Robotic laparoscopic distal gastrectomy: a comparison of the da Vinci and Zeus systems
Robotic laparoscopic distal gastrectomy: a comparison of the da Vinci and Zeus systems
复制标题
DOI：
10.1002/rcs.104
复制
发表时间：
2006-12-01
影响因子：
2.5
通讯作者：
Hashizume, M.
中科院分区：
文献类型：
--
作者：
Kakeji, Y.;Konishi, K.;Hashizume, M.
背景技术基于主从原理工作的机器人手术系统已经在世界范围内被开发并用于心脏、泌尿和普通外科手术。结果在腹腔镜胃切除术中，do芬奇系统（n = 2）与Zeus系统（n = 3）相比，总手术时间更短（445 vs 656 min; p = 0.09），失血量更少（65 vs 277 mL; p = 0.08）。两种系统的关节头器械均适用于淋巴结清扫、脂肪组织血管分离、血管结扎和胃肠道腹腔内吻合。机器人腹腔镜手术可以有效地使用da芬奇或Zeus System.Conclusion在这项有限的研究中，机器人仪器，特别是那些da芬奇系统，使其更容易完成组织的清除，包括淋巴结，复杂的内窥镜下病变，并在一个封闭的腔结扎。版权所有（c）2006约翰威利父子有限公司。
Background The robotic surgical systems working on a master-slave principle have been developed and used in the worldwide in cardiac, urologic, and general surgery.Methods The two robotic systems, the da Vinci and the Zeus Robotic Surgical System (Intuitive Surgical, Calif., USA), were compared with the aim of evaluating operative feasibility and technical efficacy in distal gastrectomy.Results During laparoscopic gastrectomy, the do Vinci System (n = 2) had a shorter total operative time (445 versus 656 minutes; p = 0.09) and less blood loss (65 versus 277 mL; p = 0.08) compared with the Zeus System (n = 3). The articulated instruments of both systems were useful in lymph node dissection, isolation of vessels in fat tissue, ligation of vessels, and intraabdominal anastomosis of the gastrointestinal tract. Robotic laparoscopic procedures can be performed effectively using either the da Vinci or Zeus System.Conclusion In this limited study, the robotic instruments, especially those of da Vinci system, made it easier to complete tissue dissection including lymph nodes, complicated endoscopic anastomoses, and ligatures in a closed cavity. Copyright (c) 2006 John Wiley & Sons, Ltd.