目的：探讨床旁机械臂沿手术床纵轴头侧锐角泊位在达芬奇机器人辅助手术中的应用效果。方法：选取 2022 年 1 月— 2024 年 1 月在江苏省肿瘤医院行达芬奇机器人辅助手术治疗的患者 132 例，将患者随机分为观察组（n=66）和对照组（n=66）， 其中对照组给予常规床旁机械臂沿手术床侧边入路泊位，观察组给予床旁机械臂沿手术床纵轴头侧锐角泊位。比较两组的围 手术期指标、护士空间管理能力评分、医师满意度评分。结果：观察组术前准备时间和手术时间短于对照组（P<0.05），护 士空间管理能力评分和医师满意度评分高于对照组（P<0.05）。结论：床旁机械臂沿手术床纵轴头侧锐角泊位在达芬奇辅助 机器人手术中有较好的应用价值，能够在不影响手术效果的前提下，显著提升手术室的空间效率和手术团队的工作满意度。

Objective: To evaluate the clinical efficacy of sharp-angle headside docking along the longitudinal axis of the operating table for bedside robotic arms in Da Vinci robot-assisted surgeries. Methods: A total of 132 patients who underwent Da Vinci robot-assisted surgery at Jiangsu Provincial Cancer Hospital from January 2022 to January 2024 were enrolled. They were randomly divided into the observation group (n=66) and the control group (n=66). The control group received conventional bedside robotic arm docking via the lateral side of the operating table, while the observation group adopted sharp-angle headside docking along the longitudinal axis. Perioperative parameters, nurses’ spatial management competency scores, and surgeons’ satisfaction scores were compared between the two groups. Results: The observation group took shorter preoperative preparation time and operative time than the control group (P<0.05), along with higher nurses’ spatial management scores and surgeons’ satisfaction scores (P<0.05). Conclusion: Sharp-angle headside docking of bedside robotic arms along the longitudinal axis can significantly enhance intraoperative spatial efficiency and team satisfaction in Da Vinci robot-assisted surgeries without compromising surgical outcomes, which is clinically applicable.

基金项目：国家自然科学基金青年科学基金（82203226）；江苏省肿瘤医院院级课题（ZH202216） 

Foundation Item: National Natural Science Foundation of China (82203226); Jiangsu Cancer Hospital Hospital-level Project (ZH202216) 

引用格式：费志成，王雅玲，丁洪瑞，等 . 床旁机械臂沿手术床纵轴头侧锐角泊位的应用效果 [J]. 机器人外科学杂志（中英文），2025，6（3）： 455-459. 

Citation: FEI Z C, WANG Y L, DING H R, et al. Clinical efficacy of sharp-angle headside docking along the longitudinal axis of the operating  table for bedside robotic arms[J]. Chinese Journal of Robotic Surgery, 2025, 6(3): 455-459. 

通讯作者（Corresponding Author）：王雅玲（WANG Yaling），Email：854402310@qq.com

[1] 杨磊 , 王生才 , 倪鑫 . 达芬奇机器人手术在儿童耳鼻咽喉头颈外科中 的应用进展 [J]. 临床耳鼻咽喉头颈外科杂志 , 2022, 36(1): 63-67. 

[2] Hussein A A, Mohsin R, Qureshi H, et al. Transition from Da Vinci to Versius robotic surgical system: initial experience and outcomes of over 100 consecutive procedures[J]. J Robot Surg, 2023, 17(2): 419-426. 

[3] Lee J, Hong D G. Comparative study of supracervical hysterectomy between Da Vinci SP® surgical system and conventional single-site laparoscopy for uterine fibroid: single center experiences[J]. J Robot Surg, 2023, 17(4): 1421-1427. 

[4] 张伟刚 , 周迪远 , 孙鼎 , 等 . 达芬奇机器人 Xi 系统在肝切除术中的 应用 [J]. 肝胆胰外科杂志 , 2023, 35(4): 198-203, 229. 

[5] Friendlander A H, Ettinger R L. Karnofsky performance status scale[J]. Spec Care Dentist, 2009, 29(4): 147-148. 

[6] 韩小云 , 倪静玉 . 手术室护士腹腔镜手术空间管理能力的培训 [J]. 护 理学杂志 , 2017, 32(14): 30-32. 

[7] FAN S B, HAO H, CHEN S L, et al. Robot-assisted laparoscopic radical prostatectomy using the KangDuo surgical robot system vs the da Vinci Si robotic system[J]. J Endourol, 2023, 37(5): 568-574. 

[8] Song H, Moradi H, Jiang B, et al. Real-time intraoperative surgical guidance system in the da Vinci surgical robot based on transrectal ultrasound/photoacoustic imaging with photoacoustic markers: an ex vivo demonstration[J]. IEEE Robot Autom Lett, 2023, 8(3): 1287-1294. 

[9] 曾建 . 达芬奇手术机器人复合手术室布局设计 [J]. 中国医疗设备 , 2016, 31(3): 121-122, 113. 

[10] 周兴国 , 丁印鲁 . 达芬奇机器人手术系统在胃癌中的应用进展 [J]. 中 国现代普通外科进展 , 2023, 26(6): 452-455. 

[11] 田红 , 杨梓含 , 李颖 , 等 . 达芬奇机器人手术器械清洗消毒灭菌研究 现状及展望 [J]. 中国感染控制杂志 , 2023, 22(4): 484-488. 

[12] 张轩 , 付海啸 , 李腾腾 , 等 . 达芬奇机器人辅助直肠癌手术的流程化 : 单中心经验 [J]. 中国现代手术学杂志 , 2023, 27(4): 253-261. 

[13] Motoyama D, Matsushita Y, Watanabe H, et al. Perioperative outcomes of robot-assisted partial nephrectomy using hinotori versus da Vinci surgical robot system: a propensity score-matched analysis[J]. J Robot Surg, 2023, 17(5): 2435-2440. 

[14] GAO S, WANG Y, MA X H, et al. Intraoperative laparoscopic photoacoustic image guidance system in the da Vinci surgical system[J]. Biomed Opt Express, 2023, 14(9): 4914-4928. 

[15] 蔡永聪 , 周雨秋 , 马霖杰 , 等 . 达芬奇机器人手术系统在头颈肿瘤外 科的应用报道 [J]. 肿瘤预防与治疗 , 2023, 36(11): 955-961. 

[16] 陈天 , 陈诚豪 , 曾骐 . 达芬奇机器人手术系统在儿童胸外科的应用 [J]. 中华小儿外科杂志 , 2022, 43(1): 83-87. 

[17] 唐政 , 刘俊 , 胡卫东 . 达芬奇机器人系统辅助解剖性肺段切除的初期 经验 [J]. 中华实验外科杂志 , 2023, 40(11): 2363-2365. 

[18] ZHANG J, LI Y P, CHENn X, et al. Robot-assisted pericystectomy using Da Vinci Xi surgical system with indocyanine green fluorescence imaging for hepatic cystic echinococcosis[J]. Asian J Surg, 2023, 46(1): 417-423. 

[19] LI X S, XU W F, FAN S B, et al. Robot-assisted partial nephrectomy with the newly developed KangDuo surgical robot versus the da Vinci Si surgical system: a double-center prospective randomized controlled noninferiority trial[J]. Eur Urol Focus, 2023, 9(1): 133-140. 

[20] Park S Y, Lee J H, Stein H, et al. Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery[J]. J Thorac Dis, 2022, 14(6): 1933-1940.