意大利完成全球首例“纯机器人”肝移植手术

意大利西西里岛一家医疗机构6月25日说，他们完成全球首例由机器人单独操作的部分肝移植手术，取出捐献人的部分肝器官。
 设在西西里岛巴勒莫市的地中海器官移植和高级专科治疗研究所当天声明，他们今年3月实施这次手术。一名现年44岁的男子为救他患肝硬化的哥哥，捐献部分肝器官。手术过程中，只有机器人的“手臂”伸入捐献人腹部，后者只需承受5道微创“锁眼”切口和一道9厘米长的切口。
"这是全球首例完全且单独由机器人技术完成的手术实例，”声明说，“过去，美国使用机器人实施过一些活体肝移植（手术）"，但那些手术均需要一名外科医生在手术台旁与机器人联手操作。
就选择3个月后公布这一手术案例的原因，这家医疗机构解释，医生需要确认接受移植人出院且身体状况良好。
法新社报道，这次手术运用“达芬奇SHDI机器人外科手术系统”，持续10小时，器官捐献人术后9天出院，他的哥哥几个星期后康复出院。
这家机构说：“运用新技术实施移植手术极为重要，因为减轻患者创伤可能激励活体器官捐赠，增加移植数量。”

Liver removal by robot success in Sicily
A medical transplant centre on the Italian island of Sicily says it has carried out the world's first partial liver transplant using only a robot to remove the organ of the donor.
A statement from the ISMETT transplant centre in Palermo said only the arms of a robot entered the abdomen of the 44-year-old donor looking to save his 46-year-old brother suffering from cirrhosis of the liver.
Thanks to the robot, only five keyhole incisions and one nine-centimetre incision were required for the operation, the centre said.
"This is the first case in the world performed entirely and exclusively with the robotic technique," the centre said.
The procedure, known as hepatectomy, was performed in March but the news was held until the recipient was given a clean bill of health and discharged from hospital, the centre said.
"In the past, some living donor liver transplants had been performed in the US using the robot," but were aided by a surgeon who inserted his hand through an incision to perform the surgery with the robot, the centre said.
The procedure lasted 10 hours and the two brothers recovered well, with the donor leaving hospital after nine days and the recipient leaving a few weeks later.
The surgical first was carried out using the Da Vinci SHDI robotic surgical system, a multi-tentacled device conceived at the Robotic Surgery Center in Pisa.
"The use of new technologies in transplant surgery is extremely important since reducing trauma for patients may encourage living organ donations and increase the number of transplants," the centre said.