机器人手术系统在甲状腺外科应用中的失误与对策

Errors and countermeasures of robotic surgery system in thyroid surgery application

甲状腺微创手术的目的是通过智能的操作系统进行精细化手术,实现患者的身体和心理微创,从而提高生活质量。目前,常用微创手术方式包括腔镜手术和机器人手术,均是通过远距离创建隧道至甲状腺进行操作,对手术器械和机器人外科医师的技术要求很高。无论哪种微创手术方式,在开展初期,医师对系统、器械、操作方法及手术思维都有一个接触、了解、熟练掌握和拓展创新的过程,在这个过程中难免会遇到一些失误操作,这些失误操作又是导致包括并发症在内医疗安全不良事件的主要原因,给患者带来失败的就医体验。同时,失误也会给机器人外科医师造成心理负担,给新技术的开展造成影响。失误的发生还取决于机器人外科医师的开放手术经验及临床应变能力,经验丰富的机器人外科医师可明显降低失误。随着医疗技术的革新和患者对疗效及美容的迫切需求,失误不应是阻挡甲状腺微创手术发展的因素。本文通过分析机器人外科医师的失误操作,制定对策,为机器人手术的安全开展提供借鉴,从而促进智能、精准、微创外科的发展,进一步造福有微创需求的患者。

The purpose of minimally invasive thyroid surgery is to perform refined surgery through an intelligent operating system,achieving minimal physical and psychological trauma for patients,thereby improving their quality of life.At present,the commonly used minimally invasive surgical methods are laparoscopic surgery and robotic surgery,both by creating tunnels from a distance to the thyroid gland,requiring high technical requirements for surgical instruments and robotic surgeons.Regardless of the type of minimally invasive surgery,in the early stages of implementation,doctors have a process of exposure,understanding,proficient mastery,and innovative expansion of the system,instruments,operating methods,and surgical thinking.In this process,it is inevitable to encounter some erroneous operations,which are the main causes of medical safety adverse events,including complications,and bring a failed medical experience to patients.At the same time,mistakes can also cause psychological burden for robotic surgeons and have an impact on the development of new technologies.The occurrence of errors also depends on the open surgical experience and clinical adaptability of robotic surgeons,and experienced robotic surgeons can significantly reduce errors.With the innovation of medical technology and the urgent demand of patients for efficacy and beauty,errors should not be a factor hindering the development of minimally invasive thyroid surgery.This article will analyze the erroneous operations of robot surgeons,formulates countermeasures,and provides reference for the safe implementation of robot surgery,thereby promoting the development of intelligent precision minimally invasive surgery,and further benefiting patients with minimally invasive needs.