国产单孔腔镜手术机器人在肾部分切除术中的初步应用效果(附手术视频)OA

Objective:To evaluate the preliminary application effect of domestic"SHURUI"single-port robotic surgical system in partial nephrectomy.Methods:Four patients who underwent SHURUI® single-port endoscopic robot-assisted partial nephrectomy at the Department of Urology,the Second Affiliated Hospital of Nanjing Medical University between November 2021 and July 2022 were selected as the study subjects.Tumor diameter,total operative time,operation time,intraoperative blood loss and warm ischemia time were recorded,and perioperative data and postoperative recovery were analyzed.Results:Among the four patients,retroperitoneal approach was adopted in three cases,whereas a single case underwent transperitoneal approach.The total operative time was 154.80(73.00-235.00)min.The robotic operation time was 106.30(52.00-174.00)min,and the docking time was 13.80(8.00-32.00)min.No additional auxiliary channels were required for all patients.The tumor diameter was 2.45(1.30-3.90)cm,including one case of left side and 3 cases of right side.The intraoperative blood loss was 65.00(10.00-150.00)mL.The warm ischemia time was 28.80(22.00-35.00)min.The length of postoperative hospital stay was 13.50(9.00-20.00)d.Postoperative pathological results showed that two cases of renal clear cell carcinoma and two cases of renal angiomyolipoma.No related complications occurred in all patients after surgery or during follow-up.Conclusion:The domestically developed SHURUI® single-port endoscopic surgical robot is safe and effective for partial nephrectomy,with its serpentine arm providing flexible maneuverability and precise targeting contributing to the smooth completion of surgery.