摘要
目的:探讨人工智能辅助下悬吊式无气腹单孔腹腔镜在妇科手术中的临床应用价值。方法:回顾性分析海军军医大学第二附属医院2021年10月—2022年10月诊治的60例妇科良性肿瘤患者的临床资料,按手术方式不同分为人工智能辅助悬吊式无气腹单孔腹腔镜组(A组)与人工智能辅助气腹单孔腹腔镜组(B组),每组30例。对比两组麻醉前、手术开始不同时间点的血压、心率、呼吸峰压(PIP)、呼气末CO_(2)分压(P_(et)CO_(2))的变化及两组患者的手术总时间、估计出血量、手术并发症、复苏时间、肠功能恢复时间、术后住院时间、切口满意度及切口疼痛评分等指标。结果:A组患者手术开始后不同时间点的血压、心率、PIP、P_(et)CO_(2)与麻醉前相比,差异无统计学意义(P>0.05);而B组患者的上述指标与麻醉前相比显著升高,差异具有统计学意义(P<0.05)。A组患者的术中动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))均明显优于B组,差异具有统计学意义(P<0.05)。两组患者的手术总时间、术中出血量、手术并发症及切口满意度方面相比,差异无统计学意义(P>0.05)。A组患者的术后复苏时间、肠功能恢复时间、术后住院时间及切口疼痛评分均优于B组患者,差异具有统计学意义(P<0.05)。结论:人工智能辅助下悬吊式无气腹单孔腹腔镜技术是一种可行且安全的手术技术,但其临床应用价值仍需进一步的前瞻性对照研究来验证。
Objective:To explore the clinical application value of AI-assisted suspended gasless single-port laparoscopic surgery in gynecology.Methods:Clinical data of 60 patients who underwent gynecological surgery in our hospital from October 2021 to October 2022 were retrospectively analyzed and divided into the group A(n=30)and group B(n=30)according to different surgical methods.Patients in the group A received AI-assisted suspended gas less single-port laparoscopic surgery,while patients in the group B underwent CO_(2)Pneumoperitoneum laparoscopic surgery.The blood pressure,heart rate,peak inspiratory pressure(PIP),partial pressure of end-tidal CO_(2)(P_(et)CO_(2)),operative time,intraoperative blood loss,postoperative anesthesia recovery time,postoperative intestinal function recovery time,postoperative length of hospital stay,surgical complications,satisfaction degree of incision and score of incision pain of the two groups were compared.Results:There was no significant difference in blood pressure,heart rate,PIP and P_(et)CO_(2)of patients in group A undergoing suspended gasless surgery before and after anesthesia(P>0.05).The blood pressure,heart rate,PIP and P_(et)CO_(2)of patients in the group B at different time points of surgery were significantly higher than those before anesthesia(P<0.05).The partial pressure of arterial blood oxygen(PaO_(2))and partial pressure of arterial carbon dioxide(PaCO_(2))in the group A were significantly higher than those in the group B(P<0.05).There was no significant difference between the two groups in terms of operative time,intraoperative bleeding,postoperative complications,hospitalization expenses and incision satisfaction(P>0.05).The time of anabiosis after surgery,time of intestinal function recovery after surgery,postoperative hospitalization time and incision pain score of patients in the group A were less than those in the group B,and the difference was statistically significant(P<0.05).Conclusion:AI-assisted suspended gasless single-port laparoscopic surgery is feasible
作者
党建红
孙昊
隋晓馨
楚靖
高京海
金志军
刘晓军
DANG Jianhong;SUN Hao;SUI Xiaoxin;CHU Jing;GAO Jinghai;JIN Zhijun;LIU Xiaojun(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Naval Military Medical University,Shanghai 200003,China)
基金
海军军医大学第二附属医院院内医疗技术重点项目(YLJS2021A-04)。
关键词
人工智能
腹腔镜手术
悬吊式
无气腹
单孔腹腔镜
Artificial Intelligence
Laparoscopic Surgery
Suspended
Gasless
Single-port
