首例使用 hinotori™ 手术机器人系统进行妇科疾病手术的报告。

The first report of surgery for gynecological diseases using the hinotori™ surgical robot system.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.

出版信息

Jpn J Clin Oncol. 2023 Nov 5;53(11):1034-1037. doi: 10.1093/jjco/hyad105.

DOI:10.1093/jjco/hyad105

PMID:37595992

Abstract

OBJECTIVE

This study aimed to report the first surgery for gynecological diseases using a new robotic platform, the hinotori™, and validate its feasibility in clinical settings.

METHODS

The world's first robot-assisted total hysterectomy for a gynecological ailment was carried out at Kagoshima University Hospital in December 2022 utilizing the hinotori™ surgical robot system. Eleven other patients then underwent comparable procedures. The surgical team was certified to execute the procedure and had undergone official hinotori™ training.

RESULTS

Preoperative diagnoses indicated five cases of endometrial cancer, four cases of uterine myoma and one case each of atypical endometrial hyperplasia, uterine adenosarcoma and high-grade cervical intraepithelial neoplasia. Median age and body mass index were 51 (range: 38-70) years and 26.9 (range: 17.3-33.3) kg/m2, respectively. Median roll-in, cockpit and operation times were 15 (range: 10-18), 161 (range: 110-225) and 214 (range: 154-287) min, respectively. The median blood loss was 22 (range: 7-83) mL and conversion to laparotomy was not allowed. Only one patient had postoperative pelvic region infection. The median length of hospital stay was 6 (range: 4-10) days.

CONCLUSION

Based on our experience with presented 12 cases, robotic surgery with the hinotori™ is a feasible technique of minimally invasive surgery for gynecological diseases.

摘要

目的

本研究旨在报告首例使用新型机器人平台 hinotori™ 进行妇科疾病手术，并验证其在临床环境中的可行性。

方法

2022 年 12 月，鹿儿岛大学医院首次利用 hinotori™ 手术机器人系统为一名妇科疾病患者实施了机器人辅助全子宫切除术。随后，另外 11 名患者接受了类似的手术。手术团队已获得该手术的认证，并接受了官方的 hinotori™ 培训。

结果

术前诊断包括 5 例子宫内膜癌、4 例子宫肌瘤、1 例非典型子宫内膜增生、1 例子宫腺肉瘤和 1 例高级别宫颈上皮内瘤变。中位年龄和 BMI 分别为 51（范围：38-70）岁和 26.9（范围：17.3-33.3）kg/m2。中位入舱、驾驶舱和手术时间分别为 15（范围：10-18）min、161（范围：110-225）min 和 214（范围：154-287）min。中位出血量为 22（范围：7-83）mL，无需中转开腹。仅有 1 例患者术后发生盆腔区域感染。中位住院时间为 6（范围：4-10）天。