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在儿童中是否有Versius (CMR) 机器人平台的位置?
Marcin Losin1, Andrzej Golebiewski1, Piotr Czauderna1
1Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.
Children (Basel, Switzerland)
|February 27, 2026
概括
维西乌斯系统对小儿机器人辅助手术具有前景,在幼儿中成功完成手术,并发症率低. 需要进一步发展,以应对设置和仪器的挑战.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 机器人手术 机器人手术
背景情况:
- 自1994年以来,机器人辅助手术 (RAS) 已成为微创手术的组成部分.
- 在儿科手术中采用机器人技术的数量越来越多,但当前的达芬奇和森汉斯等系统存在局限性.
- 像Versius系统这样的新平台正在出现,以克服儿科RAS的现有挑战.
研究的目的:
- 评估Versius机器人系统在儿科外科手术中的可行性和安全性.
- 评估Versius系统在接受各种手术干预的儿科患者队列中的性能.
主要方法:
- 一项前性研究涉及14名儿童患者,他们使用Versius系统进行机器人辅助手术.
- 这些手术包括发热整形,血管阻塞和胆囊切除术,在2024年6月至10月期间进行.
- 在患者招募之前获得了机构生物伦理委员会批准.
主要成果:
- 维修斯系统用于6岁,体重仅为15公斤的儿童.
- 所有14项手术都成功完成,没有转换为开放或腹腔镜手术.
- 整体术后并发症率为21.4% (3/14),其中包括一个解剖漏洞,一个出血病例和一个炎病例.
结论:
- 维修斯系统展示了作为小儿外科手术机器人平台的潜力,提供了独特的功能,如模块化和与小型仪器的兼容性.
- 诸如延长设置时间,电缆管理和武器冲突等挑战需要进一步关注和技术改进.
- 预计机器人手术的持续进步将增强其在儿科外科护理中的作用.
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