机器人辅助胸腔镜技术应用于胸外科初步经验

目的评价人工智能机器人外科手术系统在普胸外科手术领域的可行性及安全性。方法 2009年5月至2010年5月共使用达芬奇外科手术系统完成15例普胸外科手术,包括8例肺部手术,6例纵隔肿瘤手术,1例食管癌手术。结果所有15例患者均成功运用达芬奇机器人顺利完成手术,无一例中转开胸。15例患者手术平均耗时120.9min,术中平均失血75.3ml,平均住院时间7.8d。术后1例肺癌患者出现支气管胸膜瘘,术后第16天行支气管瘘修补术,修补成功后出院。无术后死亡,中期随访结果生存率与普通胸腔镜手术差异无统计学意义。结论虽然人工智能手术系统还需要进一步的研究来证实其优势,但是我们的结果表明运用人工智能外科系统进行普胸外科手术是安全可行的。该文为进一步运用人工智能外科手术系统进行胸部肿瘤手术提供了初步经验。

The first Chinese experiences of da VinciTM operating robot in thoracoscopic surgery

Objective To evaluate the applicability of the da VinciTM operation robot for general thoracic procedures. Methods Used a robotic system to perform thoracoscopic surgery in 15 cases: eight lobectomies, six mediastinal tumor resection and one esophageal dissection. Results The operation was successfully accomplished using da Vinci surgical robotic system in all the 15 patients. The operation time was 95 - 142 min ( mean, 120.9 min ) , the intraoperative blood loss was 20 - 200 ml ( mean, 75.3 ml ) and the postoperative day was 3 - 28 day( mean 7.8 day ). No blood transfusion was required. There’s one BPF happened, the patient recover well and later discharged. Conclusions Although further studies on robotically assisted procedures are needed to clarify the clinical feasibility of this procedure, the results in our cases are encouraging. We believe that thoracoscopic procedures using a robotic manipulation system may be technically feasible in selected cases and in the hands of experienced thoracic surgeons.