腹腔镜手术与机器人手术的结合:Dexter Robotic System™ 在内脏手术中的首次使用体验

Life Pub Date : 2024-07-12 DOI:10.3390/life14070874
Pernilla Virginia Conrad, A. Mehdorn, I. Alkatout, T. Becker, J. H. Beckmann, J. Pochhammer
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引用次数: 0

摘要

简介二十多年来,腹部外科手术一直采用机器人安全进行。首个专利到期后,替代机器人系统进入市场。Dexter Robotic System™ 是一种小型、模块化的机器人平台,由一个外科医生控制台、两个带器械臂的病人推车和一个内窥镜臂组成。我们报告了内脏外科安装 Dexter 后的初步使用经验。方法:介绍系统和手术设置。对所有手术患者的人口统计学和围手术期数据以及系统对接时间进行了分析。结果:在使用 Dexter 进行的 56 例手术中,最常见的手术包括胆囊切除术(15 例)、腹股沟疝修补术(TAPP;单侧 15 例;双侧 3 例)和右侧肿瘤性半结肠切除术(15 例)。对接时间的中位数为 6 分钟(2-16 分钟),在最后一组手术中缩短至 4 分钟。结论:根据我们的经验,实施 Dexter 不会遇到任何重大挑战,简单到中等复杂程度的内脏外科手术都能安全进行。该系统简单易用,机器人与腹腔镜之间切换方便,特别适合机器人手术初学者使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery
Introduction: For over two decades, abdominal surgical procedures have been safely performed robotically. After the first patent expiration, alternative robotic systems entered the market. The Dexter Robotic System™ is a small-format, modular, and robotic platform consisting of a surgeon’s console, two patient carts with instrument arms, and one endoscope arm. We report our initial experiences with Dexter since its installation at our visceral surgery department. Methods: The system and surgical setup are described. Demographic and perioperative data of all operated patients as well as the system docking times were analyzed. Results: From 56 procedures performed with Dexter, the most common ones included cholecystectomy (n = 15), inguinal hernia repair (TAPP; unilateral n = 15; bilateral n = 3), and right oncologic hemicolectomy (n = 15). The median docking time was 6 min (2–16 min) and was reduced to 4 min in the last tertile of procedures performed. Conclusions: In our experience, Dexter can be implemented without any major challenges, and visceral surgical procedures of simple to medium complexity can be performed safely. The simplicity and accessibility of the system along with the ease of switching between robotics and laparoscopy could be particularly suitable for beginners in robotic surgery
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