一种新型单臂单孔微创腹腔镜手术机器人系统

      A Novel Single-arm Single-port Micro-traumatic Laparoscopic Robotic Surgical System

      • 摘要: 随着单孔手术机器人的研发与临床应用日益得到重视。该研究提出了一款新型单臂单孔微创腹腔镜手术机器人系统。在机械设计方面,系统具有高刚性与高可靠性的不动点机构。此外,系统支持刚性内窥镜以减少耗材成本。在控制算法方面,系统使用高精度运动控制算法和力反馈保护机制。在10例胆囊切除术的临床试验中,验证了所提出系统功能特征的有效性,可减小术中出血量、加快患者恢复速度、降低术后感染风险、加快术者学习周期。因此,系统具备重要的临床应用价值。

         

        Abstract: As the robotic assisted single port surgery arousing attention, a novel single-arm single-port micro-traumatic laparoscopic robotic surgical system is proposed in this study. From the perspective of the mechanics, joints with high rigidity and high reliability were utilized to realize the remote center of motion (RCM). Besides, the cost of consumables was reduced by adding the support of the rigid endoscope. From the perspective of the algorithm, high-precision motion control method and feedback force protection mechanism were implemented. The effectiveness of the aforementioned characteristics were verified by five clinical experiments of cholecystectomy. The results showed that the system is able to reduce the amount of bleeding, accelerate the patient recovery, reduce the infection risk and shorten the learning period. The robotic surgical system had significant clinical application value.

         

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