达芬奇机器人经口微创手术助手配合及效果评价

孟令照; 房居高; 袁先道; 魏永祥

doi:10.13201/j.issn.1001-1781.2018.14.008

达芬奇机器人经口微创手术助手配合及效果评价

- 1. 首都医科大学附属北京安贞医院耳鼻咽喉头颈外科(北京, 100029);
- 2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科
基金项目:
首都医科大学耳鼻咽喉头颈外科学教育部重点实验室开放课题（No：2017EBYH03）

详细信息

通讯作者: 房居高,E-mail:fangjugao@163.com; 魏永祥,E-mail:weiyongxianganzhen@163.com

中图分类号: R762

收稿日期: 2018-06-08

Assistant cooperation and therapeutic effect analysis in transoral robotic surgery with da Vinci surgical system

- 1. Department of Otolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China;
- 2. Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University

More Information

Corresponding authors: FANG Jugao ; WEI Yongxiang

Received Date: 08 June 2018

摘要

摘要: 目的：总结达芬奇机器人经口微创手术过程中助手的配合要点并分析治疗效果。方法：回顾性分析首都医科大学附属北京安贞医院耳鼻咽喉头颈外科2016-06-01-2018-05-30期间共40例达芬奇机器人经口微创手术患者的临床资料，分析助手术中的配合要点，统计机械臂安装时间、中转开放率、术中机械故障发生率、并发症发生率和肿瘤切缘阴性率。结果：装机时间最初为50 min，经过10例后稳定在15 min左右。所有患者均用达芬奇机器人经口入路完全切除，无中转开放病例。术中未出现由于配合不当引起机器人故障及严重并发症。所有患者均获得了阴性切缘。结论：助手要熟悉手术步骤，掌握机器人术式的操作规律，才能做到与术者配合默契，提高手术效率。
- 经口机器人手术 /
- 微创外科 /
- 配合 /
- 助手 /
- 效果评价
Abstract: Objective: The purpose of this study was to summarize the therapeutic effect and key points and skills of assistant cooperation in transoral robotic surgery (TORS) with da Vinci surgical system.Method: Forty patients were reviewed who were treated with TORS in Beijing Anzhen Hospital from June 1, 2016 to May 30, 2018. Key points of assistant cooperation, docking time, incidence of transit to open approach, mechanical failure, complications, and negative surgical margin were analyzed.Result: Docking time was shortened from 50 to 15 min after 10 cases. The robotic surgeries were performed successfully on all of the 40 patients. There were no mechanical failure or perioperative complications. All surgical resection margins were free of carcinoma.Conclusion: In order to achieve professional cooperation with the surgeon and improve the efficiency, the assistant should be familiar with the steps and key points of TORS.
- transoral robotic surgery /
- minimally invasive surgery /
- cooperation /
- assistant /
- effect analysis

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