[Robot-assisted laparoscopic cholecystectomy and fundoplication--initial experiences with the Da Vinci system].
[Robot-assisted laparoscopic cholecystectomy and fundoplication--initial experiences with the Da Vinci system].
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机器人辅助腹腔镜胆囊切除术和胃底折叠术——达芬奇系统的初步经验
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
A. Encke
中科院分区：
文献类型：
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作者：
E. Hanisch;B. Markus;C. Gutt;T. Schmandra;A. Encke
我们报告了我们的第一批五例机器人辅助的腹腔镜胆囊切除术和一例胃底折叠术(达芬奇系统)。无术后并发症发生。胆囊切除术(3例择期手术，2例急性手术)平均手术时间为1h 35min，平均住院时间为5d，胃底折叠术平均手术时间为2h15min。它的主要优点似乎是通过使用立体摄像机改善了可视化，并易于由来自远程控制台的主从指导的微机械仪器进行精确解剖。主要的缺点是成本太高。为了充分评估对患者的益处，有必要进行前瞻性临床试验。
We report on our first five robot-assisted laparoscopic cholecystectomies and one fundoplication (Da Vinci system). No postoperative complications were observed. For the cholecystectomies (three elective and two acute cases) mean operation time was 1 h 35 min, and mean hospital stay was 5 days; for fundoplication the operation time was 2 h 15 min. The main advantages seem to be improved visualization by using a stereo camera und ease of precise dissection by micromechanical instruments directed by masterslaves from a distant console. The main disadvantage is the high cost. To fully evaluate the benefit for the patient, prospective clinical trials are warranted.