单孔机器人手术系统在鼻咽喉肿瘤治疗中的应用性能与安全性研究

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中图分类号 TP242.3R762文献标识码 A文章编号 2096-7721（2025）12-2042-06

AbstractObjective：Toexploretheperformancendsafetyofingle-prtoboticsurgicalsysteminthetreatmentofotoholagologic tumors.Methods：210casesofotorhinolarygologicsurgeriesperformedusingtheDaVincisingle-portroboticsurgicalsystemfrom January2022toDecember4atSeningHospital，CinaMedicalUiversityreselectedepeatioalfleiblityfuctioal reliablity，ndsafetyofesingle-portoboticsurgicalsystemintetreatmentofbenignandmaignantotoinolarygologicors wererecordedandanalyzed.Results：Amongthe210cases，surgicalrobotseuippedwithtworoboticarms were mostcommonlyused， followed byoneroboticarm，withthelowestusageratefor3robotic arms.The mostcommonlyused manipulationangle was 180∘-360∘ ： The mostommonlyusedsingle-port Trocardiameterwas2-3cm.A15-foldfieldmagnificationwas themostfrequentlyused.Interms ofoperationalperformancereliabilitythesystemstablyachievesamaximumremoteoperatingdistanceof1986km.Wileoperational latency exists，it remains consistently below 266.2O ms，with a packet loss rate maintained at 18.30‰ and an average procedure duration of 136min .Theone-samplet-testshowedthatthenumericaldistributionsofremoteoperatingdistance，commanddelaytime，signalpacket loss rate，and surgical timedidnot conform to normal distribution，with statisticallysignificant diferences （P<0.05） . Among the 210 cases of surgery， 8 cases （3.81 % ） developed mild mucosal edema，all of which healed after symptomatic treatment.Logistic regressionanalysis results showed that larger operating angle （OR=1.OO9），larger single-port diameter （ OR=5.884 ），higherfieldmagnification OR=1.563 ），and longersurgicaltie（R=1234）wreriskfactorsafetingtheoperationalsafetyofthesingleportsugicalrobot.Among t，single port diameter （ P <0.1） and surgical time （ P <0.05） showed statistically significant differences.Conclusion： The single-port robotic surgical systemenablespreisepositiongnddatemanpulatiofolarygologiclsistoghtesgsticetofhigisin roboticasadDgdefiiionsurgicaloWithitssigantdvaagsiurgialiisiofleibilityeratioalad delayandactteelceoilsin technical support for improving surgical success rates.

KeyWordsSingle-port Robotic Surgical System; Otorhinolaryngology; Tumor; Safety

单孔机器人手术系统作为微创外科领域的前沿技术，可通过单一通道进入术腔，并借助高精度机械臂、3D高清手术视野及震颤过滤等先进技术，实现精准灵活的手术操作，具有创伤小、恢复快的优势，因而在多个外科领域获得广泛应用[1-3]。（剩余10834字）