Digestive Surgery, Hôpital Universitaire St Pierre, ULB, Brussels, Belgium.
CHU St Pierre, Brussels, Belgium.
Obes Surg. 2024 Sep;34(9):3561-3568. doi: 10.1007/s11695-024-07409-9. Epub 2024 Aug 1.
In laparoscopic surgery, telerobotic systems such as Da Vinci™ were developed, among other things, to give back exposure and vision control to the operating surgeon. However, new limitations such as the separation of the operating surgeon from the operating table, cost, and size were unveiled. A new device, Maestro™, appears promising in addressing these limitations. The current work evaluates the feasibility, safety, and surgeon satisfaction with the assistance provided by the Maestro System.
Non-consecutive patients who were candidates for laparoscopic digestive surgery were enrolled in a descriptive prospective, monocentric study. Case selection was solely based on the availability of the device, but not on the patient's characteristics. Surgery was performed by a leading surgeon with the help of one less experienced surgeon. Feasibility was defined by the maintenance of the initial surgical plan. Safety was assessed by the absence of serious adverse events related to the device and surgeon satisfaction was evaluated by a questionnaire following the intervention.
All 50 procedures were completed without conversion in laparotomy and without adjustment of the surgical team. Four complications were recorded during the study; however, none related to the use of the Maestro System. In 92% of the cases, the surgeon was satisfied with the assistance provided by the Maestro System.
In standard elective digestive procedures by laparoscopy, the use of the Maestro System is feasible and safe. It is beneficial to the surgeon and operative room organization by limiting the size of the surgical team.
在腹腔镜手术中，开发了达芬奇等远程机器人系统，旨在将手术医生的暴露和视野控制交还给他们。然而，新的限制因素，如手术医生与手术台的分离、成本和设备尺寸等问题也随之出现。一种名为 Maestro 的新设备似乎有望解决这些限制。目前的工作评估了 Maestro 系统提供的辅助操作的可行性、安全性和手术医生的满意度。
连续的候选接受腹腔镜消化手术的患者被纳入一项描述性前瞻性单中心研究。手术的选择仅基于设备的可用性，而不取决于患者的特征。手术由一名资深外科医生在一名经验较少的外科医生的协助下进行。可行性定义为维持初始手术计划。安全性通过没有与设备相关的严重不良事件来评估，手术医生满意度通过干预后的问卷调查来评估。
所有 50 例手术均在无中转开腹和无手术团队调整的情况下完成。研究期间记录了 4 例并发症，但均与 Maestro 系统的使用无关。在 92%的情况下，手术医生对 Maestro 系统提供的辅助操作感到满意。
在标准的腹腔镜择期消化手术中，Maestro 系统的使用是可行和安全的。它通过限制手术团队的规模，对手术医生和手术室组织有益。
