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新型微型超内镜遥控机器人系统用于内镜下膜剖析 (含视频)

Xiaoxiao Yang¹, Huxin Gao², Shichen Fu¹

¹Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China.

Gastrointestinal endoscopy

|October 11, 2023

概括

使用DREAMS系统的机器人辅助内镜下膜剖析 (ESD) 提高了安全性,减少了肌肉损伤. 这种新的telerobotic方法增强了可视化和剖析,特别是在具有挑战性的食道手术中.

科学领域:

微创手术是最少的侵入性手术.
机器人技术在医学中的应用
胃肠病学胃肠病学

背景情况:

内镜下粘膜剖析 (ESD) 面临着组织引和仪器灵巧性的挑战.
机器人辅助系统为改进ESD程序提供了潜在的优势.

研究的目的:

开发和评估一种用于ESD的新型超内镜远程机器人系统.
为了比较机器人辅助ESD的性能与传统技术在有效性,安全性和工作量方面.

主要方法:

开发用于微创手术的双臂机器人内镜辅助器 (DREAMS) 系统.
一项前性随机受控研究,将DREAMS辅助的ESD与猪中的常规ESD进行比较.
评估下切割时间,肌肉损伤率和工作负载分数.

主要成果:

与传统ESD相比,DREAMS辅助的ESD显示肌肉损伤率显著降低 (15%与50%相比) 和工作负载得分 (22.30与32.45相比) 显著降低.
在食道ESD中,DREAMS辅助的ESD显示显著改善了亚粘膜切割时间 (6.45分 vs 16.37分钟) 和减少肌肉损伤 (25% vs 87.5%).
该系统允许安全的协作和高效的剖析与改进的可视化.

结论:

新的超内镜远程机器人系统DREAMS显著提高了ESD的安全性和技术可行性.
梦想系统特别有利于ESD在狭窄的光线,如食道.

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