人工动脉中脉冲的感觉与实时触觉反腹腔镜抓取器:一个验证研究验证研究
Michel P H Vleugels1,2, Masie Rahimi3,4,5
1Department of Obstetrics and Gynecology, Hospital Clinica Benidorm, Benidorm, Spain.
Surgical endoscopy
|June 10, 2024
概括
新的Optigrip®触觉反捕捉器显著提高了外科医生在腹腔镜手术期间检测动脉脉动的能力,恢复了传统手术中丢失的关键触觉.
科学领域:
- 最少侵入性的手术
- 手术技术 手术技术
- 生物医学工程 生物医学工程
背景情况:
- 腹腔镜手术缺乏触觉反,这阻碍了外科医生感知组织特征 (如脉) 的能力.
- 现有的手术工具无法恢复触觉,这在识别关键结构方面构成了挑战.
- 一种新的触觉反捕捉器 (Optigrip®) 利用光子技术提供实时触觉感觉.
研究的目的:
- 评估Optigrip®触觉反抓获器在模拟腹腔镜手术期间检测动脉脉动的有效性.
- 为了确定脉动变得临床显著并可通过触觉反检测到的最小动脉大小.
- 为了比较触觉反捕捉器与常规捕捉器在检测脉冲方面的性能.
主要方法:
- 模拟动脉状况使用四个不同尺寸的管连接到压力系统 (80-120 mm Hg).
- 外科医生用常规和Optigrip®抓手在随机顺序中盲目抓住管道.
- 量化了每种捕获器类型正确检测到的脉冲的百分比.
主要成果:
- Optigrip®检测到96%的脉冲,显著优于传统的捕捉器 (6%).
- 在100%的4-5毫米动脉和92%的小动脉中,Optigrip®发现了脉.
- 传统的捕捉器在最小的动脉中检测到只有8%的脉冲,这是一个非常显著的差异 (p < 0.0001).
结论:
- Optigrip®触觉反捕捉器通过在腹腔镜检测动脉脉动来有效地恢复触觉.
- 这项技术解决了腹腔镜外科手术的关键未满足需求,增强了外科医生的感知.
- 这些发现表明,使用触觉反技术改善了腹腔镜手术的安全性和精度.
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