全机器人心脏手术新技术的应用与效果

The application and effect of new technology of the Total Robotic Cardiac Surgery

目的了解机器人手术的方法和特点,提高对新技术开展的认识和手术的配合质量。方法对50例患者行全机器人不开胸心脏手术,与同期常规开胸心脏手术50例患者进行比较,对比两组手术出血量、术后引流量、切口大小及术后气管插管时间和 ICU 治疗时间。结果 50例患者均成功接受了全机器人不开胸手术,与常规手术患者相比,手术切口小、气管插管和 ICU 治疗时间短、术中出血量、术后引流量明显减少,于术效果满意。结论机器人的出现将微创技术应用到了复杂的心脏外科手术中,减少了患者的痛苦,缩短了患者的住院时间,也使手术护士配合方式和管理理念发生了转变。

Objective To master the methods and characteristics of the robotic surgery,and to improve the knowledge of new technology and the quality of surgery cooperation. Methods The fifty patients in the experimental group received Total Robotic Cardiac Surgeries. The other fifty patients in the control group received conventional sternotomy cardiac surgery. The data of intra -operative bleeding volume, postoperative drainage volume, the incision size, the extubation time and ICU stay time in the two groups were compared. Results All fifty patients in the experimental group underwent total robotic cardiac surgery successfully. Compared with the control group,the incision size was smaller,the intra- operative bleeding volume and postoperative drainage volume were significantly reduced ,the extubation time and ICU stay time were shorter. Conclusion The application of the robot has extended the microinvasive skills to the field of cardiovascular surgery. Meanwhile,it can reduce the suffering of the patients, shorten the hospitalization time, and renovate the cooperation mode and management conception of the nurses.