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杏林秋实2020首个工作日,开启通城泌尿外科机器人手术新时代
2020-01-08 01:38  www.fxwindowfilm.com

2019年底,我院正式引入世界上最先进的微创外科手术平台——“达芬奇手术机器人”,经过前段时间的调试、试用,机器人设备已正式服务于临床。全球最新第四代“达芬奇手术机器人”的使用,标志着我院微创手术迈入人工智能新时代。此前达芬奇手术机器人已用于心胸外科数位患者的手术,均取得了很好的疗效。

At the end of 2019, our hospital formally introduced the world's most advanced minimally invasive surgical platform,\" Da Vinci surgical robot \", after the previous period of debugging, trial, robot equipment has officially served clinical. The use of the world's latest fourth generation \"da Vinci surgical robot\" marks a new era for minimally invasive surgery in our hospital. Before da Vinci surgery robot has been used in cardiothoracic surgery digital patients surgery, have achieved good results.

1月2日,马利民率队使用达芬奇手术机器人完成的是泌尿外科手术中难度较大的“前列腺癌根治术”。前列腺癌在中老年男性中属于高发疾病,在欧美等发达国家的癌症研究统计中为发病率最高的恶性肿瘤,在我国,前列腺肿瘤的血液筛查(prostate-specificantigen,PSA)已被列为45岁以上男性的常规体检项目。

On January 2, the Malimin team used the Da Vinci surgery robot to complete the more difficult \"radical prostatectomy\" in urological surgery. Prostate cancer is a high incidence among middle-aged and elderly men, and it is the most common malignant tumor in cancer studies in developed countries such as Europe and the United States. In China, the blood screening of prostate tumors (PSA) has been listed as a routine medical examination program for men over 45 years of age.

前列腺癌,与膀胱癌及肾癌,作为泌尿外科三大常见恶性肿瘤,其手术难度相对较大,术中需要游离盆底间隙,而盆底静脉丛血液丰富,稍有不慎,极易出血,影响手术进行。摘除前列腺肿瘤后,术者还需将尿道和膀胱吻合,盆腔内空间狭小,这又增加了手术难度。使用达芬奇手术机器人,因其机械臂可以360度旋转,机械钳灵活,适宜盆腔手术,可以增加术者操作便利,从而解决更有难度,更高风险的手术。

Prostate cancer, with bladder cancer and kidney cancer, as three common malignant tumors of urology, its operation is relatively difficult, the operation needs free pelvic floor space, and the pelvic floor vein plexus is rich in blood, slightly careless, easy to bleed, affecting the operation. After removing the prostate tumor, the surgeon also needs to anastomose the urethra and bladder, the pelvic space is narrow, which increases the difficulty of surgery. The use of da Vinci surgical robot, because its manipulator can rotate 360 degrees, mechanical forceps flexible, suitable for pelvic surgery, can increase the operator's ease of operation, thus solving more difficult, higher risk of surgery.

马利民教授为主的机器人手术团队作为通城首次开展机器人手术的泌尿外科团队,不畏艰难,勇于挑战,首战出马就选取了“前列腺癌根治”这一高难度手术。这位患者,PSA20ng/ml,属于高危前列腺癌,且患者76岁高龄,手术风险较大。在马利民的操作下,机器人手臂犹如一个与病魔斗争的舞者,流畅灵活,整个手术过程流畅,术中患者生命体征平稳,术出血量极少,无需输血,麻醉苏醒后患者即刻安返病房。

Professor malimin's robot surgery team, the first urology team in tongcheng to carry out robotic surgery, not afraid of difficulties, dare to challenge, the first battle to choose the \"prostate cancer radical\" this difficult surgery. This patient, PSA20ng\/ml, belongs to the high risk prostate cancer, and the patient is 76 years old, the operation risk is higher. Under malimin's operation, the robot arm is like a dancer struggling with the disease, smooth and flexible, the whole operation process is smooth, the patient's vital signs during the operation are stable, the amount of blood loss is very small, no blood transfusion, the patient immediately returned to the ward after anaesthesia recovery.

在8号手术室,笔者看到马利民坐在离手术台两米多的控制台前,将双手的拇指和中指伸进指套,控制着两个灵敏的操作杆和两个按钮,双脚控制7个脚踏板,这些踏板分别控制手术镜头、电刀、电凝止血等。“与常规手术相比,机器人手术对患者创伤更小,恢复起来更快。但是对手术者要求很高,需要手脚高度协调,操作者的模样有点类似在弹钢琴,但是与弹钢琴不同,医生手脚相连的是患者的生命。”协助手术的副主任医师蔡波介绍说。

In operating room 8, the author sees Malimin sitting in front of a console more than two meters from the operating table, putting his thumb and middle finger of both hands into the finger sleeve, controlling two sensitive operating rods and two buttons, and his feet controlling seven pedals, which control the surgical lens, electric knife, electrocoagulation hemostasis and so on, respectively. \"Robot surgery is less traumatic and recovers more quickly than conventional surgery. But it's very demanding and requires a high degree of coordination of hands and feet, and the operator looks a bit like playing the piano, but unlike playing the piano, the doctor's hands and feet are connected to the patient's life. Cai Bo, deputy chief physician who assisted in the operation, said.

近期我院已成功进行3例泌尿外科达芬奇机器人微创手术,这也代表了通城泌尿外科手术跨入了机器人手术的新时代,是我院与国内外顶级医院医疗水平的接轨,更是通城百姓的福音。

Recently, our hospital has successfully performed three cases of urological surgery da Vinci robot minimally invasive surgery, which also represents Tongcheng urological surgery has entered a new era of robot surgery, is our hospital with the top hospitals at home and abroad medical level, but also the gospel of Tongcheng people.