Conrad Pernilla Virginia, Mehdorn Anne-Sophie, Alkatout Ibrahim, Becker Thomas, Beckmann Jan Henrik, Pochhammer Julius
Department of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Clinic for Gynecology and Obstetrics, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Life (Basel). 2024 Jul 12;14(7):874. doi: 10.3390/life14070874.
For over two decades, abdominal surgical procedures have been safely performed robotically. After the first patent expiration, alternative robotic systems entered the market. The Dexter Robotic System™ is a small-format, modular, and robotic platform consisting of a surgeon's console, two patient carts with instrument arms, and one endoscope arm. We report our initial experiences with Dexter since its installation at our visceral surgery department.
The system and surgical setup are described. Demographic and perioperative data of all operated patients as well as the system docking times were analyzed.
From 56 procedures performed with Dexter, the most common ones included cholecystectomy ( = 15), inguinal hernia repair (TAPP; unilateral = 15; bilateral = 3), and right oncologic hemicolectomy ( = 15). The median docking time was 6 min (2-16 min) and was reduced to 4 min in the last tertile of procedures performed.
In our experience, Dexter can be implemented without any major challenges, and visceral surgical procedures of simple to medium complexity can be performed safely. The simplicity and accessibility of the system along with the ease of switching between robotics and laparoscopy could be particularly suitable for beginners in robotic surgery.
二十多年来，腹部外科手术已通过机器人安全实施。首个专利到期后，其他机器人系统进入市场。德克斯特机器人系统™是一个小型、模块化的机器人平台，由外科医生控制台、两个带有器械臂的患者推车和一个内窥镜臂组成。我们报告了德克斯特机器人系统在我院内脏外科安装后的初步使用经验。
描述了该系统及手术设置。分析了所有手术患者的人口统计学和围手术期数据以及系统对接时间。
在使用德克斯特机器人系统实施的56例手术中，最常见的手术包括胆囊切除术（n = 15）、腹股沟疝修补术（经腹腹膜前修补术；单侧n = 15；双侧n = 3）和右肿瘤性半结肠切除术（n = 15）。对接时间中位数为6分钟（2 - 16分钟），在最后三分之一的手术中缩短至4分钟。
根据我们的经验，德克斯特机器人系统的实施没有任何重大挑战，简单至中等复杂程度的内脏外科手术均可安全进行。该系统的简单性和易操作性以及在机器人手术和腹腔镜手术之间轻松切换的特点，可能特别适合机器人手术初学者。
