传统的开放式头颈部手术常留下永久性疤痕,显著影响外观。手术机器人的出现为微创手术带来了新的时代。然而,头部和颈部的复杂解剖结构,特别是口腔和颌面部区域,再加上与达芬奇等既定系统相关的高成本,限制了手术机器人在这一领域的广泛采用。最近,手术机器人平台在我国发展迅速,例如,KangDuo手术机器人(KD-SR)所表现出的希望。尽管KD-SR在泌尿外科和结直肠手术中取得了与达芬奇手术机器人相当的一些成果,其在复杂的头部和颈部区域的性能仍未测试。这项研究评估了可行性,有效性,以及新开发的KD-SR-01的安全性,将其与猪模型的头颈部手术中的标准内窥镜系统进行比较。我们做了腮腺切除术,颌下腺切除术,和颈部解剖,收集的基线特征,围手术期数据,并使用NASA-TLX专门评估认知工作量。没有一个机器人程序被转换为内窥镜或开放手术。结果两组手术时间差异无统计学意义(P=0.126)。更好的术中出血控制(P=0.001),机器人组的认知工作量显著减少(P<0.001)。总之,KD-SR-01是可行的,有效,头颈部手术安全。有必要通过精心设计的临床试验和长期随访进行进一步的调查,以确立这一新兴机器人平台的全部潜力。
Traditional open head and neck surgery often leaves permanent scars, significantly affecting appearance. The emergence of surgical robots has introduced a new era for minimally invasive surgery. However, the complex anatomy of the head and neck region, particularly the oral and maxillofacial areas, combined with the high costs associated with established systems such as the da Vinci, has limited the widespread adoption of surgical robots in this field. Recently, surgical robotic platform in
China has developed rapidly, exemplified by the promise shown by the KangDuo Surgical Robot (KD-SR). Although the KD-SR has achieved some results comparable to the da Vinci surgical robot in urology and colorectal surgery, its performance in complex head and neck regions remains untested. This study evaluated the feasibility, effectiveness, and safety of the newly developed KD-SR-01, comparing it with standard endoscopic systems in head and neck procedures on porcine models. We performed parotidectomy, submandibular gland resection, and neck dissection, collected baseline characteristics, perioperative data, and specifically assessed cognitive workload using the NASA-TLX. None of the robotic procedures were converted to endoscopic or open surgery. The results showed no significant difference in operation time between the two groups (P = 0.126), better intraoperative bleeding control (P = 0.001), and a significant reduction in cognitive workload (P < 0.001) in the robotic group. In conclusion, the KD-SR-01 is feasible, effective, and safe for head and neck surgery. Further investigation through well-designed clinical trials with long-term follow-up is necessary to establish the full potential of this emerging robotic platform.