da VinciTM Surgical Robot을 이용한 돼지실험 모델에서의 각종 로봇 수술 -Pilot Study-
Various Laparoscopic Surgery Using da VinciTM Robotic System in Pig Mode -Pilot Study-
김형호, 성경탁,
소속 상세정보
김형호 ( Kim Hyung-Ho )
동아대학교 의과대학 외과학교실
성경탁 ( Sung Kyung-Tak )
Minimally Invasive Surgical Center Cleveland Clinic Foundation
KMID : 0371320020630030175
Abstract
Purpose: To evaluate the feasibility of a currently available robotic surgical system in performing various general surgical laparoscopic procedures in an acute porcine model.
Methods: Telepresence robotic laparoscopic surgeries, comprising cholecystectomy, Nissen-fundoplication, choledochocholedochostomy and gastrojejunostomy were performed in 5 swine models for 3 consecutive days by the same surgeon who is
experienced in advanced conventional laparoscopic surgery. Data were collected from the da VinciTM Robotic System.
Results: Mean operative times were 24.4±10.6 minutes for cholecystectomy (N=5) 41.2±5.5 for Nissen fundoplication (N=5) 51±5.6 for choledochocholedochostomy (N=5), and 53.3±7.6 for gastrojejunostomy (N=3) but there were 2 cases of
failure in
the latter. In the case of choledochocholedochostomy, operative time was reduced from 76 minutes in the first case to 42 minutes in the last. Intra-operative blood loss was minimal and there was no intra-operative complication related with
malfunction
of robotic system.
Conclusion: Robotic laparoscopic procedures can be performed effectively using the da VinciTM System. In this limited study, the learning curve and operative times were shorter with the da VinciTM System, and the
intraoperative technical movements appeared inherently more intuitive. Additional chronic study comparing conventional laparoscopic with robotic surgery is mandatory.
키워드
로봇 복강경 수술; 다빈치TM 로봇 시스템; 원격수술; Robotic laparoscopic surgeries; da VinciTM robotic system; Telepresence surgery;
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