目的：回顾性分析双医生控制台下术中转移设备对达芬奇手术机器人使用效率的影响。方法：通过 39 例次术中转移 达芬奇机器设备的经验，总结并制定适用于双医生控制台下提高达芬奇手术机器人使用效率的方法。结果：39 例次双医生 控制台下达芬奇机器人手术均顺利完成，无中转开放手术或普通腹腔镜手术，住院期间均未行二次手术，未出现因空间布局、 用物准备、手术配合、器械消毒供应等问题造成的手术开台时间延迟或手术时间延长。通过术中转移达芬奇机器设备，每例 次手术接台时间节省（125.59±63.69）min，单日单机手术量增加（2.29±1.11）台。结论：双医生控制台下术中转移达芬奇机 器设备，可显著节省手术接台时间，提高达芬奇手术机器人单日单机手术量和使用效率。

Objective: To retrospectively analyze the impact of intraoperative equipment transfer on the utilization efficiency of Da Vinci surgical robot under a dual-console setup. Methods: Based on 39 cases of intraoperative Da Vinci robotic equipment transfer experiences, a protocol to enhance the utilization efficiency of Da Vinci surgical robot under dual-surgeon console conditions were summarized and established. Results: 39 cases of Da Vinci robotic surgeries under the dual-console setup were successfully completed without conversion to open surgery or conventional laparoscopic surgery. No secondary surgeries were required during hospitalization, and no delays in surgical start time or prolonged operative duration occurred due to spatial layout, material preparation, intraoperative coordination, or instrument sterilization issues. By implementing intraoperative equipment transfer, the average turnover time was reduced by (125.59±63.69) min per case, and the daily per-machine surgical volume increased by (2.29±1.11) cases. Conclusion: Intraoperative Da Vinci equipment transfer under dual-console setup could significantly reduce surgical turnover time, increase daily per-machine surgical volume, and improve the utilization efficiency.

基金项目：广东省食管癌研究所科技计划项目（M202126） 

Foundation Item: Science and Technology Program of Guangdong Institute of Esophageal Cancer(M202126) 

引用格式：叶赐君，李明天，陈丽结，等 . 双医生控制台下术中转移设备对提高达芬奇手术机器人使用效率的初步探索 [J]. 机器人外科学杂 志（中英文），2025，6（4）：633-637. 

Citation: YE C J, LI M T, CHEN L J, et al. A preliminary exploration of the intraoperative equipment transfer under the dual-console to  improve the utilization efficiency of Da Vinci surgical robot [J]. Chinese Journal of Robotic Surgery, 2025, 6(4): 633-637. 

通讯作者（Corresponding Author）：刘艳玲（LIU Yanling），Email：liuyl@sysucc.org.cn

[1] 周晓峰 , 何茫茫 , 樊峻辉 , 等 . 机器人系统辅助腔镜手术术中配合与 护理流程的优化整合及其应用 [J]. 浙江临床医学 , 2021, 23(6): 917, 919. 

[2] 秦君璞 , 刘畅 , 周邮 , 等 . 综合运用管理手段提升手术开接台效率的 实践 [J]. 中华医院管理杂志 , 2018, 34(10): 813-815, 820. 

[3] Silveira T P C, Catal E. A comparative study of the opinions, experiences and individual innovativeness characteristics of operating room nurses on robotic surgery[J].J Adv Nurs, 2021, 77(12): 4755-4767. 

[4] 侯越 , 丁瑞芳 , 姜春平 , 等 . 达芬奇机器人手术护理团队的构建与管 理策略 [J]. 当代护士 ( 下旬刊 ), 2021, 28(12): 181-183. 

[5] Souders C P, Catchpole K R, Wood L N, et al. Reducing operating room turnover time for robotic surgery using a motor racing pit stop model[J]. World J Surg, 2017, 41(8): 1943-1949. 

[6] Geldmaker L E, Hasse C H, Baird B A, et al. Analysis of operating room efficiency during robot-assisted urologic surgeries utilizing fixed (Nonprocedural) operative times[J].Endourol, 2022, 36(5): 654-660. 

[7] Giedelman C, Covas M M, Bhat S, et al. Establishing a successful robotic surgery program and improving operating room efficiency: literature review and our experience report[J].Robot Surg, 2021, 15(3): 435-442. 

[8] 张楠 , 马丽 , 刘光英 , 等 . 缩短达芬奇机器人接台手术术前准备时间 的 PDCA 实践 [J]. 护理学报 , 2023, 30(09): 25-29. 

[9] 贾淇淇 , 符淳 . 机器人辅助腹腔镜妇科手术影响患者安全的因素与 

[10] 优化措施 [J]. 机器人外科学杂志 ( 中英文 ), Fernandes E, Elli E, Giulianotti P. The role of 2024, the dual 5(01): console 37-44. in robotic surgical training[J]. Surgery, 2014, 155(1): 1-4. 

[11] Leon M G, Carrubba A R, DeStephano C C, et al. Impact of robotic single and dual console systems in the training of minimally invasive gynecology surgery (MIGS) fellows[J].J Robot Surg, 2022, 16(6): 1273-1280. 

[12] Smith A L, Scott E M, Krivak T C, et al. Dual-console robotic surgery: a new teaching paradigm[J]. J Robot Surg, 2013, 7(2): 113-118. 

[13] Crusco S, Jackson T, Advincula A. Comparing the Da Vinci Si single console and dual console in teaching novice surgeons suturing techniques[J].JSLS, 2014, 18(3): e2014.00218. 

[14] Goonewardene S S, Brown M, Challacombe B. Single- versus dual-console robotic surgery: dual improves the educational experience for trainees[J]. World J Urol, 2016, 34(9): 1337-1339. 

[15] Klapczynski C, Sallée C, Tardieu A, et al. Training for next generation surgeons: a pilot study of robot-assisted hysterectomy managed by resident using dual console[J].Arch Gynecol Obstet, 2021, 303(4): 981-986. 

[16] Piozzi G N, Khan J S. Dual console operating in robotic surgery-a show off or a real necessity? [J].Colorectal Dis, 2023, 25(7): 1327-1329. 

[17] Landry D, Quinn K R, Helmer S D, et al. Is two better than one? A retrospective study on colorectal surgery outcomes using the Da Vinci® dual-console robot[J]. Kans J Med, 2022, 15(3): 418-421. 

[18] Morgan M S, Shakir N A, Garcia-Gil M, et al. Single-versus dual-console robot-assisted radical prostatectomy: impact on intraoperative and postoperative outcomes in a teaching institution[J]. World J Urol, 2015, 33(6): 781-786. 

[19] Bertolo R, Carilli M, Antonucci M, et al.“Single-surgeon”versus“dualsurgeon”robot-assisted radical prostatectomy and pelvic lymph-nodes dissection: comparative analysis of perioperative outcomes[J]. Int Braz J Urol, 2023, 49(6): 732-739. 

[20] Collins J W, Ghazi A, Stoyanov D, et al. Utilising an accelerated Delphi process to develop guidance and protocols for telepresence applications in remote robotic surgery training [J].Eur Urol Open Sci, 2020. DOI: 10.1016/ j.euros.2020.09.005. 

[21] O’Sullivan S, Nevejans N, Allen C, et al. Legal, regulatory, and ethical frameworks for development of standards in artificial intelligence(AI)and autonomous robotic surgery[J].Int J Med Robot, 2019, 15(1): e1968