Hinotori™ robotic esophagectomy: a feasibility cadaver study.

IF 2.6 3区 医学 Diseases of the Esophagus Pub Date : 2024-11-28 DOI:10.1093/dote/doae091
Vladimir J Lozanovski, Edin Hadzijusufovic, Christoph Wandhoefer, Suzanne Gisbertz, Hauke Lang, Peter P Grimminger
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Abstract

This preclinical feasibility study investigates the potential of utilizing the hinotori™ robot system for esophagectomy. In three human cadaver models, the esophagus was successfully mobilized and resected using the hinotori™ system, with a mean thoracic procedure time of 57 minutes. The system allowed for precise dissection and radical lymphadenectomy without arm collision, attributed to its versatile design and docking-free trocars. Standard robot-specific patient positioning, including a 35° left lateral inclination, and trocar placement in a posterior axillary line configuration were employed. Notably, trocars suitable for both laparoscopy and the hinotori™ robot were utilized, providing flexibility in trocar selection. Unique features, such as the ergonomic console and pointer-based pivot point identification system, contributed to procedural success. While these findings highlight the promising potential of the hinotori™ system in advancing esophageal surgery, further clinical studies are warranted to validate its reproducibility and clinical utility. Additionally, enhancements to the pivot point identification system and evaluation of the arm base's features may further optimize surgical outcomes.

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Hinotori™ 机器人食管切除术:一项尸体可行性研究。
这项临床前可行性研究调查了利用 hinotori™ 机器人系统进行食管切除术的潜力。在三个人体模型中,使用 hinotori™ 系统成功地移动并切除了食管,平均胸腔手术时间为 57 分钟。由于该系统采用了多功能设计和免对接套管,因此可进行精确解剖和根治性淋巴腺切除术,而不会发生手臂碰撞。该系统采用了标准的机器人特定病人定位,包括左外侧倾斜 35°,以及腋窝后线配置的套管放置。值得注意的是,套管适用于腹腔镜手术和 hinotori™ 机器人,为套管选择提供了灵活性。符合人体工程学的控制台和基于指针的支点识别系统等独特功能为手术的成功做出了贡献。虽然这些研究结果凸显了 hinotori™ 系统在推进食管手术方面的巨大潜力,但还需要进一步的临床研究来验证其可重复性和临床实用性。此外,对支点识别系统的改进和对臂底座功能的评估可能会进一步优化手术效果。
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来源期刊
Diseases of the Esophagus
Diseases of the Esophagus Medicine-Gastroenterology
自引率
7.70%
发文量
568
期刊介绍: Diseases of the Esophagus covers all aspects of the esophagus - etiology, investigation and diagnosis, and both medical and surgical treatment.
期刊最新文献
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