Exploration of porcine thyroidectomy <i>via</i> submaxillary approach using MP1000 robotic surgical system in porcine animal model_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Gang , WANG Meng ,  HE Qingqing , ZHU Jian , ZHUANG Dayong , ZHOU Peng , LI Xiaolei

Department of Thyroid and Breast Surgery, The 960th Hospital of Joint Logistics Support Force, Jinan 250031, P. R. China;

Corresponding?author：

HE Qingqing, Email: heqingqing@yeah.net

Keywords：

MP1000 robotic surgical system; robotic thyroid surgery; submaxillary approach; porcine animal model

DOI：

10.7507/1007-9424.202307018

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the safety and feasibility of domestic MP1000 robotic surgical system assisted thyroidectomy via submaxillary approach in porcine animal model. Method The thyroidectomy process assisted by the MP1000 robotic surgical system via submaxillary approach for a Bama pig in the 960th Hospital of the Joint Logistics Support Force was retrospectively analyzed. Results The operation was performed as planned programme using the MP1000 robotic surgical system without opening, adding or lengthening the surgical incision. There was no mechanical problems during the MP1000 robotic surgical operation. The operative time was 53 min and the estimated intraoperative blood loss was 10 mL. There was no shaking of instruments and robotic arm during the operation, and the 3 surgical instruments cooperated skillfully, the establishment of surgical operation space successfully was completed, the thyroid blood vessels accurately and finely was dissected, and the separation, coagulation and cutting of blood vessels were smoothly completed. The recurrent laryngeal nerve and parathyroid gland were delicately dissected and protected. The carotid sheath, trachea, esophagus, and other important organs around the thyroid did not be damaged. The master-slave mapping frequency was high, and there was no delay sense during the operation. The lens resolution of MP1000 was 1 920×1 080, the surgical field of vision was clear, no visual field was defected and the visual field was stable and not shaking, light source front and intelligent adaptive temperature control system reduced the fogging of the lens, and the lens was scoured for 4 times during the operation. Conclusion According to the preliminary results of the experimental animal in this study, MP1000 robotic surgical system can successfully complete thyroidectomy via submaxillary approach in porcine animal model.

Citation： WANG Gang, WANG Meng, HE Qingqing, ZHU Jian, ZHUANG Dayong, ZHOU Peng, LI Xiaolei. Exploration of porcine thyroidectomy via submaxillary approach using MP1000 robotic surgical system in porcine animal model. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(11): 1329-1332. doi: 10.7507/1007-9424.202307018 Copy

1.	Wang W, Li J, Wang S, et al. System design and animal experiment study of a novel minimally invasive surgical robot. Int J Med Robot, 2016, 12(1): 73-84.
2.	Raison N, Poulsen J, Abe T, et al. An evaluation of live porcine simulation training for robotic surgery. J Robot Surg, 2021, 15(3): 429-434.
3.	中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會. 機器人手術系統輔助甲狀腺和甲狀旁腺手術專家共識. 中國實用外科雜志, 2016, 36(11): 1165-1170.
4.	賀青卿, 莊大勇, 范子義, 等. 單腋窩和胸前徑路達芬奇機器人豬甲狀腺切除的對照研究. 中華內分泌外科雜志, 2014, 8(4): 328-331.
5.	王程, 隋成秋, 趙紫涵, 等. 術中神經監測技術在機器人甲狀腺手術中的應用及進展. 中華內分泌外科雜志, 2022, 16(1): 126-128.
6.	中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會, 中國醫療保健國際交流促進會臨床實用技術分會, 等. 機器人甲狀腺及甲狀旁腺手術中神經電生理監測臨床操作專家共識(2019版). 中國實用外科雜志, 2019, 39(12): 1248-1253.
7.	王丹, 賀青卿, 朱見, 等. DaVinci機器人甲狀腺手術喉返神經監測儀使用方法的改進. 國際外科學雜志, 2018, 45(12): 836-838, 封4.
8.	Puliatti S, Mazzone E, Dell’Oglio P. Training in robot-assisted surgery. Curr Opin Urol, 2020, 30(1): 65-72.
9.	Britton CR, Francis I, Tay LJ, et al. The role of the bedside assistant in robot-assisted surgery: a critical synthesis. J Perioper Pract, 2022, 32(9): 208-225.
10.	田秀, 賀青卿, 王小霞. 經口腔前庭機器人甲狀腺手術的護理配合經驗. 腹腔鏡外科雜志, 2021, 26(10): 762, 783.
11.	李陳鈺, 賀青卿, 李小磊, 等. 經口腔前庭入路與雙側腋窩乳暈入路機器人甲狀腺手術的回顧性比較研究. 中華外科雜志, 2023, 61(3): 227-231.
12.	王猛, 鄭魯明, 周鵬, 等. 腔鏡與機器人甲狀腺手術治療甲狀腺微小乳頭狀癌的對比研究. 腫瘤預防與治療, 2021, 34(12): 1117-1122.
13.	李小磊, 賀青卿, 莊大勇, 等. 雙側腋窩乳暈入路機器人甲狀腺手術單中心1 000例報告. 中華外科雜志, 2021, 59(11): 918-922.
14.	He Q, Zhu J, Li X, et al. A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach. BMC Surg, 2022, 22(1): 173.
15.	李思佳, 郭飛躍, 羅倩文, 等. 經雙側腋窩乳暈入路機器人甲狀腺切除術與傳統開放手術對比的Meta分析. 腹腔鏡外科雜志, 2021, 26(10): 721-734.
16.	Chen R, Rodrigues Armijo P, Krause C, et al. A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education. Surg Endosc, 2020, 34(1): 361-367.
17.	Kang CM, Chong JU, Lim JH, et al. Robotic cholecystectomy using the newly developed Koreanrobotic surgical system, Revo-i: a preclinical experiment in a porcine model. Yonsei Med J, 2017, 58(5): 1075-1077.
18.	Peters BS, Armijo PR, Krause C, et al. Review of emerging surgical robotic technology. Surg Endosc, 2018, 32(4): 1636-1655.
19.	樊書菠, 李學松. 國產康多內窺鏡手術機器人系統在泌尿外科中的應用進展. 中國微創外科雜志, 2023, 23(2): 140-143.
20.	韓冠鵬, 張簫薇, 樊書菠, 等. 國產內窺鏡手術機器人下輸尿管膀胱再植聯合卵巢囊腫剝除術一例: 國內首例報道. 機器人外科學雜志(中英文), 2023, 4(2): 160-166.
21.	王家寅, 姜乃晶, 趙亞平, 等. 一種新型單臂單孔微創腹腔鏡手術機器人系統. 中國醫療器械雜志, 2023, 47(1): 13-18, 25.

1. Wang W, Li J, Wang S, et al. System design and animal experiment study of a novel minimally invasive surgical robot. Int J Med Robot, 2016, 12(1): 73-84.
2. Raison N, Poulsen J, Abe T, et al. An evaluation of live porcine simulation training for robotic surgery. J Robot Surg, 2021, 15(3): 429-434.
3. 中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會. 機器人手術系統輔助甲狀腺和甲狀旁腺手術專家共識. 中國實用外科雜志, 2016, 36(11): 1165-1170.
4. 賀青卿, 莊大勇, 范子義, 等. 單腋窩和胸前徑路達芬奇機器人豬甲狀腺切除的對照研究. 中華內分泌外科雜志, 2014, 8(4): 328-331.
5. 王程, 隋成秋, 趙紫涵, 等. 術中神經監測技術在機器人甲狀腺手術中的應用及進展. 中華內分泌外科雜志, 2022, 16(1): 126-128.
6. 中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會, 中國醫療保健國際交流促進會臨床實用技術分會, 等. 機器人甲狀腺及甲狀旁腺手術中神經電生理監測臨床操作專家共識(2019版). 中國實用外科雜志, 2019, 39(12): 1248-1253.
7. 王丹, 賀青卿, 朱見, 等. DaVinci機器人甲狀腺手術喉返神經監測儀使用方法的改進. 國際外科學雜志, 2018, 45(12): 836-838, 封4.
8. Puliatti S, Mazzone E, Dell’Oglio P. Training in robot-assisted surgery. Curr Opin Urol, 2020, 30(1): 65-72.
9. Britton CR, Francis I, Tay LJ, et al. The role of the bedside assistant in robot-assisted surgery: a critical synthesis. J Perioper Pract, 2022, 32(9): 208-225.
10. 田秀, 賀青卿, 王小霞. 經口腔前庭機器人甲狀腺手術的護理配合經驗. 腹腔鏡外科雜志, 2021, 26(10): 762, 783.
11. 李陳鈺, 賀青卿, 李小磊, 等. 經口腔前庭入路與雙側腋窩乳暈入路機器人甲狀腺手術的回顧性比較研究. 中華外科雜志, 2023, 61(3): 227-231.
12. 王猛, 鄭魯明, 周鵬, 等. 腔鏡與機器人甲狀腺手術治療甲狀腺微小乳頭狀癌的對比研究. 腫瘤預防與治療, 2021, 34(12): 1117-1122.
13. 李小磊, 賀青卿, 莊大勇, 等. 雙側腋窩乳暈入路機器人甲狀腺手術單中心1 000例報告. 中華外科雜志, 2021, 59(11): 918-922.
14. He Q, Zhu J, Li X, et al. A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach. BMC Surg, 2022, 22(1): 173.
15. 李思佳, 郭飛躍, 羅倩文, 等. 經雙側腋窩乳暈入路機器人甲狀腺切除術與傳統開放手術對比的Meta分析. 腹腔鏡外科雜志, 2021, 26(10): 721-734.
16. Chen R, Rodrigues Armijo P, Krause C, et al. A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education. Surg Endosc, 2020, 34(1): 361-367.
17. Kang CM, Chong JU, Lim JH, et al. Robotic cholecystectomy using the newly developed Koreanrobotic surgical system, Revo-i: a preclinical experiment in a porcine model. Yonsei Med J, 2017, 58(5): 1075-1077.
18. Peters BS, Armijo PR, Krause C, et al. Review of emerging surgical robotic technology. Surg Endosc, 2018, 32(4): 1636-1655.
19. 樊書菠, 李學松. 國產康多內窺鏡手術機器人系統在泌尿外科中的應用進展. 中國微創外科雜志, 2023, 23(2): 140-143.
20. 韓冠鵬, 張簫薇, 樊書菠, 等. 國產內窺鏡手術機器人下輸尿管膀胱再植聯合卵巢囊腫剝除術一例: 國內首例報道. 機器人外科學雜志(中英文), 2023, 4(2): 160-166.
21. 王家寅, 姜乃晶, 趙亞平, 等. 一種新型單臂單孔微創腹腔鏡手術機器人系統. 中國醫療器械雜志, 2023, 47(1): 13-18, 25.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Exploration of porcine thyroidectomy via submaxillary approach using MP1000 robotic surgical system in porcine animal model

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content