摘要
达芬奇机器人SP系统是一种智能化微创手术系统,其立体化、精准化的优势将有助于完成高难度、复杂手术。达芬奇机器人SP系统是单孔领域的一大助力,并已广泛应用于泌尿外科。与传统开腹手术相比,微创手术具有缩短住院时间和加速患者术后恢复等优势。为了减少手术切口,并在一定程度上满足现代美学要求,单孔腹腔镜手术(LESS)在临床应用甚广,但LESS在一定程度上存在器械间相互干扰,影响手术操作,进而限制了LESS在临床的进一步应用,这就要求符合美学概念和对器械三维关系影响小的新器械出现。因此更符合人体构造学及更具三维立体感的达芬奇机器人SP系统应运而生。达芬奇机器人SP系统规避了LESS的一些风险,并结合了达芬奇机器人系统与单切口的优势,近年来被广用于泌尿外科领域,本文就达芬奇机器人SP系统在泌尿外科领域的发展和应用进行综述。
Da Vinci single-port(SP)surgical system is an intelligent and minimally invasive surgical system with three-dimensional and precise characteristics,which will facilitate the completion of more difficult and complex surgery.Da Vinci SP surgical system is a great addition to the field of single-port technology and widely used in urology.Compared with the traditional open surgery,minimally invasive surgery has the advantages of shortening hospital stay and accelerating postoperative recovery.To meet the modern aesthetic requirements and reduce surgical incisions to a certain extent,laparoendoscopic single-site surgery(LESS)is widely used in clinical practice,however,the application of LESS could lead to interference between the surgical instruments,thus limiting its further applicationin in clinical practice,which requires new instruments that conform to aesthetic concepts and have little impact on the three-dimensional relationship of instruments.Therefore,more in line with human anatomy and more three-dimensional sense of Da Vinci SP surgical system came into being.Da Vinci SP surgical system avoids some risks of LESS,by combining the advantages of Da Vinci robotic surgical system with single incision,it has been widely used in urological surgery in recent years.The application and development of Da Vinci SP surgical system in urology was reviewed in this paper.
作者
魏勇
沈露明
刘威
孟旭辉
胡海斌
沈百欣
杨昕
朱清毅
WEI Yong;SHEN Luming;LIU Wei;MENG Xuhui;HU Haibin;SHEN Baixin;YANG Xin;ZHU Qingyi(Department of Urology,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China)
基金
江苏省卫生健康委科研项目(ZD2021028)。
关键词
机器人辅助手术
单孔机器人
泌尿外科
单孔腹腔镜手术
Robot-assisted Surgery
Single-port Robot
Urology
Laparoendoscopic Single-site Surgery
