clinical use, and that it enables surgeons to perform solo gastrointestinal surgery.

摘要

背景

腹腔镜手术在几乎所有腹部外科领域都越来越受欢迎,并且机器人系统已被引入普通外科。Naviot是一种由操作者手部控制的新型遥控腹腔镜操纵器系统。本研究评估了其引入临床实践的情况。

方法

一组连续10例胆结石患者在Naviot系统辅助下接受了腹腔镜胆囊切除术(Naviot组)。另一组41例使用传统人工持镜器进行腹腔镜胆囊切除术的患者(人工持镜组)被选取,以将其手术结果与Naviot组进行比较。

结果

Naviot组的手术时间为89.3±27.1分钟,显著长于人工持镜组的74.8±28.1分钟(p<0.05)。然而,排除Naviot系统的设置时间后,手术时间与人工持镜组无显著差异。其他手术结果显示两组之间无显著差异。

结论

作者认为新型Naviot系统在临床使用中是可行的,并且它使外科医生能够独自进行胃肠手术。

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