[机器人远程操作手术系统在立体定向手术中的临床应用]
[Clinical application of robotic tele-manipulation system in stereotactic surgery].
作者信息
Tian Zeng-Min, Lu Wang-Sheng, Wang Tian-Miao, Liu Du, Chen Yan, Zhang Guo-Lai, Zhao Quan-Jun, Bai Mang-Mang, Yin Feng
机构信息
Department of Neurosurgery, Navy General Hospital of People's Liberation Army, Beijing 100037, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2007 Dec 15;45(24):1679-81.
OBJECTIVE
To assess the clinical usefulness, accuracy, and safety of tele-manipulation for frameless stereotactic surgery using the CAS-R-5 robot system.
METHODS
We prospectively evaluated 32 patients underwent tele-manipulation of frameless stereotactic operations from Sep. 2005 to Sep. 2006. Tele-manipulations were performed via a digital data network by a neurosurgeon in Beijing while the patients were located in Yan'an. The distance is 1300 kilometers away. The accuracy of location and improvement of symptom were observed after operation. The period of follow-up was from 3 to 14 months (the average was 12 months).
RESULTS
The surgical operations in 32 cases were successful. Remote fiducial registration was performed with a mean accuracy of 1. 50 mm and the standard difference were 0.32 mm between the planned and actual target. There were no complications.
CONCLUSIONS
Diagnosis and treatment for intracranial disease by tele-manipulation frameless stereotactic surgeries are reliable and safe.
目的
评估使用CAS - R - 5机器人系统进行无框架立体定向手术的远程操作的临床实用性、准确性和安全性。
方法
我们前瞻性地评估了2005年9月至2006年9月期间接受无框架立体定向手术远程操作的32例患者。远程操作由北京的神经外科医生通过数字数据网络进行，而患者位于延安，距离为1300公里。术后观察定位准确性和症状改善情况。随访时间为3至14个月（平均12个月）。
结果
32例手术均成功。进行了远程基准配准，计划靶点与实际靶点之间的平均精度为1.50毫米，标准差为0.32毫米。无并发症发生。
结论
通过远程操作无框架立体定向手术对颅内疾病进行诊断和治疗是可靠且安全的。
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