使用第五代和有线网络的康多手术机器人-1500系统双控制台远程手术的可行性和安全性:动物实验和跨海临床研究。

IF 4.9 2区 医学 Q1 UROLOGY & NEPHROLOGY Minerva Urology and Nephrology Pub Date : 2024-04-01 DOI:10.23736/S2724-6051.24.05808-7
Liqing Xu, Cheng Shen, Xinfei Li, Fangzhou Zhao, Wei Huang, Kunlin Yang, Peng Zhang, Yicong DU, Shubo Fan, Liang Cui, Liqun Zhou, Xuesong Li
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引用次数: 0

摘要

背景:在动物实验和临床研究中评估使用新型康导系统进行双控制台远程手术的可行性和安全性:在动物实验和临床研究中评估使用新型康多系统进行双控制台远程手术的可行性和安全性:方法:使用双控制台KanDuo手术机器人-1500(KD-SR-1500-RARP)对6只犬模型进行前列腺癌根治术。收集了围手术期的结果、外科医生的体力和脑力工作量。体力工作量通过表面肌电图进行评估。精神工作量通过 NASA-TLX 进行评估。在进行动物实验验证双控制台 KD-SR-1500-RARP 的安全性后,我们使用 5G 和有线网络进行了临床试验:结果:在动物实验中,所有手术均顺利完成。手术时间为(80.2±32.1)分钟。对接时间为 2.4±0.5 分钟。控制台时间为 49.7±25.3 分钟。没有围手术期并发症或与设备相关的不良事件。术后一周拔除导管后,所有狗都能吸吮。精神工作量处于较低水平(0 到 60 分),为(15.7±6.9)分。在记录的八块肌肉中,右桡侧屈肌和左肱二头肌的疲劳程度最高(iEMG,切除,299.8±344 uV,109.9±16.9 uV;缝合,849.4±1252.5 uV,423.1±621.3 uV)。在临床研究中,控制台时间为 136 分钟。平均潜伏时间≤200 ms。数据袋损失为结论:使用 KD-SR-1500 系统的双控制台远程手术在使用 5G 和有线网络进行根治性前列腺切除术中是可行且安全的。
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Feasibility and safety of dual-console telesurgery with the KangDuo Surgical Robot-1500 System using fifth-generation and wired networks: an animal experiment and sea-spanning clinical study.

Background: To evaluate the feasibility and safety of dual-console telesurgery with the new KangDuo system in an animal experiment and clinical study.

Methods: Six canine models were performed radical prostatectomy with dual-console KanDuo surgical robot-1500 (KD-SR-1500-RARP). The perioperative outcomes, physical and mental workload of the surgeon were collected. Physical workload was evaluated with surface electromyography. Mental workload was evaluated with NASA-TLX. After conducting animal experiments to verify safety of dual-console KD-SR-1500-RARP, we conducted the clinical trial using 5G and wired networks.

Results: In the animal experiment, all surgeries were performed successfully. The operative time was 80.2±32.1 min. The docking time was 2.4±0.5 min. The console time was 49.7±25.3 min. There were no perioperative complications or equipment related adverse events. All dogs can micturate after catheter removal at one week postoperatively. The mental workload was at a low level (a scale ranging from 0 to 60), which scored 15.7±6.9. Among the eight recorded muscles, the fatigue degree of the right radial flexor and left biceps was the highest two (iEMG, resection, 299.8±344 uV, 109.9±16.9 uV; suture, 849.4±1252.5 uV, 423.1±621.3 uV, respectively). In the clinical study, the console time was 136 min. The mean latency time was ≤200 ms. The data pocket loss was <1%. The operation was successfully completed without malfunctions occurring throughout the entire process.

Conclusions: Dual-console telesurgery with the KD-SR-1500 system was shown to be feasible and safe in radical prostatectomy using 5G and wired networks.

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来源期刊
Minerva Urology and Nephrology
Minerva Urology and Nephrology UROLOGY & NEPHROLOGY-
CiteScore
8.50
自引率
32.70%
发文量
237
期刊最新文献
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