Duran Cassidy, Kashef Elika, El-Sayed Hosam F, Bismuth Jean
Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
Methodist Debakey Cardiovasc J. 2011 Jul-Sep;7(3):32-4. doi: 10.14797/mdcj-7-3-32.
Surgical robotics was first utilized to facilitate neurosurgical biopsies in 1985, and it has since found application in orthopedics, urology, gynecology, and cardiothoracic, general, and vascular surgery. Surgical assistance systems provide intelligent, versatile tools that augment the physician's ability to treat patients by eliminating hand tremor and enabling dexterous operation inside the patient's body. Surgical robotics systems have enabled surgeons to treat otherwise untreatable conditions while also reducing morbidity and error rates, shortening operative times, reducing radiation exposure, and improving overall workflow. These capabilities have begun to be realized in two important realms of aortic vascular surgery, namely, flexible robotics for exclusion of complex aortic aneurysms using branched endografts, and robot-assisted laparoscopic aortic surgery for occlusive and aneurysmal disease.
1985年，手术机器人首次被用于辅助神经外科活检，此后在骨科、泌尿外科、妇科以及心胸外科、普通外科和血管外科得到应用。手术辅助系统提供智能、多功能工具，通过消除手部震颤并使在患者体内进行灵巧操作成为可能，增强了医生治疗患者的能力。手术机器人系统使外科医生能够治疗原本无法治疗的疾病，同时还能降低发病率和错误率，缩短手术时间，减少辐射暴露，并改善整体工作流程。这些能力已开始在主动脉血管外科的两个重要领域得以实现，即使用分支型人工血管排除复杂主动脉瘤的柔性机器人技术，以及用于治疗闭塞性和动脉瘤性疾病的机器人辅助腹腔镜主动脉手术。
