机器人胸部手术中的强力 - - 一年内对DaVinci 5强力反的分析
Peter J Kneuertz1, Robert Mostellar2, Robert E Merritt3
1Division of Thoracic Surgery, Department of Surgery, The Ohio State University, Wexner Medical Center, 410 W 10Th Ave, Columbus, OH, 43210, USA. Peter.Kneuertz@osumc.edu.
Journal of robotic surgery
|September 25, 2025
概括
在机器人辅助胸部手术 (RATS) 中的力量反 (FFB) 技术显著降低了仪器力量,特别是在更高的设置下. 这一进步通过在复杂的手术过程中提供触觉感觉,提高了手术精度.
科学领域:
- 机器人手术 机器人手术
- 胸部外科手术 胸部外科手术
- 手术技术 手术技术
背景情况:
- 机器人辅助胸部手术 (RATS) 传统上缺乏触觉,限制了外科医生的反.
- 达芬奇5系统 (2024) 引入了力反 (FFB) 来解决这一局限性.
- FFB测量仪表尖的力,并将其传输到外科医生的控制台.
研究的目的:
- 描述在各种RATS程序中应用的力.
- 评估FFB技术对仪表力的影响.
- 为了比较不同手术程序,仪器类型和FFB设置之间的力量.
主要方法:
- 在美国使用FFB仪器的RATS程序中分析达芬奇5系统数据 (2024年3月 - 2025年4月).
- 包括常见的胸部手术:肺切除,中,食道和腹膜手术.
- 在FFB设置 (关闭,低,中,高) 中,平均仪表尖力 (N) 和超过6.5N的时间的比较.
主要成果:
- 与中间体,食道和隔膜手术相比,肺切除的中位力明显较低 (p < 0.001).
- 收缩仪器 (Cadiere, Fenestrated Bipolar) 产生的力比剖析仪器 (马里兰州) 的力更大 (p < 0.001).
- 超过6.5N的中位力和持续时间随着FFB设置更高 (p < 0.001) 逐渐减少.
结论:
- 在RATS期间,FFB技术与降低的平均和峰值仪器力有关.
- 中等和高的FFB设置显示了最显著的力降低.
- 需要进一步的研究来确定最佳的力值,并评估FFB的临床影响.
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