Department of Surgery, Tagawa Municipal Hospital, Fukuoka, Japan.
Asian J Endosc Surg. 2020 Jul;13(3):448-452. doi: 10.1111/ases.12760. Epub 2019 Nov 6.
Robot-assisted surgery has advanced rapidly since the 1980s. However, new equipment is still needed to overcome problems in conventional endoscopic surgery, including unique risks, such as camera shake and communication difficulties between the operator and the scopist. EMARO, an endoscope manipulator robot, is the world's first pneumatically driven endoscope-holder robot that can operate flexibly and smoothly with the use of air pressure. We herein report the surgical experience of using EMARO in totally extraperitoneal inguinal hernia repair. A 77-year-old Japanese man presented with bulging in the right groin area. After we diagnosed a right inguinal hernia, endoscopic inguinal hernia repair was performed. We selected the totally extraperitoneal approach with EMARO. The endoscopic procedure time was 100 minutes, and no intraoperative complications occurred. EMARO brings together features of smooth motion and good manipulation performance. This operation was performed safely and was comparable to a conventional operation completed with human assistants. Solo surgery with EMARO was beneficial in this inguinal hernia patient.
自 20 世纪 80 年代以来，机器人辅助手术发展迅速。然而，仍需要新的设备来克服传统内窥镜手术中的问题，包括独特的风险，如相机抖动和操作人员与内窥镜医师之间的沟通困难。EMARO 是世界上第一个气动驱动的内窥镜持镜机器人，它可以使用气压灵活、平稳地操作。我们在此报告使用 EMARO 进行完全腹膜外腹股沟疝修补术的手术经验。一位 77 岁的日本男性出现右侧腹股沟区域突出。在诊断为右侧腹股沟疝后，我们进行了内窥镜腹股沟疝修补术。我们选择使用 EMARO 进行完全腹膜外入路。内窥镜手术时间为 100 分钟，术中无并发症发生。EMARO 具有运动平稳和操作性能良好的特点。该手术安全进行，可与使用人工助手完成的常规手术相媲美。在这位腹股沟疝患者中，EMARO 的单人手术是有益的。
