Science and Ethics in Conducting Cardiothoracic Surgery with Da Vinci Surgical System in China: A Systematic Review_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIHong-hao ¹ , LIUXue-mei ² , ZANYi-heng ³ , WENJin ¹ , HUANGGang ⁴ , QIANYong-jun ⁵ , LIYan ⁶ ,  ZHENGShang-wei ¹

1. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China Periodical Press, Sichuan University, Chengdu 610041, P. R. China;
3. West China Medical School of Sichuan University, Chengdu 610041, P. R. China;
4. Zhanjiang Normal University, Zhanjiang 524048, P. R. China;
5. Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
6. School of Political Science of Sichuan University, Chengdu 610065, P. R. China;

Corresponding author：

ZHENGShang-wei, Email: zsw002@cd120.com

Keywords：

Systematic review; Da Vinci Surgical System; Science; Ethics; Cardiothoracic surgery

DOI：

10.7507/1007-4848.20140105

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To systematically evaluate the effectiveness, safety and ethics of Da Vinci Surigcal System (dVSS)in the field of cardiothoracic surgery, and provide evidence for its clinical application. Methods We searched VIP, CNKI, WanFang Database, CBM, official website of National Health and Family Planning Commission of People's Republic of China, PubMed, Cochrane Library, Google Scholar, WHO ICTRP search portal, ClinicalTrials.gov, Chinese Clinical Trial Registration Center, Australian-New Zealand Clinical Trials Registry and ISRCTN to collect clinical trials of dVSS for thoracic and cardiovascular diseases to evaluate its effectiveness, safety and ethics. The search time was from the establishment of each database to January 2014. The quality of included literatures was evaluated by Grades of Recommendations Assessment, Development and Evaluation (GRADE). Results A total of 31 studies were identified including 4 case control studies and 27 retrospective studies involving 1 037 patients. The quality of included literatures was all very low. dVSS had been widely used in cardiothoracic surgery including coronary artery bypass grafting, valvuloplasty or valve replacement, thoracic tumor resection, etc. Compared with conventional surgery and thoracoscopy, the safety and effectiveness of dVSS was good, while its economic burden was heavier for the patients. dVSS could benefit patients and improve clinical level of cardiothoracic surgery. The disciplines and qualification of dVSS application was legal, but the maturity of its clinical use needed improvement, and relevant measures were required. The ethics in the research, introduction and application of dVSS had some problems which deserved more attention. Conclusions Clinical use of dVSS in cardiothoracic surgery is relatively safe and effective, but research quality needs to be improved. More studies on the economics and ethics of dVSS are needed in the field of cardiothoracic surgery. Relevant measures of precaution, accountability and patient protection are required to further improve clinical application of dVSS in cardiothoracic surgery, and whole-process ethical supervision should be conducted with the help of existing clinical ethical review platform.

Citation： LIHong-hao, LIUXue-mei, ZANYi-heng, WENJin, HUANGGang, QIANYong-jun, LIYan, ZHENGShang-wei. Science and Ethics in Conducting Cardiothoracic Surgery with Da Vinci Surgical System in China: A Systematic Review. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(3): 380-388. doi: 10.7507/1007-4848.20140105 Copy

1.	Pugin F, Bucher P, Morel P. History of robotic surgery:from Aesop and EUS to da Vinci. J Visc Surg, 2011, 148:e3-e8.
2.	嵇武.手术机器人的应用进展与前景展望.医学研究生学报, 2010, 23 (9):994-998.
3.	王国民.手术机器人是未来方向不能取代医生.医学论坛报, 2013.
4.	鲁棒.达芬奇机器人手术系统最新应用统计数据.机器人技术与应用, 2013, 3:18.
5.	Palep JH. Robotic assisted minimally invasive surgery. J Minim access, 2009, 5 (1):1-7.
6.	陈秀.达芬奇手术机器人在胸外科的应用.中华腔镜外科杂志:电子版, 2010, 3 (4):302-305.
7.	Rodrigues E, Chitwood WR. Robotics in cardiac surgery. Scand J Surg, 2009, 98 (2):120-124.
8.	潘冬青."达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报, 2013, 26 (1):52-53.
9.	Lotan Y, Cadeddu JA, Gettman MT. The new economics of ridical prostatectomy; cost comparison of open, laparoscopic and robot assisted techniques, J Urol, 2004, 172:1431-1435.
10.	Anderson JK, Murdock A, Cadeddu JA, et al. Cost comparison of laparoscopic versus radical retropubic prostatectomy. Urology, 2005, 66 (3):557-560.
11.	Link RE, Su LM, Bhayani SB, et al. Making ends meet:a cost comparison of laparoscopic and open radical retropubic prostatectomy. J Urol, 2004, 172 (1):269-274.
12.	王先进, 钟山, 沈周俊.机器人手术的经济学探讨.上海医学, 2011, 34 (1):70-73.
13.	黄钢, 王亚静, 马红霞, 等.关于限制性医疗技术临床准入伦理评价标准体系的构建研究.中国医学伦理学, 2009, 22 (3):9-13, 16.
14.	Guyatt GH, Oxman AD, Vist G, et al. GRADE:an emerging con-sensus on rating quality of evidence and strength of recommenda-tions. BMJ, 2008, 336 (7650):924-926.
15.	Gordon HG, Andrew DO, Kunz R, et al. GRADE指南:Ⅰ.导论-GRADE证据概要表和结果总结表.中国循证医学杂志, 2011, 11 (4):437-445.
16.	Gordon HG, Andrew DO, , Kunz R, et al. GRADE指南:Ⅱ.构建问题, 确定重要结果.中国循证医学杂志, 2011, 11 (4):446-450.
17.	Balshem H, Helfanda M, Schunemann HJ, et al. GRADE指南:Ⅲ.证据质量分级.中国循证医学杂志, 2011, 11 (4):451-455.
18.	Gordon HG, Andrew DO, Vist G, et al. GRADE指南:Ⅳ.证据质量分级-研究的局限性:偏倚风险.中国循证医学杂志, 2011, 11 (4):456-463.
19.	Gordon HG, Andrew DO, Victor M, et al. GRADE指南:Ⅴ.证据质量评价-发表偏倚.中国循证医学杂志, 2011, 11 (12):1430-1434.
20.	Guyatt G, Andrew DO, Kunz R, et al. GRADE指南:Ⅵ.证据质量评价——不精确性(随机误差).中国循证医学杂志, 2011, 11 (12):1435-1443.
21.	Gordon HG, Andrew DO, Kunz R, et al. GRADE指南:Ⅶ.证据质量评价——不一致性.中国循证医学杂志, 2011, 11 (12):1444-1451.
22.	Guyatt G, Andrew DO, Kunz R, et al. GRADE指南:Ⅷ.证据质量评价——间接性.中国循证医学杂志, 2011, 11 (12):1452-1458.
23.	Gordon HG, Andrew DO, Shahnaz S, et al. GRADE指南:Ⅸ.证据质量升级.中国循证医学杂志, 2011, 11 (12):1459-1463.
24.	Higgins JPT, Green S (editors). Cochrane Handbook for[updated March 2014]. System-atic Reviews of Interventions Version 5. 2. 0 The Cochrane Collaboration, 2014. Available from www.cochrane-hand-book.org.
25.	叶波, 冯键, 陈铭, 等.达芬奇机器人纵隔肿物切除术23例临床分析.中国微创外科杂志, 2013, 13 (5):392-393, 397.
26.	王述民, 许世广, 童向东, 等.达芬奇机器人手术系统在胸外科纵隔肿瘤切除术中的应用体会.临床军医杂志, 2013, 41 (12):1247-1249.
27.	王通, 王述民, 许世广, 等.达芬奇机器人微创手术治疗纵隔肿瘤对患者术后功能恢复的影响.中国实用医药, 2013, 8 (6):123-124.
28.	黄佳, 罗清泉, 方文涛, 等.机器人外科手术系统辅助治疗纵隔肿瘤的初步经验.上海医学, 2011, 34 (1):47-50, 封2.
29.	黄佳, 罗清泉, 谭强.机器人外科手术系统辅助胸腔镜胸腺瘤切除手术一例.上海医学, 2010, 33 (11):1072.
30.	尹东涛, 韩冰, 褚剑, 等.胸腺瘤的微创及开放手术治疗.现代肿瘤医学, 2013, 21 (8):1759-1761.
31.	陈秀, 韩冰, 尹东涛, 等.胸腺疾病微创术中出血的预防及处理.中国医药, 2013, 8 (7):936-937.
32.	王述民, 李博, 许世广, 等.达芬奇机器人在胸腺扩大切除术治疗Ⅰ型重症肌无力的应用.中国胸心血管外科临床杂志, 2013, 20 (6):679-682.
33.	褚剑, 韩冰, 尹东涛, 等.机器人胸腺扩大切除术在老年重症肌无力患者中的应用.中国微创外科杂志, 2013, 13 (1):9-11, 28.
34.	陈秀, 韩冰, 尹东涛, 等.机器人和胸腔镜胸腺微创治疗的技术探讨.中国现代手术学杂志, 2012, 16 (6):447-451.
35.	陈秀, 韩冰, 郭巍, 等.机器人胸腺和胸腺瘤切除术.中华腔镜外科杂志:电子版, 2011, 4 (4):284-286.
36.	温佳新, 初向阳, 张连斌, 等.全机器人胸腔肿物切除术的临床应用.军医进修学院学报, 2012, 33 (6):624-626.
37.	易俊, 董国华, 许飚, 等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报, 2011, 24 (7):696-699.
38.	黄佳, 罗清泉, 方文涛, 等.机器人辅助胸腔镜技术应用于胸外科初步经验.中华腔镜外科杂志:电子版, 2012, 5 (4):22-27.
39.	傅世杰, 谷志涛, 茅腾, 等.胸腺切除术中达芬奇机器人与传统手术对比分析.中华腔镜外科杂志:电子版, 2013, 6 (5):47-50.
40.	叶波, 李望, 冯健, 等.人工智能辅助胸外科手术25例.中华胸心血管外科杂志, 2013, 29 (8):460-462.
41.	许世广, 童向东, 刘博, 等.机器人辅助胸腔镜下肺叶切除术16例报告.中国微创外科杂志, 2013, 13 (9):806-809.
42.	王述民, 许世广, 童向东, 等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志, 2013, 13 (3):308-311.
43.	韩冰, 陈秀, 郭巍, 等.达芬奇外科手术系统经胸膈疝修补术1例报告.中国微创外科杂志, 2010, 10 (7):642-644.
44.	范虹, 蒋伟, 袁云锋, 等.达芬奇机器人辅助食管癌根治术2例报告.复旦学报:医学版, 2010, 37 (4):502-503.
45.	王述民, 许世广, 童向东, 等.应用达芬奇机器人诊治肺周围小结节病变.中华临床医师杂志:电子版, 2013, 7 (9):3759-3763.
46.	徐学增, 李华, 龙超众, 等.改良机器人手术方式行房间隔缺损修补术22例.中华腔镜外科杂志:电子版, 2013, 6 (5):43-46.
47.	杨明, 高长青, 肖苍松.单中心、机器人辅助下房间隔缺损修补术.南方医科大学学报, 2012, 32 (7):915-918.
48.	杨明, 高长青, 肖苍松, 等.全机器人心脏不停跳下房间隔缺损修补术.中华胸心血管外科杂志, 2011, 27 (7):395-397.
49.	杨明, 高长青, 肖苍松, 等.机器人微创房间隔缺损修补术54例.中国体外循环杂志, 2011, 9 (4):214-216.
50.	杨明, 高长青, 王刚, 等.机器入微创二尖瓣手术60例临床观察.南方医科大学学报, 2011, 31 (10):1721-1723.
51.	高长青, 杨明, 肖苍松, 等.机器人二尖瓣成形术的临床应用.中华外科杂志, 2011, 49 (7):641-644.
52.	高长青, 杨明, 吴扬, 等.机器人非体外循环冠状动脉旁路移植与支架置入"杂交"手术治疗多支冠状动脉病变.中华胸心血管外科杂志, 2011, 27 (7):398-400.
53.	高长青, 杨明, 王刚, 等.全机器人不开胸心脏手术4例.中华胸心血管外科杂志, 2007, 23 (1):19-21.
54.	魏来, 沈金强, 夏利民, 等.达芬奇机器人手术系统在51例心脏手术中的应用.复旦学报:医学版, 2013, 40 (6):699-703.
55.	杨明, 高长青, 王刚, 等. 400例机器人微创心脏手术入路.中华胸心血管外科杂志, 2011, 27 (7):387-389.
56.	赵强, 蔡俊锋.机器人外科手术系统在心脏外科中的应用.上海医学, 2011, 34 (1):6-9.
57.	钟立哲.胸外科微创手术的新发展——达芬奇手术机器人.医学信息:中旬刊, 2011, 24 (8):3901-3901.
58.	潘冬青, 滕成玲, 申培培. "达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报, 2013, 26 (1):52-53.
59.	嵇武, 李宁, 黎介寿.我国机器人手术开展的现状与前景展望.腹腔镜外科杂志, 2011, 16 (2):85-88.
60.	Rea F, Marulli G, Bortolotti L, et al. Experience with the"da Vinci. robotic system for thymectomy in patients with myasthenia gravis:report of 33 cases. Ann Thorac Surg, 2006, 81 (2):455-459.
61.	Endo S, Hasegawa T, Sato Y, et al. Inhibition of IL-6 overproduction by steroid treatment before transsternal thymectomy for myasthenia gravis:does it help stabilize perioperative condition? Eur J Neurol, 2005, 12 (10):768-773.
62.	Werneck LC, Scola RH, Germiniani FM, et al. Myasthenic crisis:report of 24 cases. Arq Neuropsiquiatr, 2002, 60 (3/A):519-526.
63.	高长青.机器人微创心脏外科的发展及现状.中华胸心血管外科杂志, 2011, 27 (7):385-386.
64.	Lehr EJ, Rodriguez E, Chitwood WR. Robotic cardiac surgery. Curr Opin Anaesthesiol, 2011, 24 (1):77-85.
65.	Buchs NC, Addeo P, Bianco FM, et al. Robotic versus open pancrea-ticoduodenectomy:a comparative study at a single institution. World J Surg, 2011, 35 (12):2739-2746.
66.	杨国忠.如何看待高新技术的引进和应用——从卫生部达芬奇手术机器人系统技术评估会引发的联想.中国医疗设备, 2009, 24 (1):135, 119.
67.	国际日报.达芬奇外科机器人获国家食品药监局批准.[2014-1-28]. URL:http://www.chinesetoday.com/big/article/82791.
68.	国家卫生计生委办公厅.关于同意大连医科大学附属第二医院等医疗机构配置甲类大型医用设备的通知.国卫办规划函[2013]558号.[2014-1-28]. URL:http://www.nhfpc.gov.cn/guihuaxxs/s3585/201401/f29cda8ba0bf471d916eb9d237d0ff16.shtml].
69.	Onnasch JF, Schneider F, Falk V, et al. Five years of less lnvasl-vemitral valve surgery:from experimental to routine approach. Heart Surg Forum, 2002, 5 (2):132-135.
70.	Nifong LW, Chu VF, Bailey BM, et al. Robotic mitral valve repair:experience with the da Vinci system. Ann Thorac Surg, 2003, 75 (2):438-443.
71.	Tewari A, Peabody J, Sarle R, et al. Technique of da vincirobot-assisted anatomic radical prostatectomy. Urology, 2002, 60 (4):569-572.
72.	Giulianotti PC, Coratti A, Angelini M, et al. Robotics in generalsurgery:personal experience in a large community hospital. Arch Surg, 2003, 138 (7):777-784.
73.	Mohr FW, Falk V, Diegeler A, et al. Computer-enhanced coronary artery bypass surgery. J Thorac Cardiovasc Surg, 1999, 117 (6):1212-1214.
74.	蒋连勇.机器人辅助心脏手术现状及进展.中国微创外科杂志, 2012, 12 (11):979-981.
75.	陈秀, 韩冰, 郭巍, 等.胸外科应用达芬奇手术机器人的体会.临床外科杂志, 2011, 19 (5):331-333.
76.	倪旭东, 唐震, 李小军, 等.前纵隔肿瘤的外科治疗.中国临床医学, 2001, 8 (5):513-514.
77.	高长青.微创机器人心脏手术在中国.中华医学信息导报, 2008, 23 (6):16-17.
78.	Zorn KC, Gofrit ON, Orrieto MA, et al. Da Vinci robot error and failure rates:single institution experience on a single Three-Arm robot unit of more than 700 consecutive Robot-Assisted laparoscopic radical prostatectomies. J Endourol, 2007, 21 (11):1341-1344.
79.	Lotan Y, Cadeddu JA, Gettman MT. The new economics of radical prostatectomy:cost comparison of open, laparoscopic and robot assisted techniques. J Urol, 2004, 172:1431-1435.
80.	Ficarra V, Novara G, Artibani W, et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy:a systematic review and cumuIative analysis of comparativestudies. Eur Urol, 2009, 55 (5):1037-1063.

1. Pugin F, Bucher P, Morel P. History of robotic surgery:from Aesop and EUS to da Vinci. J Visc Surg, 2011, 148:e3-e8.
2. 嵇武.手术机器人的应用进展与前景展望.医学研究生学报, 2010, 23 (9):994-998.
3. 王国民.手术机器人是未来方向不能取代医生.医学论坛报, 2013.
4. 鲁棒.达芬奇机器人手术系统最新应用统计数据.机器人技术与应用, 2013, 3:18.
5. Palep JH. Robotic assisted minimally invasive surgery. J Minim access, 2009, 5 (1):1-7.
6. 陈秀.达芬奇手术机器人在胸外科的应用.中华腔镜外科杂志:电子版, 2010, 3 (4):302-305.
7. Rodrigues E, Chitwood WR. Robotics in cardiac surgery. Scand J Surg, 2009, 98 (2):120-124.
8. 潘冬青."达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报, 2013, 26 (1):52-53.
9. Lotan Y, Cadeddu JA, Gettman MT. The new economics of ridical prostatectomy; cost comparison of open, laparoscopic and robot assisted techniques, J Urol, 2004, 172:1431-1435.
10. Anderson JK, Murdock A, Cadeddu JA, et al. Cost comparison of laparoscopic versus radical retropubic prostatectomy. Urology, 2005, 66 (3):557-560.
11. Link RE, Su LM, Bhayani SB, et al. Making ends meet:a cost comparison of laparoscopic and open radical retropubic prostatectomy. J Urol, 2004, 172 (1):269-274.
12. 王先进, 钟山, 沈周俊.机器人手术的经济学探讨.上海医学, 2011, 34 (1):70-73.
13. 黄钢, 王亚静, 马红霞, 等.关于限制性医疗技术临床准入伦理评价标准体系的构建研究.中国医学伦理学, 2009, 22 (3):9-13, 16.
14. Guyatt GH, Oxman AD, Vist G, et al. GRADE:an emerging con-sensus on rating quality of evidence and strength of recommenda-tions. BMJ, 2008, 336 (7650):924-926.
15. Gordon HG, Andrew DO, Kunz R, et al. GRADE指南:Ⅰ.导论-GRADE证据概要表和结果总结表.中国循证医学杂志, 2011, 11 (4):437-445.
16. Gordon HG, Andrew DO, , Kunz R, et al. GRADE指南:Ⅱ.构建问题, 确定重要结果.中国循证医学杂志, 2011, 11 (4):446-450.
17. Balshem H, Helfanda M, Schunemann HJ, et al. GRADE指南:Ⅲ.证据质量分级.中国循证医学杂志, 2011, 11 (4):451-455.
18. Gordon HG, Andrew DO, Vist G, et al. GRADE指南:Ⅳ.证据质量分级-研究的局限性:偏倚风险.中国循证医学杂志, 2011, 11 (4):456-463.
19. Gordon HG, Andrew DO, Victor M, et al. GRADE指南:Ⅴ.证据质量评价-发表偏倚.中国循证医学杂志, 2011, 11 (12):1430-1434.
20. Guyatt G, Andrew DO, Kunz R, et al. GRADE指南:Ⅵ.证据质量评价——不精确性(随机误差).中国循证医学杂志, 2011, 11 (12):1435-1443.
21. Gordon HG, Andrew DO, Kunz R, et al. GRADE指南:Ⅶ.证据质量评价——不一致性.中国循证医学杂志, 2011, 11 (12):1444-1451.
22. Guyatt G, Andrew DO, Kunz R, et al. GRADE指南:Ⅷ.证据质量评价——间接性.中国循证医学杂志, 2011, 11 (12):1452-1458.
23. Gordon HG, Andrew DO, Shahnaz S, et al. GRADE指南:Ⅸ.证据质量升级.中国循证医学杂志, 2011, 11 (12):1459-1463.
24. Higgins JPT, Green S (editors). Cochrane Handbook for[updated March 2014]. System-atic Reviews of Interventions Version 5. 2. 0 The Cochrane Collaboration, 2014. Available from www.cochrane-hand-book.org.
25. 叶波, 冯键, 陈铭, 等.达芬奇机器人纵隔肿物切除术23例临床分析.中国微创外科杂志, 2013, 13 (5):392-393, 397.
26. 王述民, 许世广, 童向东, 等.达芬奇机器人手术系统在胸外科纵隔肿瘤切除术中的应用体会.临床军医杂志, 2013, 41 (12):1247-1249.
27. 王通, 王述民, 许世广, 等.达芬奇机器人微创手术治疗纵隔肿瘤对患者术后功能恢复的影响.中国实用医药, 2013, 8 (6):123-124.
28. 黄佳, 罗清泉, 方文涛, 等.机器人外科手术系统辅助治疗纵隔肿瘤的初步经验.上海医学, 2011, 34 (1):47-50, 封2.
29. 黄佳, 罗清泉, 谭强.机器人外科手术系统辅助胸腔镜胸腺瘤切除手术一例.上海医学, 2010, 33 (11):1072.
30. 尹东涛, 韩冰, 褚剑, 等.胸腺瘤的微创及开放手术治疗.现代肿瘤医学, 2013, 21 (8):1759-1761.
31. 陈秀, 韩冰, 尹东涛, 等.胸腺疾病微创术中出血的预防及处理.中国医药, 2013, 8 (7):936-937.
32. 王述民, 李博, 许世广, 等.达芬奇机器人在胸腺扩大切除术治疗Ⅰ型重症肌无力的应用.中国胸心血管外科临床杂志, 2013, 20 (6):679-682.
33. 褚剑, 韩冰, 尹东涛, 等.机器人胸腺扩大切除术在老年重症肌无力患者中的应用.中国微创外科杂志, 2013, 13 (1):9-11, 28.
34. 陈秀, 韩冰, 尹东涛, 等.机器人和胸腔镜胸腺微创治疗的技术探讨.中国现代手术学杂志, 2012, 16 (6):447-451.
35. 陈秀, 韩冰, 郭巍, 等.机器人胸腺和胸腺瘤切除术.中华腔镜外科杂志:电子版, 2011, 4 (4):284-286.
36. 温佳新, 初向阳, 张连斌, 等.全机器人胸腔肿物切除术的临床应用.军医进修学院学报, 2012, 33 (6):624-626.
37. 易俊, 董国华, 许飚, 等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报, 2011, 24 (7):696-699.
38. 黄佳, 罗清泉, 方文涛, 等.机器人辅助胸腔镜技术应用于胸外科初步经验.中华腔镜外科杂志:电子版, 2012, 5 (4):22-27.
39. 傅世杰, 谷志涛, 茅腾, 等.胸腺切除术中达芬奇机器人与传统手术对比分析.中华腔镜外科杂志:电子版, 2013, 6 (5):47-50.
40. 叶波, 李望, 冯健, 等.人工智能辅助胸外科手术25例.中华胸心血管外科杂志, 2013, 29 (8):460-462.
41. 许世广, 童向东, 刘博, 等.机器人辅助胸腔镜下肺叶切除术16例报告.中国微创外科杂志, 2013, 13 (9):806-809.
42. 王述民, 许世广, 童向东, 等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志, 2013, 13 (3):308-311.
43. 韩冰, 陈秀, 郭巍, 等.达芬奇外科手术系统经胸膈疝修补术1例报告.中国微创外科杂志, 2010, 10 (7):642-644.
44. 范虹, 蒋伟, 袁云锋, 等.达芬奇机器人辅助食管癌根治术2例报告.复旦学报:医学版, 2010, 37 (4):502-503.
45. 王述民, 许世广, 童向东, 等.应用达芬奇机器人诊治肺周围小结节病变.中华临床医师杂志:电子版, 2013, 7 (9):3759-3763.
46. 徐学增, 李华, 龙超众, 等.改良机器人手术方式行房间隔缺损修补术22例.中华腔镜外科杂志:电子版, 2013, 6 (5):43-46.
47. 杨明, 高长青, 肖苍松.单中心、机器人辅助下房间隔缺损修补术.南方医科大学学报, 2012, 32 (7):915-918.
48. 杨明, 高长青, 肖苍松, 等.全机器人心脏不停跳下房间隔缺损修补术.中华胸心血管外科杂志, 2011, 27 (7):395-397.
49. 杨明, 高长青, 肖苍松, 等.机器人微创房间隔缺损修补术54例.中国体外循环杂志, 2011, 9 (4):214-216.
50. 杨明, 高长青, 王刚, 等.机器入微创二尖瓣手术60例临床观察.南方医科大学学报, 2011, 31 (10):1721-1723.
51. 高长青, 杨明, 肖苍松, 等.机器人二尖瓣成形术的临床应用.中华外科杂志, 2011, 49 (7):641-644.
52. 高长青, 杨明, 吴扬, 等.机器人非体外循环冠状动脉旁路移植与支架置入"杂交"手术治疗多支冠状动脉病变.中华胸心血管外科杂志, 2011, 27 (7):398-400.
53. 高长青, 杨明, 王刚, 等.全机器人不开胸心脏手术4例.中华胸心血管外科杂志, 2007, 23 (1):19-21.
54. 魏来, 沈金强, 夏利民, 等.达芬奇机器人手术系统在51例心脏手术中的应用.复旦学报:医学版, 2013, 40 (6):699-703.
55. 杨明, 高长青, 王刚, 等. 400例机器人微创心脏手术入路.中华胸心血管外科杂志, 2011, 27 (7):387-389.
56. 赵强, 蔡俊锋.机器人外科手术系统在心脏外科中的应用.上海医学, 2011, 34 (1):6-9.
57. 钟立哲.胸外科微创手术的新发展——达芬奇手术机器人.医学信息:中旬刊, 2011, 24 (8):3901-3901.
58. 潘冬青, 滕成玲, 申培培. "达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报, 2013, 26 (1):52-53.
59. 嵇武, 李宁, 黎介寿.我国机器人手术开展的现状与前景展望.腹腔镜外科杂志, 2011, 16 (2):85-88.
60. Rea F, Marulli G, Bortolotti L, et al. Experience with the"da Vinci. robotic system for thymectomy in patients with myasthenia gravis:report of 33 cases. Ann Thorac Surg, 2006, 81 (2):455-459.
61. Endo S, Hasegawa T, Sato Y, et al. Inhibition of IL-6 overproduction by steroid treatment before transsternal thymectomy for myasthenia gravis:does it help stabilize perioperative condition? Eur J Neurol, 2005, 12 (10):768-773.
62. Werneck LC, Scola RH, Germiniani FM, et al. Myasthenic crisis:report of 24 cases. Arq Neuropsiquiatr, 2002, 60 (3/A):519-526.
63. 高长青.机器人微创心脏外科的发展及现状.中华胸心血管外科杂志, 2011, 27 (7):385-386.
64. Lehr EJ, Rodriguez E, Chitwood WR. Robotic cardiac surgery. Curr Opin Anaesthesiol, 2011, 24 (1):77-85.
65. Buchs NC, Addeo P, Bianco FM, et al. Robotic versus open pancrea-ticoduodenectomy:a comparative study at a single institution. World J Surg, 2011, 35 (12):2739-2746.
66. 杨国忠.如何看待高新技术的引进和应用——从卫生部达芬奇手术机器人系统技术评估会引发的联想.中国医疗设备, 2009, 24 (1):135, 119.
67. 国际日报.达芬奇外科机器人获国家食品药监局批准.[2014-1-28]. URL:http://www.chinesetoday.com/big/article/82791.
68. 国家卫生计生委办公厅.关于同意大连医科大学附属第二医院等医疗机构配置甲类大型医用设备的通知.国卫办规划函[2013]558号.[2014-1-28]. URL:http://www.nhfpc.gov.cn/guihuaxxs/s3585/201401/f29cda8ba0bf471d916eb9d237d0ff16.shtml].
69. Onnasch JF, Schneider F, Falk V, et al. Five years of less lnvasl-vemitral valve surgery:from experimental to routine approach. Heart Surg Forum, 2002, 5 (2):132-135.
70. Nifong LW, Chu VF, Bailey BM, et al. Robotic mitral valve repair:experience with the da Vinci system. Ann Thorac Surg, 2003, 75 (2):438-443.
71. Tewari A, Peabody J, Sarle R, et al. Technique of da vincirobot-assisted anatomic radical prostatectomy. Urology, 2002, 60 (4):569-572.
72. Giulianotti PC, Coratti A, Angelini M, et al. Robotics in generalsurgery:personal experience in a large community hospital. Arch Surg, 2003, 138 (7):777-784.
73. Mohr FW, Falk V, Diegeler A, et al. Computer-enhanced coronary artery bypass surgery. J Thorac Cardiovasc Surg, 1999, 117 (6):1212-1214.
74. 蒋连勇.机器人辅助心脏手术现状及进展.中国微创外科杂志, 2012, 12 (11):979-981.
75. 陈秀, 韩冰, 郭巍, 等.胸外科应用达芬奇手术机器人的体会.临床外科杂志, 2011, 19 (5):331-333.
76. 倪旭东, 唐震, 李小军, 等.前纵隔肿瘤的外科治疗.中国临床医学, 2001, 8 (5):513-514.
77. 高长青.微创机器人心脏手术在中国.中华医学信息导报, 2008, 23 (6):16-17.
78. Zorn KC, Gofrit ON, Orrieto MA, et al. Da Vinci robot error and failure rates:single institution experience on a single Three-Arm robot unit of more than 700 consecutive Robot-Assisted laparoscopic radical prostatectomies. J Endourol, 2007, 21 (11):1341-1344.
79. Lotan Y, Cadeddu JA, Gettman MT. The new economics of radical prostatectomy:cost comparison of open, laparoscopic and robot assisted techniques. J Urol, 2004, 172:1431-1435.
80. Ficarra V, Novara G, Artibani W, et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy:a systematic review and cumuIative analysis of comparativestudies. Eur Urol, 2009, 55 (5):1037-1063.

Previous Article
吉非替尼治疗后行手术切除肺粘液表皮样癌一例
Next Article
Significance of Laboratory Examination in The Diagnosis of Ulcerative Colitis

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Science and Ethics in Conducting Cardiothoracic Surgery with Da Vinci Surgical System in China: A Systematic Review

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content