{"title":"猪胃部分切除机器人手术系统的可行性研究","authors":"Xiang Xia, Zihang Liu, Fengrong Yu, Jiayi Gu, Yeqian Zhang, Chunchao Zhu, Zheng Wang, Zizhen Zhang","doi":"10.1002/rcs.70097","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>This preclinical study evaluated the safety and technical feasibility of robot-assisted partial gastrectomy (RPG) using the Carina Platform in a porcine model to accumulate evidence for clinical translation.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Six pigs underwent RPG (4 with Plan A, 2 with Plan B setups). The acute group (<i>n</i> = 3) were euthanised 1-h postoperation, while the chronic group (<i>n</i> = 3) survived 28 days for recovery assessment. Operative parameters (time, blood loss), complications, and ergonomics (NASA-TLX) were recorded. Necropsy evaluated surgical site healing.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>All procedures were successfully completed. Mean operative time was 109 ± 34 min. One intraoperative liver injury was controlled without complications. The chronic group showed no infections, with necropsy confirming recovery. Surgeons reported favourable ergonomic scores.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>RPG using the Carina Platform is safe and technically feasible in porcine models, supporting future clinical trials.</p>\n </section>\n </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 4","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Feasibility of a Novel Robotic Surgical System for Partial Gastrectomy in a Porcine Model\",\"authors\":\"Xiang Xia, Zihang Liu, Fengrong Yu, Jiayi Gu, Yeqian Zhang, Chunchao Zhu, Zheng Wang, Zizhen Zhang\",\"doi\":\"10.1002/rcs.70097\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>This preclinical study evaluated the safety and technical feasibility of robot-assisted partial gastrectomy (RPG) using the Carina Platform in a porcine model to accumulate evidence for clinical translation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Six pigs underwent RPG (4 with Plan A, 2 with Plan B setups). The acute group (<i>n</i> = 3) were euthanised 1-h postoperation, while the chronic group (<i>n</i> = 3) survived 28 days for recovery assessment. Operative parameters (time, blood loss), complications, and ergonomics (NASA-TLX) were recorded. Necropsy evaluated surgical site healing.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>All procedures were successfully completed. Mean operative time was 109 ± 34 min. One intraoperative liver injury was controlled without complications. The chronic group showed no infections, with necropsy confirming recovery. Surgeons reported favourable ergonomic scores.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>RPG using the Carina Platform is safe and technically feasible in porcine models, supporting future clinical trials.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50311,\"journal\":{\"name\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"volume\":\"21 4\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-08-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70097\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Robotics and Computer Assisted Surgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70097","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Feasibility of a Novel Robotic Surgical System for Partial Gastrectomy in a Porcine Model
Background
This preclinical study evaluated the safety and technical feasibility of robot-assisted partial gastrectomy (RPG) using the Carina Platform in a porcine model to accumulate evidence for clinical translation.
Methods
Six pigs underwent RPG (4 with Plan A, 2 with Plan B setups). The acute group (n = 3) were euthanised 1-h postoperation, while the chronic group (n = 3) survived 28 days for recovery assessment. Operative parameters (time, blood loss), complications, and ergonomics (NASA-TLX) were recorded. Necropsy evaluated surgical site healing.
Results
All procedures were successfully completed. Mean operative time was 109 ± 34 min. One intraoperative liver injury was controlled without complications. The chronic group showed no infections, with necropsy confirming recovery. Surgeons reported favourable ergonomic scores.
Conclusion
RPG using the Carina Platform is safe and technically feasible in porcine models, supporting future clinical trials.
期刊介绍:
The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.