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用达芬奇单端口系统进行逆腹腔大动脉修复:猪模型可行性研究
Toshio Takayama1, Hubert Stein2, Hideaki Obara3
1Department of Vascular Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
EJVES vascular forum
|January 26, 2026
概括
单端口机器人手术使用逆关节方法修复腹腔大动脉在猪模型中被证明是技术上可行的. 与传统的开放式或腹腔镜手术相比,这种方法显示出降低并发症的潜力.
科学领域:
- 血管外科 血管外科
- 机器人手术 机器人手术
- 手术创新 在外科创新.
背景情况:
- 机器人手术在血管手术中未得到充分利用,但在腹腔大动脉修复方面表现有前途.
- 标准化逆关节治疗方法 (RPA) 可能会降低与跨腹腔大动脉修复相关的风险.
研究的目的:
- 建立机器人辅助下内腹动脉修复的外科手术技术.
- 评估单端口逆关节治疗方法 (RPA) 的可行性,以修复大动脉.
主要方法:
- 在四个活猪模型中进行了形腹部大动脉修复.
- 使用达芬奇SP (单端口) 手术系统进行手术.
- 记录了关键程序步骤的运行时间,包括移植植入.
主要成果:
- 在所有模型中,可通过使用da Vinci SP系统的单端口RPA进行腹腔大动脉修复.
- 有效的逆关节接入和对接 (8-20分钟).
- 在大多数模型中,合理的解时间 (26-31.3分钟) 在大多数模型中取得了成功; 一个模型经历了出血.
结论:
- 通过RPA进行单端口机器人大动脉修复在猪模型中是技术上可行的和准确的.
- 合理的解时间和足够的外科医生舒适性表明临床翻译的潜力.
- 需要进一步的研究来证实临床益处.
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