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中国外科手术机器人微手 S:普通外科连续病例系列。

Chinese surgical robot micro hand S: A consecutive case series in general surgery.

机构信息

Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Int J Surg. 2020 Mar;75:55-59. doi: 10.1016/j.ijsu.2020.01.013. Epub 2020 Jan 23.

Abstract

BACKGROUND

A Phase I clinical study of a Chinese surgical robot, Micro Hand S, was completed recently. The purpose of this research was to evaluate the feasibility and safety of the Micro Hand S surgical robot in the clinical application of general surgery.

METHODS

March 2014 to January 2019, 81 cases of robotic surgery were performed at Third Xiangya Hospital of Central South University. Clinical characteristics, operative outcomes, and postoperative results were collected and analyzed. Patients were followed up with for one month.

RESULTS

The results of 81 patients were as follows. The range of operation times was 100-495 min. The range of blood loss was 20-1200 ml, and the docking time range was 7-54 min. The range of first flatus times was 1-7 d, the range of fluid diet times was 1-13 d, and the range of hospital stays was 4-30 d. Three patients (3.7%) required conversion to laparoscopic or open-laparotomy surgery. Two patients (2.5%) needed intraoperative blood transfusions, and one patient (1.2%) required a postoperative blood transfusion. Intraoperative complications occurred in two patients (2.5%), which were bladder injury and ureteral injury. Three patients (3.7%) had postoperative complications, including anastomotic leakage, anastomotic hemorrhage, and wound infection. There were no reoperations during hospitalization, and all 81 patients were discharged smoothly. No readmission or death occurred within 30 d after surgery.

CONCLUSION

The Micro Hand S surgical robot is reliable and safe for the clinical application of general surgery.

摘要

背景

一款名为“妙手 S”的中国手术机器人的 I 期临床试验最近完成。本研究旨在评估妙手 S 手术机器人在普通外科临床应用中的可行性和安全性。

方法

2014 年 3 月至 2019 年 1 月,中南大学湘雅三医院共完成 81 例机器人手术。收集并分析了患者的临床特征、手术结果和术后结果。对患者进行了为期 1 个月的随访。

结果

81 例患者的结果如下:手术时间为 100-495 分钟;出血量为 20-1200ml,对接时间为 7-54 分钟;首次排气时间为 1-7 天,开始流质饮食时间为 1-13 天,住院时间为 4-30 天。3 例(3.7%)患者需要转为腹腔镜或开腹手术;2 例(2.5%)患者需要术中输血,1 例(1.2%)患者需要术后输血;术中并发症 2 例(2.5%),分别为膀胱损伤和输尿管损伤;术后并发症 3 例(3.7%),分别为吻合口漏、吻合口出血和伤口感染。住院期间无再次手术,81 例患者均顺利出院。术后 30d 内无再入院或死亡。

结论

妙手 S 手术机器人用于普通外科临床应用是可靠和安全的。

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