单孔机器人辅助肺叶切除的动物实验

陶绍霖; 陈大理; 康珀铭; 齐东东; 张祖旺; 刘训; 罗艺; 刘成军; 谭群友

doi:10.13406/j.cnki.cyxb.003708

重庆医科大学学报 ›› 2025, Vol. 50 ›› Issue (02) : 250 -253. DOI: 10.13406/j.cnki.cyxb.003708

基础研究

单孔机器人辅助肺叶切除的动物实验

陶绍霖 ¹ ,
陈大理 ² ,
康珀铭 ¹ ,
齐东东 ¹ ,
张祖旺 ¹ ,
刘训 ¹ ,
罗艺 ¹ ,
刘成军 ¹ ,
谭群友 ¹

作者信息 +

Lobectomy with a single-port robotic surgical system: an animal experiment

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摘要

目的通过动物实验评价国产单孔手术机器人系统用于辅助肺叶切除术的安全性和有效性，为其临床应用提供基础。方法选取40 kg实验用雄性大白猪为手术对象，采用术锐^®单孔机器人辅助手术系统实施左肺下叶切除+淋巴结清扫术。记录并分析围术期可行性、安全性和有效性指标。结果成功使用单孔蛇形臂机器人手术系统实施左肺下叶切除+淋巴结清扫术，手术时间115 min，对接时间5 min，机器人腔内操作时间100 min，肺叶切除时间85 min、淋巴结清扫时间15 min、出血量约20 mL、术中无血管、肺、心包、神经等脏器结构损伤，未中转开胸。无器械腔内相互干扰、交叉打架、器械偏离视野范围情况，无器械盲目操作造成血管、肺及胸壁损伤情况，无术中器械故障发生。术中术后猪生命体征稳定，术后恢复良好，无相关并发症发生。结论术锐^®单孔机器人辅助手术系统实施猪肺叶切除安全可行。

Abstract

Objective To assess the efficacy and safety of a novel domestic single-port robotic surgical system for lobectomy through an animal experiment，and to lay the groundwork for its clinical application. Methods An experimental Large White pig （male，40 kg） was selected to undergo left lower lobectomy and systematic lymph node dissection under the assistance of the SHURUI^® single-port surgical robot. Its feasibility，safety，and efficacy during the perioperative period were evaluated. Results Left lower lobectomy and systematic lymph node dissection were performed successfully with the single-port robotic surgical system with snake-like arms. The total operative time was 115 min，the docking time was 5 min，the operative time inside the chest cavity was 100 min，the time for lobectomy was 85 min，and the time for lymph node dissection was 15 min. The blood loss was about 20 mL. During operation，there was no damage to the lung，pericardium，vessels，or nerves；no conversion to open surgery； no interference or clash between instruments or instance of instruments moving away from the field of vision； no injuries of the vessels，lung，or chest wall caused by blind operation；and no system failure. The pig showed stable vital signs during and after the operation，and recovered well without relevant complications after the surgery. Conclusion The SHURUI^® single-port robotic surgical system is safe and feasible for performing lobectomy in pigs.