Smith J Michael
Department of Surgery, Good Samaritan Hospital, Cincinnati, OH 45220, USA.
Int J Med Robot. 2006 Dec;2(4):329-32. doi: 10.1002/rcs.106.
The future of medicine is tied-up in robotics and lasers. We've heard the hype for years, but only in the last 10 years has it actually started to come to fruition that robotic systems are beginning to play a role in surgery.
Multiple groups have reported over the past 10 years on increasingly complex cardiac surgical procedures being performed with the aid of robotic systems. With an increasing percentage of atrial fibrillation and with insight that atrial fibrillation results in poor long-term survival, attempts have been made to create a surgical cure.
Much work has been done in the past several years to develop a less-invasive surgical option than the standard cut-and-sew Maze to achieve pulmonary vein ablation. Laser is a unique energy source for tissue ablation because it is a form of light.
While traditional energy sources focus on applying heat-based elements to the tissue's surface allowing temperature to propagate across the thickness of the tissue laser is an innovative, tissue-specific energy for creating tissue ablation.
医学的未来与机器人技术和激光紧密相连。多年来我们一直听闻相关炒作，但直到最近10年，机器人系统才真正开始在手术中发挥作用。
在过去10年里，多个团队报告了借助机器人系统进行的越来越复杂的心脏外科手术。随着心房颤动患者比例的增加，以及认识到心房颤动会导致长期生存率低下，人们尝试通过手术进行治疗。
在过去几年里，为了开发一种比标准的切割缝合迷宫手术创伤更小的手术方案以实现肺静脉消融，已经开展了大量工作。激光是一种独特的组织消融能量源，因为它是光的一种形式。
传统能量源侧重于将基于热的元素应用于组织表面，使温度在组织厚度上传播，而激光是一种用于产生组织消融的创新的、针对特定组织的能量。
