如何成为一名合格的泌尿外科机器人手术助手

摘要

分别通过分析机器人上尿路手术、下尿路手术及涵盖上下尿路的手术中,助手如何遵循镜头-靶器官-操作台"三点一线"原则,"8 cm及120°"原则及"机械臂外展上提"原则,根据不同机器人手术方式的放置Trocar,避免机械臂相互打架;如何迅速熟悉手术步骤及术者操作习惯,实现"人人对话"及"人机对话"无障碍,从如何逐步掌握下尿路手术、上尿路经腹腔手术、经后腹腔手术,直至有手术史患者手术及非常规手术,缩短学习曲线,迅速成为一名合格的机器人助手.探讨作为一名合格的机器人手术助手应具备的素质及遵循的原则从而建立手术规范.%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.