机器人辅助经颈纵隔上区淋巴结清扫治疗食管恶性肿瘤的临床前研究
Preclinical study of transcervical upper mediastinal dissection for esophageal malignancy by robot-assisted surgery.
作者信息
Mori Kazuhiko, Yoshimura Shuntaro, Yamagata Yukinori, Aikou Susumu, Seto Yasuyuki
机构信息
Department of Gastrointestinal Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Department of Gastrointestinal Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
出版信息
Int J Med Robot. 2017 Jun;13(2). doi: 10.1002/rcs.1750. Epub 2016 Jun 8.
BACKGROUND
Robotic surgical systems are potentially applicable to transcervical mediastinal lymph dissection for esophageal malignancy.
METHODS
Robot-assisted surgery was performed on a male fresh-frozen human cadaver. Devices for single-port laparoscopic surgery were deployed via one small incision in the left clavicular area. The task for the robot-assisted surgery was the upper mediastinal dissection to the level of the left main bronchus and en bloc harvest of the lymph nodes adherent to the left recurrent laryngeal nerve.
RESULTS
An up-angled 30° scope in the 6 o'clock port and two robotic arms from the 3 and 9 o'clock ports worked effectively together. No collisions of the devices inside the cadaveric body or unexpected traumatic events occurred.
CONCLUSION
The robotic surgical system can be used safely for the upper mediastinal dissection. Copyright © 2016 John Wiley & Sons, Ltd.
背景
机器人手术系统可能适用于经颈纵隔淋巴结清扫治疗食管恶性肿瘤。
方法
在一具男性新鲜冷冻人体尸体上进行机器人辅助手术。通过左锁骨区域的一个小切口部署单孔腹腔镜手术设备。机器人辅助手术的任务是对上纵隔进行清扫至左主支气管水平，并整块切除附着于左喉返神经的淋巴结。
结果
6点位置端口的向上倾斜30°的摄像头以及3点和9点位置端口的两个机器人手臂协同工作有效。尸体体内设备未发生碰撞或意外创伤事件。
结论
机器人手术系统可安全用于上纵隔清扫。版权所有©2016约翰威立父子有限公司。
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