Lehman Amy C, Rentschler Mark E, Farritor Shane M, Oleynikov Dmitry
Walter Scott Engineering Center, University of Nebraska, Lincoln, NE, USA.
Minim Invasive Ther Allied Technol. 2006;15(6):384-8. doi: 10.1080/13645700601038143.
The performance of surgeries through small incisions or natural orifices minimizes the invasiveness to the patient as compared to open procedures. However, the constraints on visual feedback and dexterity limit the scope of these procedures. Recent robotic technologies attempt to mitigate these constraints for flexible endoscopy and laparoscopy. Much of the current work in flexible endoscopy is in the development of a fully autonomous endoscope capable of providing the surgeon with better control. Advancements in laparoscopic technologies have demonstrated abilities to improve visualization and dexterity through telerobotics and in vivo robotics. The application of new robotic technologies in flexible endoscopy and laparoscopy to natural orifice surgery promises to further benefit the patient by eliminating abdominal incisions, scarring, and the pain associated with these incisions. The safety and feasibility of such robotic technology has been successfully demonstrated for natural orifice transluminal endoscopic surgery (NOTES) in animal models.
与开放手术相比，通过小切口或自然腔道进行手术可将对患者的侵袭性降至最低。然而，视觉反馈和灵活性方面的限制制约了这些手术的范围。最近的机器人技术试图减轻这些限制，以用于柔性内镜检查和腹腔镜检查。目前柔性内镜检查的许多工作都集中在开发一种能够为外科医生提供更好控制的全自动内窥镜上。腹腔镜技术的进步已证明通过远程机器人技术和体内机器人技术能够改善可视化和灵活性。将新型机器人技术应用于柔性内镜检查和腹腔镜检查并用于自然腔道手术，有望通过消除腹部切口、疤痕以及与这些切口相关的疼痛，进一步造福患者。这种机器人技术在动物模型中的自然腔道内镜手术（NOTES）中已成功证明了其安全性和可行性。
