消化内镜微创手术机器人系统的研发及其辅助离体猪胃内镜黏膜下剥离术的可行性评估
作者:
作者单位:

1.山东大学齐鲁医院消化内科;2.新加坡国立大学 苏州工业园区新国大研究院;3.深圳市罗伯医疗科技有限公司;4.苏州大学;5.北京华科创智健康科技股份有限公司;6.香港中文大学 新加坡国立大学;7.山东大学齐鲁医院

作者简介:

通讯作者:

中图分类号:

基金项目:

国家重点研发计划(2018YFB1307700)


Development and primary evaluation of a minimally invasive surgical robot system in endoscopic submucosal dissection: an ex vivo feasibility study
Author:
Affiliation:

Fund Project:

National Key Research and Development Program of China (2018YFB1307700)

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 文章评论
    摘要:

    目的 初步评估新型柔性、双臂、主从操作的消化内镜微创手术机器人——DREAMS(dual‑arm robotic endoscopic assistant for minimally invasive surgery)系统辅助内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)的可行性。方法 选用新鲜剥离的健康猪胃作为模型,设计不同大小的类圆形病变10个(胃窦和胃体各5个),由2名内镜医生(甲和乙)独自完成内镜下剥离操作,观察DREAMS系统辅助下的剥离效果(黏膜下剥离速度)、安全性(肌层损伤、穿孔发生率)和操作性能(抓取效率:用每个病变需要夹钳夹取的次数来评估)。结果 10例机器人辅助下的ESD均顺利完成,10个病变均实现整块切除,病变直径(22.34±2.39)mm,剥离时间(15.00±8.90)min,剥离速度(141.79±79.12)mm2/min,平均每个病变需要夹取4.2次,共有4例(40.0%)ESD出现肌层损伤,无一例穿孔发生。结论 初步动物实验结果显示,DREAMS系统辅助ESD安全、可行。

    Abstract:

    Objective To develop a novel, flexible, dual-arm, master-slave digestive endoscopic minimally invasive surgical robot system named dual-arm robotic endoscopic assistant for minimally invasive surgery (DREAMS) and to evaluate its feasibility for endoscopic submucosal dissection (ESD) by using ex vivo porcine stomachs. Methods A novel endoscopic robot (DREAMS) system was developed which was composed of a flexible two-channel endoscope, two flexible robotic manipulators, a master controller, a robotic arm, and a control system. A total of 10 artificial round-like lesions with diameters ranging from 15 to 25 mm were created (5 in gastric antrum and 5 in gastric body) by using fresh peeled stomach of healthy pigs as the model. Submucosal dissection was performed with the assistance of the DREAMS system by two operators. The main outcome was submucosal dissection speed, and the secondary outcomes included muscular injury rate, perforation rate, and grasping efficiency of the robot. Results All 10 lesions were successfully dissected en bloc by using the DREAMS system. The diameter of the artificial lesions was 22.34±2.39 mm, dissection time was 15.00±8.90 min, submucosal dissection speed was 141.79±79.12 mm2/min, and the number of tractions required by each ESD was 4.2 times. Muscular injury occurred in 4/10 cases of ESD. No perforation occurred. Conclusion The initial animal experiment shows the DREAMS system is safe and effective.

    参考文献
    相似文献
    引证文献
引用本文

杨笑笑,高沪昕,付士宸,等.消化内镜微创手术机器人系统的研发及其辅助离体猪胃内镜黏膜下剥离术的可行性评估[J].中华消化内镜杂志,2023,40(3):182-188.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-07-13
  • 最后修改日期:2023-03-10
  • 录用日期:2022-07-25
  • 在线发布日期: 2023-03-29
  • 出版日期:
您是第位访问者

通信地址:南京市鼓楼区紫竹林3号《中华消化内镜杂志》编辑部   邮编:210003

中华消化内镜杂志 ® 2024 版权所有
技术支持:北京勤云科技发展有限公司