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Thoracoscopic robot-assisted bronchoplasty.

机译：胸腔镜机器人辅助支气管成形术。

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BACKGROUND: In robotic surgery, the ideal position of the system, as well as the optimal working angles and the proper positioning of the thoraco ports position is very important. No robot-assisted bronchoplasty has been reported. Our study describes use of the da VinciTM surgical system (Intuitive Surgical, Inc.) for robotic sleeve upper lobectomy in a human fresh cadaver. METHODS: A male cadaver was placed in the left lateral decubitus position. After thoracoscopic upper lobectomy was performed through the working port and the two ports, the robotic system was then set up behind the cadaver. The working port allowed introduction of the optical scope and the robotic surgical arms were inserted into the thoraco ports. The right bronchus was dissected and wedge was cut out with the robotic scissors. After standard lymph node dissection, end-to-end bronchial anastomosis was performed with robotic instruments. Once the anastomosis was complete, air leakage was checked with saline solution placed in the pleural cavity. RESULTS: Thoracoscopic robot-assisted bronchoplasty was performed successfully. CONCLUSIONS: In evaluating various positions of the system we demonstrated that our technique is sufficient approaches to robotic bronchoplasty. This procedure offers specific advantages over conventional bronchoplasty with accuracy and safety.
机译：背景：在机器人外科手术中，系统的理想位置以及最佳的工作角度和胸腔口位置的正确定位非常重要。没有机器人辅助支气管成形术的报道。我们的研究描述了da VinciTM手术系统（Intuitive Surgical，Inc.）在人类新鲜尸体中用于机器人袖上叶切除术的用途。方法：将男性尸体置于左侧卧位。在通过工作端口和两个端口进行胸腔镜上叶切除术之后，然后在尸体后面设置机器人系统。工作端口允许引入光学瞄准镜，并且将机器人手术臂插入了胸腔端口。解剖右支气管，并用自动剪刀剪下楔形。标准淋巴结清扫后，使用机器人器械进行端到端支气管吻合。吻合完成后，用置于胸膜腔内的食盐水检查漏气情况。结果：成功进行了胸腔镜机器人辅助支气管成形术。结论：在评估系统的各个位置时，我们证明了我们的技术是机器人支气管成形术的充分方法。与常规支气管成形术相比，该方法具有特定优势，且具有准确性和安全性。

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