经 SPIDER 手术系统行腹腔镜单部位肾脏切除术：在猪模型中测试的工程学进展。
Laparoendoscopic single site nephrectomy with the SPIDER surgical system: engineering advancements tested in a porcine model.
机构信息
Joint Bioengineering and Endourology Developmental Surgical (JBEDS) Laboratory, Division of Endourology, Laparoscopy, and Minimally Invasive Surgery, Department of Urology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
出版信息
J Endourol. 2011 May;25(5):739-42. doi: 10.1089/end.2010.0608. Epub 2011 Mar 9.
UNLABELLED
Abstract Background and Purpose: The Single Port Instrument Delivery Extended Reach (SPIDER) surgical system was developed for true continuous instrument triangulation during laparoendoscopic single site (LESS) surgery. We present our initial preclinical experience with the SPIDER surgical system during renal surgery.
MATERIAL AND METHODS
Bilateral laparoscopic nephrectomies were performed in a live adult porcine animal model using the SPIDER device. A standard surgical approach was used via direct video guidance.
RESULTS
The procedure was successfully performed without surgical error or complication. The SPIDER system proved easy to use with only a minimal learning curve. Intracorporeal surgical knots were tied without difficulty using this single site system.
CONCLUSIONS
Our initial experience with the SPIDER surgical system during renal surgery is promising. SPIDER allows for true single port instrument triangulation offering a superior operative experience to currently available LESS surgical systems.
目的
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背景和目的
单端口仪器输送扩展范围（SPIDER）手术系统是为了在腹腔镜单部位（LESS）手术中实现真正的连续器械三角测量而开发的。我们介绍了在肾脏手术中使用 SPIDER 手术系统的初步临床前经验。
材料和方法
在活体成年猪动物模型中使用 SPIDER 装置进行双侧腹腔镜肾切除术。通过直接视频引导使用标准手术方法。
结果
该手术成功完成，没有手术错误或并发症。SPIDER 系统易于使用，只需最小的学习曲线。使用这种单部位系统毫不费力地进行了体内手术结。
结论
我们在肾脏手术中使用 SPIDER 手术系统的初步经验是有希望的。SPIDER 允许真正的单端口仪器三角测量，为现有的 LESS 手术系统提供了更好的手术体验。
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