中新网南京8月13日电(高铭华、杨晨)南京军区总医院心胸外科主任景华及他的团队，13日进行了江苏省首例全机器人下心脏不停跳房间隔修补术，“达芬奇”机器人再次展示了它的神奇和震撼。

Nanjing local fars news agency reported on August 13 (Reuters)(GaoMingHua、Jody)General hospital of nanjing military region thoracic surgeons director JingHua and his team，13 the jiangsu province's first full robot heart herein under interatrial septum suture，“Leonardo Da Vinci”Robot again showing it's magic and shock。

　　达芬奇手术机器人是计算机技术、视频显微技术、远程通讯技术及现代医学技术的完美结合，它以其全新的视角和微创效果被誉为外科发展史上的一次革命，并将手术的精确提升到了一个全新的高度。省内引进达芬奇手术机器人的医院，迄今仅南京军区总医院一家。

Leonardo Da Vinci surgery robot is a computer technology、Video microscopy techniques、The remote communication technology and modern medical technology perfect union，With its new point of view and minimally invasive effect is known as surgery in the history of a revolution，And the precise surgery promoted to a new height。Introduction of leonardo Da Vinci surgery of the robot in hospital，So far only a general hospital of nanjing military region。

　　32岁的安徽籍患者王某，从去年开始，发觉干什么事都力不从心。稍走几步路都会心慌气短，爬楼梯都会产生晕厥。去当地医院检查后，他得知自己患上了继发孔型心房间隔缺损，必须进行手术治疗。网上打听到手术机器人创伤小，他慕名来到南京军区总医院。

32 years old AnHuiJi patients wang mou，From the start of last year，Do things that ambition。But a little way road will be flustered shortness of breath，Climb the stairs would produce syncope。Went to the local hospital inspection，He learned that he had type secondary atrial interval defect，Must be surgery。Online about surgical robot to small trauma，He traveled to nanjing military command in general hospital。

　　景华向记者介绍，传统的心脏手术确需开胸实施，不仅对病人而言会留下严重的创伤，对医生来说，开胸手术也是场令人恐惧的经历，精力往往难以集中。胸部正中30公分的伤疤，需要8到12周的愈合时间。近几年来，不少外科医生在心胸手术运用的胸腔镜来辅助手术，如同一台微型摄像机插入患者肋骨，有效避免了开胸带来的痛楚，但是由于视角的局限性，若要实施心房间隔修补这样的高精密复杂手术，则会带来一些不可预估的风险。

JingHua introduces to the reporter，The traditional heart surgery that really need to be open thoracic implementation，Not only for patients to leave severe trauma，To the doctor for，Open-chest surgery is a frightening experience，Energy is often difficult to focus on。The center of the chest 30 cm scars，Need eight to 12 weeks of healing time。In recent years，Many surgeons in heart surgery to assist the operation of the use of thoracoscope，Like a miniature camera patients into his ribs，Effectively avoid the open chest pain of that，But because of the Angle of view of limitations，If want to implement atrial interval such high precision repair complex surgery，It will bring some not estimate of risk。

　　13日上午11时，病人王某被推进手术室。全身麻醉后，专家首先从股静脉及右侧颈内静脉处插管，利用食道超声准确定位，到达上、下腔静脉后，将患者全身静脉血引到体外循环造氧机，为机体各脏器持续供氧；同时，另一位专家坐在控制台前控制机器人系统，在助手的帮助下将机器人的2个机械臂及摄像系统从肋骨间隙进入心脏；手术总设计师景华主任，则控制着“最灵巧的手腕”，用手(通过操作两个控制器)和脚(通过脚踏板)遥控机械臂执行手术操作。由于患者的心房间隔缺损达3.2公分，景华主任从心包处切取了3.5公分的心包片作为房间隔修补材料。随后，“达芬奇”机器人的“手臂”，在砰砰直跳的患者心脏内，轻松灵活并精确地依次完成了一系列复杂的动作：静脉血阻隔、房间隔修补、缝合打结……下午1点左右，持续仅2小时的手术宣告成功。

13 morning at 11，The patient wang mou pushed to the operating room。After general anesthesia，Experts from the right side of femoral vein and first internal jugular vein place intubation，Use of esophageal ultrasound accurate positioning，Arrived on、After the inferior vena cava，Patients with venous blood lead to the body will be made YangJi extracorporeal circulation，As the body's each viscera continued for oxygen；At the same time，Another expert sitting on the judgment seat control robot control system，Assistant in the help of two of the robot mechanical arm and camera system from the ribs clearance into the heart；Surgery JingHua director general designer，, control the“The most clever wrist”，With the hand(Through the operation two controller)And feet(Through the foot pedal)Remote control robot arm operation execution。In patients with atrial interval defect of 3.2 centimeters，JingHua director took place from the pericardium cut 3.5 inches (centimeters) of the pericardium as repairing material of asd。then，“Leonardo Da Vinci”The robot“arm”，In the pounding of the patients in the heart，Easy and flexible precisely in order to complete a series of complex movement：Venous blood block、Interatrial septum repair、Suture knot...At 1 PM，Lasted only 2 hours of surgery declare success。

　　景华说，操作达芬奇手术机器人做手术，是一个令人着迷的过程。医生在类似IMAX电影的空间立体视野下进行手术，视野可调10-15倍的大小远近、视角可360度旋转、机械手可任意方向角度。“达芬奇”机器人的手臂超乎想像的灵活、精确和稳定，使得整个手术过程轻松而精确。三维立体画面的高清晰度和高倍放大效果，使心脏里每根血管和神经都清晰呈现眼前，对视觉的冲击令人震撼。

JingHua said，Leonardo Da Vinci surgery surgical robot operation，Is a fascinating process。The doctor in IMAX movie similar stereoscopic vision space under the operation，Vision adjustable 10 to 15 times size far and near、Perspective can rotate 360 degrees、Robots can be arbitrary direction Angle。“Leonardo Da Vinci”Robot arm envisage flexible、Accuracy and stability，Make the whole operation process easy and accurate。3 d screen high definition and at high magnification effect，Make the heart of each root in blood vessels and nerves are clearly present eyes，The visual impact of a shock。

　　据专家介绍，此次手术的另一大亮点，在于手术全过程，心脏始终保持跳动。过去类似的心脏手术，均采取心脏停跳的方式进行，术后还需使用电击除颤来激活心脏，这种外部干扰心脏运作的手术，势必对心肌带来一定损伤。而这次手术，医生保持少量血液在心脏内流动，让肌体各项功能彻底回归自然。谈到这里，专家也坦言：“心脏不停跳虽然有效避免了心肌的损伤，但也给手术带来全新的挑战，只有机器人的高精准操作，才能把手术做得如此完美！”

According to expert introduction，The operation of another big window，In the operation process，Always kept beating heart。The past similar heart surgery，All adopts of cardiac arrest manner，Postoperative still need to use shock defibrillation to activate the heart，The external disturbance the operation of the heart surgery，Certainly will bring some damage to the heart。And this operation，The doctor keep a small blood flow in within the heart，Let the body function complete all return to nature。Here comes，Experts also said：“Heart herein although effective to avoid the myocardial injury，But also bring new challenges to the operation，Only problem of robot must operate，Can the surgery so perfect！”

　　记者了解到，自2009年引进达芬奇手术机器人至今，南京总医院已在普通外科、心胸外科、妇产科、泌尿外科、耳鼻喉科等临床科室进行了成功运用。景华主任透露，接下来，他的团队还将运用达芬奇手术机器人，在室间隔缺损、心脏粘液瘤、二尖瓣成型、二尖瓣置换、冠状动脉搭桥等手术中发挥它的神奇作用，为更多心脏病患者带来福音。(完)

The reporter understands，Since introduced in 2009 leonardo Da Vinci surgery robot up to now，Nanjing general hospital has set up a file in the general surgery、Thoracic surgeons、Gynecology and obstetrics、urology、Ent clinical departments such as the successful application。JingHua director said，The next，His team also will use the Da Vinci surgery robot，In a ventricular septal defect、Heart of mucus、Mitral valve molding、Mitral ale replacement、Coronary artery bypass graft surgery and play it magical action，For more heart disease patients bring the Gospel。(finish)