Berris M, Shoham M
Medical Robotics Laboratory, Department of Mechanical Engineering, Technion - Israel Institute of Technology, Haifa, Israel.
Comput Aided Surg. 2006 Jul;11(4):175-80. doi: 10.3109/10929080600931579.
For a fetus diagnosed with a severe congenital anomaly, surgery may offer an alternative to abortion, intra-uterine death, or a life with disability. Expertise is limited however, to a few treatment centers worldwide, and there are many technical hurdles to overcome, including requirements for miniaturized instrumentation, real-time high-resolution imaging, and harmless fetal access. This article highlights recent practices in prenatal intervention and various initiatives to integrate robotics into the fetal operating room. While the number of potential patients is low, research for implementation of robotics in the field of fetal surgery is justified by the morbidity rates of current procedures, proven favorable outcomes with intervention, and the educational value with potential for extension to other medical disciplines.
对于被诊断患有严重先天性异常的胎儿，手术可能是堕胎、宫内死亡或残疾生活之外的另一种选择。然而，专业技术仅局限于全球少数几个治疗中心，并且有许多技术障碍需要克服，包括对小型化器械、实时高分辨率成像以及安全的胎儿接入的要求。本文重点介绍了产前干预的最新实践以及将机器人技术融入胎儿手术室的各种举措。虽然潜在患者数量较少，但鉴于当前手术的发病率、已证实的干预良好效果以及对扩展到其他医学学科的潜在教育价值，在胎儿手术领域开展机器人技术应用的研究是合理的。
