Al-Mufarrej Faisal, Margolis Marc, Tempesta Barbara, Strother Eric, Najam Farzad, Gharagozloo Farid
Department of Surgery, The George Washington University Medical Center, Washington DC 20037, USA.
Surg Laparosc Endosc Percutan Tech. 2010 Feb;20(1):1-9. doi: 10.1097/SLE.0b013e3181cdb9e5.
With the increasing recognition of the benefits of minimally invasive surgery, surgical technology has evolved significantly since Jacobeaus' first attempt at thoracoscopy 100 years ago. Currently, video-assisted thoracic surgery occupies a significant role in the diagnosis and treatment of benign and malignant diseases of the chest. However, the clinical application of video-assisted thoracic surgery is limited by the technical shortcomings of the approach. Although the da Vinci system (Intuitive Surgical) is not the first robotic surgical system, it has been the most successful and widely applicable. After early applications in general and urologic surgery, the da Vinci robot extended its arms into the field of thoracic surgery, broadening the applicability of minimally invasive thoracic surgery. We review the available literature on robot-assisted thoracic surgery in attempt to better define the current role of the robot in pulmonary, mediastinal, and esophageal surgeries.
随着对微创手术益处的认识不断提高，自100年前雅各布奥斯首次尝试胸腔镜检查以来，手术技术有了显著发展。目前，电视辅助胸腔手术在胸部良恶性疾病的诊断和治疗中占据重要地位。然而，电视辅助胸腔手术的临床应用受到该方法技术缺陷的限制。尽管达芬奇系统（直观外科公司）不是首个机器人手术系统，但它是最成功且应用最广泛的。在早期应用于普通外科和泌尿外科手术后，达芬奇机器人将其手臂伸向了胸外科领域，拓宽了微创胸外科的适用性。我们回顾了关于机器人辅助胸外科手术的现有文献，试图更好地界定机器人在肺部、纵隔和食管手术中的当前作用。
