Subxiphoid Uniportal Robotic Assisted Right Upper Lobectomy in Swine: A Novel Technology

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-10-19 DOI:10.1002/rcs.70000

Lei Lin, Zhao An, Xiaodong Yang, Yuming Zhu, Xiao Zhou

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Abstract

Background

Uniportal video assisted thoracoscopic surgery has become widely accepted with increasing subxiphoid approach for major pulmonary resections. The purpose of this study was to verify the safety and feasibility of a SHURUI single port (SP) Robotic Surgical System in subxiphoid right upper lobectomy.

Methods

Five swine models were used to perform subxiphoid right upper lobectomy with SHURUI SP Robotic Surgical System. Operation details were recorded to assess the safety and feasibility of the SHURUI system.

Results

Results showed that the operation success was 100%. The time from anaesthesia to complete docking of the robotic system was 30.0 (20.0, 36.0) minutes and the total operation time was 125.0 (62.0, 142.5) minutes. Blood loss during operation was 30.0 (25.0, 125.0) mL. No death or complications occurred during the operation.

Conclusions

Uniportal robotics assisted right upper lobectomy via subxiphoid approach with SHURUI system performed in this study preliminary showed its safety and feasibility.

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剑突下单门机器人辅助右上肺叶切除术：一项新技术

背景单孔视频辅助胸腔镜手术已被广泛接受，剑突下肺大部切除术的方法越来越多。本研究旨在验证 SHURUI 单孔（SP）机器人手术系统在剑突下右上肺叶切除术中的安全性和可行性。方法使用五头猪模型，用 SHURUI SP 机器人手术系统进行剑突下右上肺叶切除术。记录手术细节以评估 SHURUI 系统的安全性和可行性。结果结果显示，手术成功率为 100%。从麻醉到机器人系统完全对接的时间为 30.0 (20.0, 36.0) 分钟，手术总时间为 125.0 (62.0, 142.5) 分钟。手术失血量为 30.0 (25.0, 125.0) mL。手术期间无死亡或并发症发生。结论通过剑突下入路使用 SHURUI 系统进行的单门机器人辅助右上肺叶切除术初步显示了其安全性和可行性。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

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.