Robot-assisted simulated cataract surgery
Robot-assisted simulated cataract surgery
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DOI：
10.1016/j.jcrs.2017.02.020
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发表时间：
2017-04-01
影响因子：
2.8
通讯作者：
Mutter, Didier
中科院分区：
文献类型：
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作者：
Bourcier, Tristan;Chammas, Jimmy;Mutter, Didier
目的：评估机器人辅助模拟白内障手术的可行性。设置：Institut de Recherche Contre les Cancers de l 'Appareil Digestif，欧洲远程外科研究所，和斯特拉斯堡大学医院，斯特拉斯堡，法国。设计：实验研究。方法：白内障手术在Kitaro白内障湿实验室培训系统上进行，同时使用Da芬奇Xi机器人手术系统和Whitestar Signature超声乳化系统。对于每一个程序，持续时间和成功完成的手术或没有眼部并发症进行了assessed.Results：程序成功地进行了25个透镜核。证实了机器人辅助模拟白内障手术的可行性。机器人手术系统提供了执行超声乳化手术的主要步骤所需的眼内灵活性和术野可视化;即角膜切口、撕囊、开槽、破裂、象限切除和眼科粘性手术器械（OVD）的冲洗/抽吸。眼内注射OVD、平衡盐溶液和人工晶状体需要第二名外科医生的干预。平均手术时间为26.44分钟± 5.15（SD）。摘除所有透镜核。无意中扩大的主要角膜切口所造成的超乳手机观察在2 cases.Conclusion：实验机器人辅助白内障手术技术上是可行的，使用新的机器人手术系统结合超声乳化机。(C)2017 ASCRS和ESCRS
Purpose: To evaluate the feasibility of robot-assisted simulated cataract surgery.Setting: Institut de Recherche Contre les Cancers de l'Appareil Digestif, European Institute of Telesurgery, and Strasbourg University Hospital, Strasbourg, France.Design: Experimental study.Methods: Cataract surgeries were performed on a Kitaro cataract wet-lab training system simultaneously using the Da Vinci Xi robotic surgical system and the Whitestar Signature phacoemulsification system. For each procedure, the duration and successful completion of the surgery with or without ocular complications were assessed.Results: Procedures were successfully performed on 25 lens nuclei. The feasibility of robot-assisted simulated cataract surgery was confirmed. The robotic surgical system provided the intraocular dexterity and operative field visualization necessary to perform the main steps of the phacoemulsification procedure; that is, corneal incisions, capsulorhexis, grooving, cracking, quadrant removal, and irrigation/aspiration of the ophthalmic viscosurgical device (OVD). The intervention of a second surgeon was required for the intraocular injections of OVD, balanced salt solution, and intraocular lenses. The mean operative time was 26.44 minutes +/- 5.15 (SD). All lens nuclei were removed. Inadvertent enlargement of the main corneal incision caused by the phaco handpiece was observed in 2 cases.Conclusion: Experimental robot-assisted cataract surgery was technically feasible using the new robotic surgical system combined with a phacoemulsification machine. (C) 2017 ASCRS and ESCRS