经口机器人手术中的Flex机器人系统：首批40例患者
Flex Robotic System in transoral robotic surgery: The first 40 patients.
作者信息
Mattheis Stefan, Hasskamp Pia, Holtmann Laura, Schäfer Christina, Geisthoff Urban, Dominas Nina, Lang Stephan
机构信息
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
出版信息
Head Neck. 2017 Mar;39(3):471-475. doi: 10.1002/hed.24611. Epub 2016 Oct 28.
BACKGROUND
The Flex Robotic System is a new robotic device specifically developed for transoral robotic surgery (TORS).
METHODS
We performed a prospective clinical study, assessing the safety and efficacy of the Medrobotics Flex Robotic System. A total of 40 patients required a surgical procedure for benign lesions (n = 30) or T1 and T2 carcinomas (n = 10). Access and visualization of different anatomic subsites were individually graded by the surgeon. Setup times, access and visualization times, surgical results, as well as adverse events were documented intraoperatively.
RESULTS
The lesions could be exposed and visualized properly in 38 patients (95%) who went on to have a surgical procedure performed with the Flex Robotic System, which were intraoperatively evaluated as successful. No serious adverse events occurred.
CONCLUSION
Lesions in the oropharynx, hypopharynx, or supraglottic larynx could be successfully resected using the Flex Robotic System, thus making the system a safe and effective tool in transoral robotic surgery. © 2016 Wiley Periodicals, Inc. Head Neck 39: 471-475, 2017.
背景
Flex机器人系统是一款专门为经口机器人手术（TORS）研发的新型机器人设备。
方法
我们开展了一项前瞻性临床研究，评估Medrobotics Flex机器人系统的安全性和有效性。共有40例患者因良性病变（n = 30）或T1和T2期癌（n = 10）需要进行手术。外科医生对不同解剖亚部位的暴露和可视化情况进行单独分级。术中记录设置时间、暴露和可视化时间、手术结果以及不良事件。
结果
38例（95%）使用Flex机器人系统进行手术的患者病变能够得到充分暴露和可视化，术中评估手术成功。未发生严重不良事件。
结论
使用Flex机器人系统可成功切除口咽、下咽或声门上喉的病变，因此该系统是经口机器人手术中一种安全有效的工具。© 2016威利期刊公司。《头颈》39: 471 - 475, 2017。
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