国产单孔手术机器人辅助vNOTES治疗妇科良性疾病

Domestic robotic-assisted single-port transvaginal NOTES(RSP-vNOTES)for the treatment of benign gynecological diseases

目的探讨国产单孔手术机器人辅助vNOTES(robotic-assisted single-port transvaginal natural orifice transluminal endoscopic surgery,RSP-vNOTES)在妇科良性疾病中的临床应用可行性和安全性。方法回顾性分析2024年1月至2024年6月淮安市妇幼保健院利用国产RSP-vNOTES治疗的20例患者的临床资料,观察机器人系统装机时间与手术时长、术中出血量、术中补液量、术中尿量、术后24 h疼痛情况、术后首次排气时间、术后首次排便时间、手术并发症发生率、住院时间。结果机器人系统平均装机时间(5.10±3.11)min。20例患者均顺利完成手术,术后均未发生并发症。平均手术时长(179.43±53.97)min、平均术中出血量(123.81±41.36)ml、平均术中补液量(1490.15±393.28)ml;平均术后24 h视觉模拟评分法(visual analogue scale,VAS)(2.52±1.54)分;平均术后首次排气时间(2.14±0.57)d、平均术后首次排便时间(2.95±0.59)d;平均住院时间(7.94±3.36)d。结论国产单孔机器人SP1000装机便捷,操作便利,辅助vNOTES治疗妇科良性疾病具有可行性和安全性。

Objective To explore the feasibility and safety of robotic-assisted single-port transvaginal natural orifice transluminal endoscopic surgery(RSP-vNOTES)for benign gynecological diseases.Methods In this study,we retrospectively analyzed data from 20 patients who underwent RSP-vNOTES procedures assisted by the SP1000 robot,manufactured in China,at Huai′an Maternal and Child Health Hospital between Jan.2024 and Jun.2024.The analysis included metrics such as installation and operation times,blood loss,intraoperative fluid volume,intraoperative urine volume,postoperative 24 h pain,postoperative first exhaust time,postoperative first defecation time,incidence of surgical complications,and hospitalization time were observed.Results The average installation time of the robot system was(5.10±3.11)min.All 20 patients successfully completed the operation,and no complications occurred after operation.The average operation time was(179.43±53.97)min,the average blood loss was(123.81±41.36)ml,and the average intraoperative fluid volume was(1490.15±393.28)ml.The mean visual analogue scale(VAS)at 24 hours after operation was(2.52±1.54).The average first exhaust time after operation was(2.14±0.57)days,and the average first defecation time after operation was(2.95±0.59)days.The average length of hospital stay was(7.94±3.36)days.Conclusion The domestic SP surgical robot is convenient to install and operate,and it is feasible and safe to assist vNOTES in the treatment of benign gynecological diseases.