Ebihara Yuma, Hirano Satoshi, Shichinohe Toshiaki, Morohashi Hajime, Oki Eiji, Hakamada Kenichi, Ikeda Norihiko, Mori Masaki
Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.
Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, North 15 West 7, Kita-ku, Sapporo, Hokkaido, 0608638, Japan.
Surg Today. 2025 Jan 6. doi: 10.1007/s00595-024-02986-9.
We conducted this study to evaluate the efficacy of robot-assisted minimally invasive esophagectomy (RAMIE) on cadavers in the prone position, utilizing telesurgical support through the double-surgeon cockpit (double SC) of the novel Japanese-made surgical robot system, hinotori (Medicaroid, Kobe, Japan). The Cadaveric Anatomy and Surgical Training Laboratory (CAST Lab) at Hokkaido University and Kushiro City General Hospital (KCGH) are interconnected by a dedicated 1 Gbps internet line, spanning 300 km. An operation unit and double SC were installed at CAST Lab, whereas the double SC proctor was installed at KCGH. RAMIE was performed with telesurgical support on two adult cadavers. The onsite and proctor operation times were recorded as 88/79 min and 64/75 min, respectively. Throughout the surgical procedures, communication remained stable, with an average communication delay of 13.1 ms (range: 11.0-15.0 ms). This study demonstrated the feasibility of performing RAMIE with the patient in the prone position, supported by telesurgical support using a double SC on the hinotori platform.
我们开展这项研究，以评估在新型日本制造的手术机器人系统“日之鸟”（Medicaroid，日本神户）的双外科医生驾驶舱（双SC）提供远程手术支持的情况下，在俯卧位尸体上进行机器人辅助微创食管切除术（RAMIE）的疗效。北海道大学的尸体解剖与外科训练实验室（CAST Lab）和钏路市立综合医院（KCGH）通过一条300公里长的专用1 Gbps互联网线路相连。在CAST Lab安装了一个手术单元和双SC，而双SC监考员控制台安装在KCGH。在两台成年尸体上，在远程手术支持下进行了RAMIE。现场手术时间和监考员操作时间分别记录为88/79分钟和64/75分钟。在整个手术过程中，通信保持稳定，平均通信延迟为13.1毫秒（范围：11.0 - 15.0毫秒）。这项研究证明了在“日之鸟”平台上通过双SC进行远程手术支持，在俯卧位患者身上进行RAMIE的可行性。
