Wong Shing Wai, Ang Zhen Hao, Crowe Philip
Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.
Prince of Wales Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
J Surg Case Rep. 2023 Jan 24;2023(1):rjad007. doi: 10.1093/jscr/rjad007. eCollection 2023 Jan.
The aim of the study was to document when significant bedside assistant (BA) and robotic arm collisions occurred during robotic colorectal surgery (RCS). An observational study of 10 consecutive RCS cases, from May 2022 to September 2022, was performed. Situations when there was significant collision between BA arm and robotic arm (to cause inadvertent movement of the assistant instrument) were documented. The assistant port was randomly placed to the right or the left side of the camera port. Situations which led to detrimental BA ergonomics include dissection at the most peripheral working field, proximity of the target (mesenteric vessels), small bowel retraction, placement of the assistant port in the medial position (on the left side of the camera port), during intra-corporeal suturing and robotic stapler use. The robotic console surgeon can predictably identify and avoid situations when injury to the BA may occur.
本研究的目的是记录在机器人结直肠手术（RCS）过程中，何时会发生显著的床边助手（BA）与机械臂碰撞。对2022年5月至2022年9月连续10例RCS病例进行了一项观察性研究。记录BA臂与机械臂之间发生显著碰撞（导致辅助器械意外移动）的情况。辅助端口随机放置在摄像端口的右侧或左侧。导致BA人体工程学不利的情况包括在最外围工作区域进行解剖、靠近目标（肠系膜血管）、小肠回缩、将辅助端口放置在内侧位置（在摄像端口左侧）、体内缝合和使用机器人吻合器期间。机器人控制台外科医生可以预见并避免可能对BA造成损伤的情况。
