摘要
目的 探讨移动操作平台远程控制手术机器人右半结肠癌根治术的可行性和安全性。方法 2024-11-06,中国人民解放军总医院普通外科医学部结直肠外科应用移动操作平台远程实施1例机器人右半结肠癌根治术。病人女性,48岁,术前病理检查结果提示(升结肠)中分化腺癌。结果 手术顺利完成。手术时间为2 h 57 min,术中出血约50 mL,无手术相关并发症。术中双向网络平均延迟40 ms,无断网、丢帧、网络攻击等事件,手术过程流畅,无明显延迟感。病人术后第7天出院。术后病理检查结果示,淋巴结清扫彻底,肠系膜完整,环周切缘及近远端切缘均未见癌。结论 基于移动操作平台完成机器人右半结肠癌根治术安全可行,网络信号稳定、操作流畅,值得进一步实践和研究。
Abstract
To investigate the safety and feasibility of remote-controlled surgical robot for radical resection of right colon cancer. Methods On November 6, 2024, the Colorectal Surgery Department of the General Surgery Department of the Chinese PLA General Hospital remotely performed a robot-assisted radical resection of right hemifacial colon cancer using a mobile operation platform. The patient was a 48-year-old female. The preoperative pathological examination results indicated moderately differentiated adenocarcinoma (in the ascending colon). Results The operation went smoothly. The operation time was 177 min, the intraoperative bleeding was about 50 mL, and there was no bleeding complication. The average bidirectional network delay during the operation was 40 ms, and there were no incidents such as network disconnection, frame loss, and network attack. The operation was smooth and there was no obvious sense of delay. The patient discharged on the 7th day. The postoperative pathological examination results showed that lymph node dissection was complete, mesentery was intact, and no cancer was found in peri-circumferential and proximal distal margins. Conclusion Completing robotic radical resection of right half colon cancer based on mobile operating platform is safe and feasible, the network signal is stable, the operation is smooth, and it is worthy of further practice and research.
关键词
移动手术平台 /
远程手术 /
机器人手术 /
右半结肠癌根治术
Key words
mobile surgery platform /
remote surgery /
robotic surgery /
radical resection of right colon cancer
刘帛岩, 邹贵军, 晏 阳, 李松岩, 杜晓辉.
移动操作平台远程机器人右半结肠癌根治术临床初步研究[J]. 中国实用外科杂志. 2025, 45(10): 1174-1176 https://doi.org/10.19538/j.cjps.issn1005-2208.2025.10.19
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