Blanco Ray Gervacio F, Ha Patrick K, Califano Joseph A, Fakry Carole, Richmon Jeremy, Saunders John M
Departments of Otolaryngology and General Surgery, Johns Hopkins Head and Neck Surgery at Greater Baltimore Medical Center, Baltimore, MD 21204, USA.
J Laparoendosc Adv Surg Tech A. 2012 Oct;22(8):791-6. doi: 10.1089/lap.2011.0536.
The introduction of robotics in head and neck surgery has facilitated access to the contents of the neck region using less cosmetically obtrusive incisions. Robotic systems offer a three-dimensional viewing, tremor filtration, and articulating distal arms that mimic natural hand and wrist movements. We hypothesized that these characteristics would allow for the performance of a robotic-assisted selective and comprehensive neck dissection via combined pre- and post-auricular incisions. We were able to demonstrate adequate access in a cadaver, using a combination of conventional, endoscopic, and robotic surgical manipulation. Thus preclinical cadaver studies support the ability to perform robotic-assisted neck dissection via combined pre- and post-auricular incisions.
机器人技术在头颈外科手术中的应用，使得通过美容效果欠佳的切口更易于进入颈部区域。机器人系统提供三维视野、震颤过滤功能以及模拟自然手部和腕部动作的可关节运动的远端手臂。我们推测，这些特性将允许通过耳前和耳后联合切口进行机器人辅助的选择性和综合性颈部清扫术。我们能够在尸体上，通过结合传统、内镜和机器人手术操作，展示出足够的手术入路。因此，临床前尸体研究支持通过耳前和耳后联合切口进行机器人辅助颈部清扫术的可行性。
