無線腔鏡在泌尿外科應(yīng)用的優(yōu)勢(shì)及前景

Advantages and prospects of wireless endoscope in urology

YANG Cheng，NIU Di，LIANG Chaozhao

（Department of Urology，The First Affiliated Hospital of Anhui Medical University，Hefei 230022，China）

ABSTRACT：There are various complicated wired connections in traditional endoscopic systems，which have disadvantages such as prolonging the preoperative setup time，restricting the movement of laparoscope，hindering the intraoperative manipulation，potentially contaminating the operation area and causing safety hazards.Our team has developed a wireless intelligent ultra-high-definition endoscopic system for the first time，which has been widely applied in many urological surgeries，such as tumors， stones， transurethral prostate enucleation， laparoscopic pyeloureteroplasty， laparoscopic renal cyst top decompression and so on.This essay reviews the applications and advantages of this system in urology，and forecasts its prospects.

KEY WORDS：wireless endoscope; portable; urology; surgery

摘要：傳統(tǒng)腔鏡系統(tǒng)存在繁雜的有線連接，這些連接線延長(zhǎng)手術(shù)準(zhǔn)備時(shí)間，限制腔鏡在術(shù)中的移動(dòng)范圍，妨礙術(shù)者和助手操作，增加污染術(shù)區(qū)和引發(fā)火災(zāi)的安全隱患。為此安徽醫(yī)科大學(xué)第一附屬醫(yī)院泌尿外科團(tuán)隊(duì)首次研發(fā)了無線智能超高清腔鏡系統(tǒng)，該系統(tǒng)已經(jīng)在泌尿外科各類手術(shù)中廣泛應(yīng)用，

如腫瘤、結(jié)石、經(jīng)尿道前列腺剜除術(shù)、腹腔鏡腎盂輸尿管成形術(shù)、腹腔鏡腎囊腫去頂減壓等。本文對(duì)無線智能超高清腔鏡系統(tǒng)在泌尿外科的應(yīng)用情況和應(yīng)用優(yōu)勢(shì)進(jìn)行總結(jié)，并對(duì)其應(yīng)用前景進(jìn)行展望。

關(guān)鍵詞：無線腔鏡；便攜化；泌尿外科；手術(shù)

中圖分類號(hào)：R69"" 文獻(xiàn)標(biāo)志碼：A

DOI：10.3969/j.issn.1009-8291.2025.01.002

收稿日期：2024-06-17""" 修回日期：2024-11-14

基金項(xiàng)目：安徽省科技重大專項(xiàng)（No.202103a07020012）

通信作者：梁朝朝，教授，主任醫(yī)師。E-mail：liang_chaozhao@ahmu.edu.cn

作者簡(jiǎn)介：

楊誠(chéng)，主任醫(yī)師，副教授，博士生導(dǎo)師。研究方向：微創(chuàng)泌尿外科。E-mail：chengyang_md@163.com

在1991年CLAYMAN等人實(shí)施第1例腹腔鏡腎切除手術(shù)后，腹腔鏡手術(shù)在泌尿外科領(lǐng)域迅速普及^[1-2]。與開放手術(shù)相比，腔鏡手術(shù)切口小、創(chuàng)傷小、出血量少、恢復(fù)時(shí)間縮短^[3]，成為外科領(lǐng)域最受歡迎的術(shù)式之一。

常規(guī)的腹腔鏡手術(shù)設(shè)備包括攝像成像系統(tǒng)、氣腹控制系統(tǒng)、能量平臺(tái)、吸引系統(tǒng)等。腔鏡手術(shù)裝備多、體積大，一般需要臺(tái)車容納，只能在手術(shù)室等特定場(chǎng)合使用，不便攜帶。此外，攝像頭電纜線、光源線等線路連接繁雜，延長(zhǎng)手術(shù)準(zhǔn)備時(shí)間，占用手術(shù)室大量空間；有線限制腔鏡移動(dòng)，妨礙主刀醫(yī)生和助手醫(yī)生的操作，增加了術(shù)區(qū)污染和引起火災(zāi)事故的隱患^[4-5]?！?br>