Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.
Center for Medical and Nursing Education, Tokyo Women's Medical University, 8-1 Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.
Gen Thorac Cardiovasc Surg. 2024 Sep;72(9):593-598. doi: 10.1007/s11748-024-02013-1. Epub 2024 Mar 4.
Malfunctions of robotic instruments during robotic surgery are well known to occur; however, detailed reports on the inherent problems associated with robotic instruments and robotic surgical systems are scarce. The objective of this study was to retrospectively investigate the intraoperative problems associated with robotic surgical systems and robotic instruments.
This was a single-center retrospective study. Between April 2012 and December 2022, 544 patients with consecutive lung malignancies and/or mediastinal tumors underwent robot-assisted thoracoscopic surgery. Among these, 15 cases had intraoperative problems associated with the robotic surgical system. Human error was defined as a problem caused by the incorrect operation of the robotic surgical system and human factors as problems in which the robotic surgical system stopped owing to damage to the instruments of the robotic surgical system or the self-diagnosis of the robotic surgical system. We retrospectively investigated the causes of intraoperative problems in these cases.
There were 4 cases (0.7%) with problems related to the robotic surgical system, 2 of which were human errors, and 11 (2.0%) with problems related to robotic surgical instruments, 6 of these were related to instruments and 5 were related to robotic staplers. Five of these were related to human factors.
Teams performing robot-assisted thoracoscopic surgery should be familiar with the features of robotic surgical systems and various robotic devices, be aware of reported problems during robot-assisted thoracoscopic surgery, and be prepared for emergencies.
机器人手术中器械故障是众所周知的，但关于与机器人器械和机器人手术系统相关的固有问题的详细报告却很少。本研究的目的是回顾性调查与机器人手术系统和机器人器械相关的术中问题。
这是一项单中心回顾性研究。2012 年 4 月至 2022 年 12 月，544 例连续的肺部恶性肿瘤和/或纵隔肿瘤患者接受了机器人辅助胸腔镜手术。其中，15 例患者的机器人手术系统出现术中问题。人为错误定义为机器人手术系统操作不当引起的问题，人为因素为机器人手术系统因机器人手术系统器械损坏或机器人手术系统自行诊断而停止的问题。我们回顾性地调查了这些病例中术中问题的原因。
有 4 例（0.7%）与机器人手术系统相关的问题，其中 2 例为人为错误，11 例（2.0%）与机器人手术器械相关的问题，其中 6 例与器械相关，5 例与机器人吻合器相关。其中 5 例与人为因素有关。
进行机器人辅助胸腔镜手术的团队应熟悉机器人手术系统和各种机器人设备的特点，了解机器人辅助胸腔镜手术中的报告问题，并为紧急情况做好准备。
