Verit Ayhan, Rizkala Emad, Autorino Riccardo, Stein Robert J
Harran University, Department of Urology, Sanliurfa, Turkey.
Indian J Urol. 2012 Jan;28(1):76-81. doi: 10.4103/0970-1591.94962.
Laparoendoscopic Single-site Surgery (LESS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES). Despite the development of specialized access devices and instruments, the performance of complex procedures using LESS has been challenging due to loss of triangulation and instrument clashing. A robotic interface may represent the key factor in overcoming the critical restrictions related to NOTES and LESS. Although encouraging, current clinical evidence related to R-LESS remains limited as the current da Vinci(®) robotic platform has not been specifically designed for LESS. Robotic innovations are imminent and are likely to govern major changes to the current landscape of scarless surgery.
在泌尿外科手术中，不断努力改善美容效果并降低发病率催生了传统微创技术的新替代方案：腹腔镜单孔手术（LESS）和经自然腔道内镜手术（NOTES）。尽管开发了专门的接入设备和器械，但由于三角定位丧失和器械碰撞，使用LESS进行复杂手术仍具有挑战性。机器人接口可能是克服与NOTES和LESS相关的关键限制的关键因素。尽管令人鼓舞，但目前与机器人辅助LESS相关的临床证据仍然有限，因为当前的达芬奇（®）机器人平台并非专门为LESS设计。机器人创新即将到来，可能会给当前的无痕手术格局带来重大变革。
