Abstract:This study outlinespecific rules and principles to be followed as a qualified urological robotic surgery assistant, which help setting the surgical standards. We divide robotic urology surgery into three kinds: upper urinary tract operations, lower urinary tract operations and operations involving upper and lower urinary tracts. We summarized placement of trocars in specifiedrobotic surgery, which followed the principle of lens-target organs-work station in one line, principle of "8 cm and 120°" and principle of "open and lift the arms" in order to reduce the opportunity of instrument fighting. In order to communicate freely between person and person and from person and machine, we need to be familiar with surgical procedures and operators' habits. As a new hand, we must follow the way of simpleness to complexity, lower urinary tract operations to upper urinary tract operations, transperitoneal operations to retroperitoneal operations and finally to the patients with surgical history or rare abnormal operations. Only shorten learning curve can we become a qualified robotic surgery first assistant rapidly.
黄庆波, 艾青, 倪栋, 吕香君, 时京, 贾卓敏, 张鹏, 沈诞, 程强, 马鑫, 李宏召, 张旭. 如何成为一名合格的泌尿外科机器人手术助手[J]. 微创泌尿外科杂志, 2017, 6(4): 193-197.
Huang Qingbo, Ai Qing, Ni Dong, Lyu Xiangjun, Shi Jing, Jia Zhuomin, Zhang Peng, Shen Dan, Cheng Qiang, Ma Xin, Li Hongzhao, Zhang Xu. How to be a qualified urological robotic surgery assistant. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(4): 193-197.
[1] 张旭,丁强.机器人技术的沿革与展望.微创泌尿外科杂志,2013,2(4):225-226. [2] Sim HG, Yip SK, Cheng CW. Equipment and technology in surgical robotics. World J Urol, 2006,24(2):128-135. [3] Rogers C, Sukumar S, Gill IS. Robotic partial nephrectomy: the real benefit. Curr Opin Urol, 2011,21(1):60-64. [4] 唐露,李新涛,吕香君,等.机器人手术助手对后腹腔入路机器人肾部分切除术围手术期的影响.微创泌尿外科杂志,2017,6(1):32-35. [5] Winter JM, Talamini MA, Stanfield CL, et al. Thirty robotic adrenalectomies: A single institution's experience. Surg Endosc, 2006,20(1):119-124. [6] McMillan DT, Viera AJ, Matthews J, et al. Resident involvement and experience do not affect perioperative complications following robotic prostatectomy. World J Urol, 2015,33(6):793-799. [7] Mottrie A, De Naeyer G, Schatteman P, et al. Impact of the learning curve on perioperative outcomes in patients who underwent robotic partial nephrectomy for parenchymal renal tumours. Eur Urol, 2010,58(1):127-132. [8] Ellison JS, Montgomery JS, Wolf JS Jr, et al. A matched comparison of perioperative outcomes of a single laparoscopic surgeon versus a multisurgeon robot-assisted cohort for partial nephrectomy. J Urol, 2012,188(1):45-50. [9] Sgarbura O, Vasilescu C. The decisive role of the patient-side surgeon in robotic surgery. Surg Endosc, 2010,24(12):3149-3155. [10] 谢永鹏,马鑫,李宏召,等.机器人辅助腹腔镜肾部分切除术的学习曲线.微创泌尿外科杂志,2014,3(2):65-67.