无线智能腔镜系统在基层医院泌尿外科中应用的初步体会

Preliminary experiences of wireless intelligent endoscopy system in urology of primary hospital

目的探讨采用无线智能腔镜系统在基层医院泌尿外科中应用的初步体会。方法回顾性分析2021年7月至2021年8月濉溪县医院泌尿外科应用5G模块、4K内镜摄像、内镜冷光源、电源于一体的无线智能腔镜系统进行的21例手术患者的临床资料,包括腹腔镜前列腺癌根治术2例,腹腔镜肾癌根治术2例,腹腔镜肾囊肿去顶减压术2例,经尿道前列腺等离子电切术6例,经尿道膀胱肿瘤电切术2例,经皮肾镜碎石取石术3例,经尿道输尿管镜钬激光碎石术4例,其中1例肾癌和1例前列腺增生病例为寻求远程会诊的病例。统计分析其手术时间、术中出血量、术后恢复通气时间、是否发生手术相关并发症等数据。结果21例患者手术均获得成功。其中腹腔镜手术时间为45~175 min,出血量为10~150 ml,经尿道内镜手术时间为22~127 min,经皮肾镜手术时间为70~145 min。术后1~2 d均恢复肠道通气功能,随访1个月均无术后并发症发生。结论无线智能腔镜系统在基层泌尿外科应用中提供了清晰的画面和良好的解剖层次,出血少,恢复快,并发症少,便于携带并在远程诊疗中的应用具有推广前景,但结论尚需要大样本、多中心的研究并进行长期的随访进一步验证。

Objective To explore the preliminary experiences of using wireless intelligent endoscopy system in urology of primary hospital.Methods The clinical data of 21 patients undergone urological surgery in Suixi Hospital from July 2021 to August 2021 were analyzed retrospectively,including 2 cases of laparoscopic radical prostatectomy,2 cases of laparoscopic radical nephrectomy and 2 cases of laparoscopic renal cyst decapitation decompression,6 cases of transurethral resection of prostate,2 cases of transurethral resection of bladder tumor,3 cases of percutaneous nephrolithotomy,and 4 cases of transurethral ureteroscopic holmium laser lithotripsy.The operation time,intraoperative bleeding,postoperative recovery ventilation time and operation-related complications were analyzed.Results The operation was successful in 21 patients.The operative time was 45-175 min,and the blood loss was 10-150 ml.The time of transurethral surgery was 22-127 min.The operative time of percutaneous nephrolithotomy wsa 70-145 min.The intestinal ventilation function was restored 1-2 days after operation,and there were no postoperative complications after follow-up for 1 month.Conclusion The application of wireless intelligent endoscopy system in primary hospital provides a clear picture and good anatomical level,with advantages of less bleeding,rapid recovery,less complications,easily carrying,and has a popularization prospect in remote diagnosis and treatment.However,the conclusion still needs large sample size,multi-center research and long-term follow-up for further verification.