中国实用外科杂志

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国产手术机器人临床Ⅰ期研究(附103例报告)

王国慧1,易    波1,刘    勇1,姚元炳1,李    政1,李建民2王树新2朱晒红1   

  1. 1中南大学湘雅三医院普外科,湖南长沙410013;2天津大学机械工程学院,天津300350
  • 出版日期:2019-08-01 发布日期:2019-08-01

  • Online:2019-08-01 Published:2019-08-01

摘要:

目的    评价国产手术机器人“妙手S”在临床应用的安全性和可行性。 方法    回顾性分析2014年3月至2019年1月中南大学湘雅三医院接受国产机器人手术的103例病人资料,分析临床特征、术中和术后,以及术后随访1个月结果。 结果    103例病人中,2例(2%)中转开放手术,2例(2%)术中输血,无术后输血。2例(2%)发生术中并发症,分别为膀胱损伤和输尿管损伤各1例;2例(2%)发生术后并发症,分别为吻合口瘘和盆腔感染各1例。住院期间无再次手术情况,103例病人均顺利出院。术后30 d内无再次入院和死亡情况。 结论    国产手术机器人“妙手S”在临床应用中安全、可行,仍须进行多中心、随机对照研究进一步验证。

关键词: 手术机器人, 手术, 安全性, 可行性

Abstract:

Clinical phase I study of domestic surgical robot: A report of 103 cases        WANG Guo-hui, YI Bo,LIU Yong,et al. Department of General Surgery, the Third Xiangya Hospital of Central South University, Changsha 410013, China
Corresponding author: ZHU Shai-hong, E-mail: shzhu@mail.csu.edu.cn
Abstract    Objective    To evaluate the safety and feasibility of the domestic surgical robot in clinical applications. Methods    From March 2014 to January 2019, 103 domestic robot-assisted laparoscopic surgeries were performed in Department of General Surgery, Third Xiangya Hospital of Central South University. The clinical features, operation and postoperative results were collected and analyzed. The patients were followed up for 1 month. Results    Among 103 cases, 2 cases (2%) trasfered to open surgery. Two patients (2%) required intraoperative blood transfusion and no postoperative blood transfusion. Intraoperative complications occurred in 2 cases (2%) which were bladder injury and ureteral injury respectively. Postoperative complications occurred in 2 cases (2%) which were anastomotic leakage and pelvic infection. There was no reoperation during hospitalization. All patients were discharged smoothly. There were no re-admissions and deaths within 30 days after surgery. Conclusion    Domestic surgical robots are safe and feasible in clinical applications,which needs further verified by multicenter, randomized controlled trials.

Key words: surgical robot, surgery, safety, feasibility