机器人手术系统在血管外科中的应用与展望

郝迎学; 张荣杰

doi:10.16016/j.1000-5404.201906200

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机器人手术系统在血管外科中的应用与展望

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- 机器人手术系统在血管外科中的应用与展望
- Application and prospect of robotic surgical system in vascular surgery
- 第三军医大学学报 2019年41卷第24期页码：2366-2369
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院血管外科
- 作者简介：
  
  郝迎学, 博士，陆军军医大学第一附属医院血管外科主任，副教授、副主任医师，博士研究生导师。美国宾夕法尼亚大学博士后，Lankenau Medical Center达芬奇机器人手术中心访问学者，Florida Hospital微创外科中心访问学者。从事普通外科专业20余年，熟练掌握普通外科、血管外科常见病和较疑难复杂疾病的诊断和治疗，尤其擅长腹腔镜、机器人微创外科手术，腹腔大血管腔内介入治疗和机器人微创治疗。在我国率先开展达芬奇机器人血管旁路和下腔静脉滤器取出术。主持国家以及省部级课题5项，总科研经费600余万元；以第一申请人获国家发明专利3件，实用新型专利9件；发表论著80余篇，其中SCI论著20余篇，中华医学会系列杂志10篇。主编/副主编专著4部，参编专著3部。获重庆市科技进步一等奖1项，第三军医大学临床新技术新业务一级乙等、二级甲等各1项。兼任中国医师协会血管外科医师分会全国委员、重庆医师协会血管外科医师分会副会长、中国医师协会腔内血管专委会委员。E-mail: haoyingxue@hotmail.com
- 基金信息：
  
  陆军军医大学临床医学科研人才培养计划(2018XLC3015);陆军军医大学第一附属医院创新团队培养计划(SWH2018TD-03)
- DOI：10.16016/j.1000-5404.201906200
  中图分类号： R319;R654.3
- 收稿：2019-06-24，
  
  修回：2019-10-19，
  
  纸质出版：2019-12-30
- 稿件说明：
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郝迎学, 张荣杰. 机器人手术系统在血管外科中的应用与展望[J]. 第三军医大学学报, 2019,41(24):2366-2369.

Yingxue HAO, Rongjie ZHANG. Application and prospect of robotic surgical system in vascular surgery[J]. Journal of Third Military Medical University, 2019, 41(24): 2366-2369.
郝迎学, 张荣杰. 机器人手术系统在血管外科中的应用与展望[J]. 第三军医大学学报, 2019,41(24):2366-2369. DOI： 10.16016/j.1000-5404.201906200.

Yingxue HAO, Rongjie ZHANG. Application and prospect of robotic surgical system in vascular surgery[J]. Journal of Third Military Medical University, 2019, 41(24): 2366-2369. DOI： 10.16016/j.1000-5404.201906200.

摘要

机器人手术系统对破坏性手术为主的、平时手术野较深、显露较困难的患者有明显优势，如泌尿科、妇产科的手术。主要是以瘤体或结石的取出为主；对于修复、成型手术类难度仍然较大。因此机器人手术系统目前在血管外科虽有尝试和探索，但并没有得到广泛的开展，但作为探索仍然具有科学意义和临床意义。机器人手术系统在血管外科的应用刚刚起步，还有许多领域需要不断地探索和规范，包括手术适应证，关键技术和规范流程，术中、术后并发症的处理等。更为重要的是要开展机器人手术与开放手术和腹腔镜手术在血管系统疾病中应用的临床研究，加强随诊观察，特别是远期疗效的观察，为机器人手术系统在血管外科的广泛应用提供依据。机器人手术系统目前存在诸如缺乏触觉反馈、机械臂庞大、机械臂相互之间容易互相干扰等问题，还需加强器具研发和临床研究，争取使之造福更多血管疾病患者。

Abstract

The robotic surgical system has been widely used in surgeries in various fields for its advantages over human eyes and hands with a magnified

stereoscopic view

flexible manipulation and ability to filter tiny tremors. The application of the robotic surgical system in vascular surgery is still in its infancy

and many issues concerning the operation techniques and safety need to be explored

especially in terms of the indications

key techniques

standardized procedures and management of intra- and post-operative complications. Of greater importance are the promotion of clinical studies that compare robotic surgical system versus open or laparoscopic surgery in vascular surgery and the collection and analysis of the long-term follow-up data. The evidence obtained from these studies will facilitate the wide application of robotic surgical system in vascular surgery. In addition

the defects in the current robotic surgical system need be improved

such as the lack of tactile feedback

the large size of the mechanical arm

and the interference between the arms. The era of robotic surgery has come

which urges greater efforts in both technical development and clinical studies of the robotic surgical system.

关键词

Keywords

references

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