Handheld articulating laparoscopic instruments driven by robotic technology. First clinical experience in gynecological surgery
Handheld articulating laparoscopic instruments driven by robotic technology. First clinical experience in gynecological surgery
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DOI：
10.1007/s10397-011-0708-2
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发表时间：
2012-05-01
影响因子：
--
通讯作者：
Tinneberg, H. -R.
中科院分区：
文献类型：
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作者：
Hackethal, A.;Koppan, M.;Tinneberg, H. -R.
Kymerax是一种新的机器人驱动的手持式关节腹腔镜设备，在保持精确运动的同时提供了改进的三角测量，最近刚刚进入欧洲市场。KYMERAX系统由发生器、手柄和可互换手术工具组成。我们描述了一个案例中，KYMERAX成功地用于全腹腔镜子宫切除术。1例42岁患者（IIG/IIP）有月经过多和阴道出血病史。由于先前的剖腹产手术，并排除进一步的病理可能与子宫出血，病人准备全腹腔镜子宫切除术在我们的部门。在手术前与患者详细讨论了世界上首次人类使用KYMERAX系统的情况。妇科腹腔镜手术的首次临床应用证明，使用新型机器人驱动、关节连接、手持式手术系统是可行的。KYMERAX可在高级腹腔镜、NOTES和单孔手术中提供益处。
Kymerax, a new robotic-driven, handheld articulating laparoscopic device, that provides improved triangulation while preserving precise motions, has just recently been introduced to the European market. The KYMERAX System consists of a generator, handles, and interchangeable instruments. We describe a case in which KYMERAX was successfully used during a total laparoscopic hysterectomy. A 42-year-old patient (IIG/IIP) presented with a history of hypermenorrhagia and dysmenorrhagia. Because of a prior cesarean section and to rule out further pathologies possibly associated to dysmenorrhagia, the patient was prepared for a total laparoscopic hysterectomy in our department. The world's first human use of the KYMERAX System was discussed in details with the patient prior to the procedure. The first clinical use in gynecologic laparos-copy proved to be feasible with the new robotic-driven, articulating, handheld surgical system. KYMERAX may offer benefits in advanced laparoscopy, NOTES, and single-port surgery.