CAJ | 학술논문

目的总结应用人工智能(达芬奇机器人)辅助行普胸外科手术的基本经验,评价其手术效果及应用价值.方法回顾性分析2009年1月至2012年9月行达芬奇机器人胸外科手术25例临床资料、手术方式及病理结果.结果 25例均成功实施达芬奇机器人手术,其中肺部手术10例,纵隔手术14例,食管手术1例.10例肺部手术平均耗时(241.00 +90.98) min,出血约(195.00±43.78) ml,术后24 h胸管引流量平均(305.00±28.38) ml；前纵隔胸腺来源肿物切除手术平均耗时(116.36±45.23) min,出血约(63.64±23.36)ml,术后24 h胸管引流量平均(123.64±69.93) ml.全组无围手术期死亡,无中转开胸者,患者皆顺利出院.结论应用人工智能(达芬奇机器人)辅助胸外科手术是一种安全可行的手术方法,手术操作安全.
목적 총결응용인공지능(체분기궤기인)보조행보흉외과수술적기본경험,평개기수술효과급응용개치.방법 회고성분석2009년1월지2012년9월행체분기궤기인흉외과수술25례림상자료、수술방식급병리결과.결과 25례균성공실시체분기궤기인수술,기중폐부수술10례,종격수술14례,식관수술1례.10례폐부수술평균모시(241.00 +90.98) min,출혈약(195.00±43.78) ml,술후24 h흉관인류량평균(305.00±28.38) ml；전종격흉선래원종물절제수술평균모시(116.36±45.23) min,출혈약(63.64±23.36)ml,술후24 h흉관인류량평균(123.64±69.93) ml.전조무위수술기사망,무중전개흉자,환자개순리출원.결론 응용인공지능(체분기궤기인)보조흉외과수술시일충안전가행적수술방법,수술조작안전.
Objective To summarize the basic experience of robotic-assisted Thoracic Surgery using da Vinci Robotic system and to evaIuate its value in clinical application.Methods From Jan 2009 to Sep 2012,the clinical data of 25 patients who underwent robotic-assisted Thoracic Surgery using da Vinci Robotic system were analyzed.Results All 25 patients were successfully operated and no conversion to thoracotomy occurred,including 10 cases of pulmonary lobectomy,14 cases of rumor mainly in anterior mediastinum and a cases of esophageal carcinoma.The operative time of pulmonary lobectomy was 180-390min,mean(241 ± 90.98)min,the estimated blood loss was 150-300 ml,mean (195 ± 43.78)ml,and the post-operative 24 h drainage was 250-300 ml,mean(305 ± 28.38)ml.The operative time of rumor from thymus mainly in anterior mediastinum was 70-210 min,mean (116.36 ± 45.23)min,the estimated blood loss was 50-100 ml,mean (63.64 ± 23.36)ml,and the post-operative 24 h drainage was 20-270 ml,mean (123.64 + 69.93) ml.No other major complications were experienced,no peri-opermive mortality occurred.Conclusion Da Vinci robotic-assisted thoracic surgery is a feasible and safe surgical procedure with clear operation field,precise dissection,minimal trauma and fast recovery.