关于增强机器人手术中手术安全性的前瞻性研究：BirdView 摄像系统
A prospective study on the enhancement of surgical safety in robotic surgery: The BirdView camera system.
作者信息
Ogi Yusuke, Oshikiri Taro, Egi Hiroyuki, Ishimaru Kei, Koga Shigehiro, Yoshida Motohira, Kikuchi Satoshi, Akita Satoshi, Matsumoto Hironori, Sugishita Hiroki
机构信息
Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Hospital, 454 Shitsukawa, Toon City, Ehime, 791-0295, Japan.
Department of Surgery, Kitasato University Medical Center, 6-100 Arai, Kitamoto City, Saitama, 364-8501, Japan.
出版信息
Surg Today. 2024 Dec 9. doi: 10.1007/s00595-024-02975-y.
PURPOSE
To investigate the surgical safety and benefits of using the BirdView camera system with a wide field of view in robotic surgery for rectal cancer in a prospective clinical study.
METHODS
This study included 20 consecutive patients who underwent robotic surgery at our institution between the years 2022 and 2023. The primary endpoint was perioperative safety, which was defined as the occurrence of adverse events, including other organ injuries and malfunctions, caused by the BirdView camera system.
RESULTS
There were no injuries to any other organs caused by the console surgeon or assistant forceps during surgery. Surgical adverse events occurred in five cases (atelectasis, paralytic ileus, and anastomotic leakage) during the postoperative course. There were no cases of device failure or damage to the surrounding organs, including peritoneal heat damage.
CONCLUSIONS
We believe that the BirdView system could be valuable in improving the safety of robotic surgery by enabling the observation of blind spots, thus preventing harm to other organs.
目的
在一项前瞻性临床研究中，探讨在机器人直肠癌手术中使用具有宽视野的BirdView摄像系统的手术安全性和益处。
方法
本研究纳入了2022年至2023年间在我们机构接受机器人手术的20例连续患者。主要终点是围手术期安全性，定义为由BirdView摄像系统引起的不良事件的发生，包括其他器官损伤和功能障碍。
结果
手术过程中，主刀医生或辅助钳未对任何其他器官造成损伤。术后病程中有5例发生手术不良事件（肺不张、麻痹性肠梗阻和吻合口漏）。没有设备故障或周围器官损伤的病例，包括腹膜热损伤。
结论
我们认为，BirdView系统通过能够观察盲点，从而防止对其他器官造成伤害，在提高机器人手术安全性方面可能具有重要价值。
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