Department of Urology, Urological Science Institute and Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2010 Jan;51(1):148-50. doi: 10.3349/ymj.2010.51.1.148. Epub 2009 Dec 29.
Over the past decade, the introduction of robotics in the field of medicine has provided a new approach to patients requiring surgery, and both its advantages and disadvantages are currently under study by many groups worldwide. The use of robotics has especially been considered by the urological community as a treatment option in radical prostatectomy. The current case report is one in which the da Vinci Surgical System, with fourth arm use was employed in radical prostatectomy. This case presents a unique occurrence in which a bolt of the Prograsper forcep became loose during an operation, leading to diminished device functionality and later impedance of its removal. A circumstance such as this has not previously been reported, so we introduce for other robotic surgeons our unique instrumental malfunction case during a robotic prostatectomy.
在过去的十年中，机器人技术在医学领域的引入为需要手术的患者提供了一种新的方法，目前全球许多团体都在研究其优缺点。机器人技术的使用尤其被泌尿科医生视为根治性前列腺切除术的一种治疗选择。本病例报告是使用达芬奇手术系统第四臂进行根治性前列腺切除术的一个案例。这种情况是一种独特的发生，在手术过程中，Prograsper 夹的一个螺栓松动，导致器械功能下降，随后难以取出。这种情况以前没有报道过，因此我们向其他机器人外科医生介绍我们在机器人前列腺切除术中遇到的独特器械故障案例。
