中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (25): 4669-4674.doi: 10.3969/j.issn.1673-8225.2011.25.027

• 生物材料综述 biomaterial review • 上一篇    下一篇

单孔腹腔镜手术器械研究的最新进展

程小丽，宋成利   

  1. 上海理工大学医疗器械与食品学院，上海市  200093
  • 收稿日期:2010-10-17 修回日期:2010-12-21 出版日期:2011-06-18 发布日期:2014-01-10
  • 通讯作者: 宋成利，博士，教授，上海理工大学医疗器械与食品学院，上海市 200093 csong@usst.edu.cn
  • 作者简介:程小丽★，女，1987年生，安徽省界首市人，汉族，2009年上海理工大学毕业，硕士，主要从事微创医学与医疗器械的研究。 cxyfy@163.com
  • 基金资助:

    上海市科学技术委员会资助项目(10PJ1407800)；上海市研究生创新基金项目(JWCXSL1022)。

Recent progress in instruments for single-incision laparoscopic surgery

Cheng Xiao-li, Song Cheng-li   

  1. School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai  200093, China
  • Received:2010-10-17 Revised:2010-12-21 Online:2011-06-18 Published:2014-01-10
  • Contact: Song Cheng-li, Doctor, Professor, School of Medical Instrument and Food Engineering, Universty of Shanghai for Science and Technology, Shanghai 200093, China csong@usst.edu.cn
  • About author:Cheng Xiao-li★, Master, School of Medical Instrument and Food Engineering, Universty of Shanghai for Science and Technology, Shanghai 200093, China cxyfy@163.com
  • Supported by:

    PujiangTalent Science and Technology Commission of Shanghai Municipality, No. 10PJ1407800*; The Innovation Fund Project for Graduate Student of Shanghai, No. JWCXSL1022*

PDF

1154

被引次数

69

摘要：

背景：单孔腹腔镜外科手术因其创伤小、术后疼痛轻、住院时间短、美容效果好等特点，成为当今医学科技最前沿的发展方向。但是目前单孔腹腔镜手术器械较少且存在不足，不能满足微创外科的要求。
目的：确认单孔腹腔镜手术的可行性，总结分析现存的几种单孔腹腔镜手术操作平台及多自由度器械，以期对单孔腹腔镜手术器械进行优化、改进，提高其应用能力。
方法：利用计算机检索万方数据库、清华同方数据库、维普数据库、Springer Link全文电子期刊、IEEE数据库、Elsevier数据库、国家知识产权局专利、美国专利、欧洲专利，检索英文关键词为“single-port access，laparoscopic surgery，minimally invasive surgery，ports，multi-degree-of-freedom instruments”，中文关键词为“单孔入路，腹腔镜外科，微创外科，平台，多自由度器械”，主要筛选出近10年内最具代表性的文献资料。经查阅、整理出35篇可支持本综述的文献。
结果与结论：单孔腹腔镜技术已成为现在微创外科的主流；现存的平台都已将多孔集中为单孔，达到对患者创伤更小的目的，但仍需在放置稳定性、经济性、功能整合等方面改进；现存的多自由度器械已通过增加关节的方式实现了多自由度运动，但过于复杂的传动机构、不甚便捷的控制系统以及过高的经济成本仍阻碍微创外科技术进一步的发展。

关键词: 单孔入路, 腹腔镜外科, 微创外科, 平台, 多自由度器械, 综述文献

Abstract:

BACKGROUND: Single-incision laparoscopic surgery (SILS) is a state-of-the-art direction of surgical development because of its less surgical trauma, postoperative painlessness, shorter hospital stay and better cosmetic results. However, there are fewer special instruments to meet the requirements of minimally invasive surgery now.
OBJECTIVE: To confirm the feasibility of SILS, and to summarize and analyze the existing single-port access ports and multi-degree-of-freedom instruments to optimize, improve and enhance their proficiency.
METHODS: A computer-based online search of Wanfang database, CNKI database, VIP database, Springer Link database, IEEE database, Elsevier database, State Intellectual Property Office of P.R.C, United States Patent and Trademark Office; European Patent Office was performed with key words “single-port access, laparoscopic surgery, minimally invasive surgery, ports, multi-degree-of-freedom instruments” in English and Chinese, respectively. And the articles were mainly selected to be the most representative literatures during the last 10 years. Totally 35 literatures were included according to inspection and sorting.
RESULTS AND CONCLUSION: At present SILS technology has become mainstream of minimally invasive surgery. The existing ports have put several ports together to be one port, which can reduce patients’ trauma. But further research should still be on its stable, economy and functional integration. The existing multi-degree-of-freedom instruments have been more flexible with the increase of joints, but their redundant transmission structure, un-efficient control system and high economic costs are still hindering the development of minimally invasive surgery technology. 

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