Research and application of robot-assisted laparoscopy in acute abdominal surgery

Objective To explore the feasibility and safety of robot-assisted scope in the clinical application of acute abdominal surgery.

Methods The clinical data of patients treated with appendectomy, cholecystectomy, incarcerated hernia(some with intestinal obstruction), and gastrointestinal perforation surgeries were selected, and the patients were divided into the robot-assisted laparoscopy group and conventional laparoscopy group.The gender, age, body mass index (BMI), operation time, intraoperative bleeding and length of stay of hospital patients, number of surgeons involved in surgery and incidence of complications were analyzed.

Results A total of 203 patients were included, including 90 cases of acute appendicitis, 60 cases of acute cholecystitis, 23 cases of incarcerated inguinal hernia and 30 cases of gastrointestinal perforation.There was no statistical significance in the age, gender, BMI, intraoperative bleeding, length of hospital stay and incidence of complications between the robot-assisted laparoscopy group and conventional laparoscopy group.However, the number of surgeons involved in surgery in the robotassisted laparoscopy group was significantly lower than that in conventional group(P < 0.01).

Conclusions Robot-assisted endoscopy is safe and feasible in acute abdominal surgery.Robot-assisted endoscopy can provide a more stable and accurate surgical field of view, which is more conducive to the operation of the surgeon, and improves surgical efficiency.At the same time, robot-assist laparoscopy can reduce one assistant, reduce labor costs, and allow more doctors to devote themselves to other emergency work.