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机器人手术进展

Robotic surgery update.

作者信息

Jacobsen G, Elli F, Horgan S

机构信息

Minimally Invasive Surgery Center, University of Illinois at Chicago Medical Center, Room 443 CSB (M/C 958), 840 South Wood Street, Chicago, IL 60612-7233, USA.

出版信息

Surg Endosc. 2004 Aug;18(8):1186-91. doi: 10.1007/s00464-003-8281-z. Epub 2004 Apr 21.

DOI:10.1007/s00464-003-8281-z
PMID:15095084
Abstract

BACKGROUND

Minimally invasive surgical techniques have revolutionized the field of surgery. Telesurgical manipulators (robots) and new information technologies strive to improve upon currently available minimally invasive techniques and create new possibilities.

METHODS

A retrospective review of all robotic cases at a single academic medical center from August 2000 until November 2002 was conducted. A comprehensive literature evaluation on robotic surgical technology was also performed.

RESULTS

Robotic technology is safely and effectively being applied at our institution. Robotic and information technologies have improved upon minimally invasive surgical techniques and created new opportunities not attainable in open surgery.

CONCLUSIONS

Robotic technology offers many benefits over traditional minimal access techniques and has been proven safe and effective. Further research is needed to better define the optimal application of this technology. Credentialing and educational requirements also need to be delineated.

摘要

背景

微创外科技术给外科领域带来了变革。远程手术操作器(机器人)和新信息技术致力于改进现有的微创技术并创造新的可能性。

方法

对一家学术医疗中心在2000年8月至2002年11月期间的所有机器人手术病例进行回顾性研究。同时也对机器人手术技术进行了全面的文献评估。

结果

机器人技术在我们机构得到了安全有效的应用。机器人和信息技术改进了微创外科技术,并创造了开放手术无法实现的新机遇。

结论

与传统的微创技术相比,机器人技术有诸多优势,且已被证明安全有效。需要进一步研究以更好地界定该技术的最佳应用。还需要明确资格认证和教育要求。

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本文引用的文献

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J Laparoendosc Adv Surg Tech A. 2002 Aug;12(4):225-32. doi: 10.1089/109264202760267970.
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Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results.机器人手术、远程机器人手术、远程临场感及远程指导。早期临床结果综述。
Surg Endosc. 2002 Oct;16(10):1389-402. doi: 10.1007/s00464-001-8283-7. Epub 2002 Jul 29.
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Robotic-assisted laparoscopic donor nephrectomy for kidney transplantation.
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Objective evaluation of expert and novice performance during robotic surgical training tasks.机器人手术训练任务中专家与新手表现的客观评估。
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Robotically assisted laparoscopic transhiatal esophagectomy.机器人辅助腹腔镜经裂孔食管切除术
Surg Endosc. 2008 Jan;22(1):188-95. doi: 10.1007/s00464-007-9441-3.
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Telerobotic gastrointestinal surgery: phase 2--safety and efficacy.远程机器人胃肠手术:2期——安全性与有效性
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Deployment and early experience with remote-presence patient care in a community hospital.社区医院远程临场患者护理的部署与早期经验
Surg Endosc. 2007 Jan;21(1):53-6. doi: 10.1007/s00464-005-0261-z. Epub 2006 Oct 9.
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Laparoscopic surgery--15 years after clinical introduction.腹腔镜手术——临床应用15年后
World J Surg. 2006 Jul;30(7):1190-203. doi: 10.1007/s00268-005-0644-2.
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Prospective study comparing standard and robotically assisted laparoscopic cholecystectomy.比较标准腹腔镜胆囊切除术与机器人辅助腹腔镜胆囊切除术的前瞻性研究。
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Thirty robotic adrenalectomies: a single institution's experience.三十例机器人肾上腺切除术:单一机构的经验。
Surg Endosc. 2006 Jan;20(1):119-24. doi: 10.1007/s00464-005-0082-0. Epub 2005 Dec 7.
机器人辅助腹腔镜供肾切除术用于肾脏移植
Transplantation. 2002 May 15;73(9):1474-9. doi: 10.1097/00007890-200205150-00018.
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Granting clinical privileges for telerobotic surgery.授予远程机器人手术的临床特权。
Surg Laparosc Endosc Percutan Tech. 2002 Feb;12(1):17-25. doi: 10.1097/00129689-200202000-00003.
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Survey of resident training in robotic surgery.机器人手术住院医师培训调查。
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