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神经外科触觉入门。

Introduction to haptics for neurosurgeons.

机构信息

Department of Electrical and Computer Engineering, University of Calgary, Calgary, Alberta, Canada.

出版信息

Neurosurgery. 2013 Jan;72 Suppl 1:139-53. doi: 10.1227/NEU.0b013e318273a1a3.


DOI:10.1227/NEU.0b013e318273a1a3
PMID:23254803
Abstract

Robots are becoming increasingly relevant to neurosurgeons, extending a neurosurgeon's physical capabilities, improving navigation within the surgical landscape when combined with advanced imaging, and propelling the movement toward minimally invasive surgery. Most surgical robots, however, isolate surgeons from the full range of human senses during a procedure. This forces surgeons to rely on vision alone for guidance through the surgical corridor, which limits the capabilities of the system, requires significant operator training, and increases the surgeon's workload. Incorporating haptics into these systems, ie, enabling the surgeon to "feel" forces experienced by the tool tip of the robot, could render these limitations obsolete by making the robot feel more like an extension of the surgeon's own body. Although the use of haptics in neurosurgical robots is still mostly the domain of research, neurosurgeons who keep abreast of this emerging field will be more prepared to take advantage of it as it becomes more prevalent in operating theaters. Thus, this article serves as an introduction to the field of haptics for neurosurgeons. We not only outline the current and future benefits of haptics but also introduce concepts in the fields of robotic technology and computer control. This knowledge will allow readers to be better aware of limitations in the technology that can affect performance and surgical outcomes, and "knowing the right questions to ask" will be invaluable for surgeons who have purchasing power within their departments.

摘要

机器人在神经外科领域的应用越来越广泛,它们扩展了神经外科医生的身体机能,与先进的成像技术结合使用时,可以改善手术过程中的导航,推动微创手术的发展。然而,大多数手术机器人在手术过程中使外科医生与人体的所有感官隔离开来。这迫使外科医生仅依靠视觉来引导手术通道,这限制了系统的功能,需要进行大量的操作人员培训,并增加了外科医生的工作量。将触觉纳入这些系统,即允许外科医生“感受到”机器人工具尖端所经历的力,可以通过使机器人感觉更像是外科医生自身身体的延伸来消除这些限制。尽管触觉在神经外科机器人中的应用仍主要处于研究领域,但紧跟这一新兴领域的神经外科医生将更有准备地利用它,因为它在手术室中变得越来越普遍。因此,本文旨在为神经外科医生介绍触觉领域。我们不仅概述了触觉的当前和未来的益处,还介绍了机器人技术和计算机控制领域的概念。这些知识将使读者更好地了解可能影响性能和手术结果的技术限制,并且对于在其部门中具有购买权的外科医生来说,“知道要问的正确问题”将是非常宝贵的。

相似文献

[1]
Introduction to haptics for neurosurgeons.

Neurosurgery. 2013-1

[2]
Neurosurgical robotics.

Int J Med Robot. 2006-6

[3]
[The overview of robot surgery].

Nihon Rinsho. 2004-4

[4]
Virtual reality simulation in neurosurgery: technologies and evolution.

Neurosurgery. 2013-1

[5]
Robotics in neurosurgery.

Am J Surg. 2004-10

[6]
Robotics and neurosurgery.

Surg Clin North Am. 2003-12

[7]
A telerobotic haptic system for minimally invasive stereotactic neurosurgery.

Int J Med Robot. 2005-1

[8]
Introduction to virtual reality and robotics in neurosurgery.

Neurosurgery. 2013-1

[9]
Comparison of minimally invasive surgical skills of neurosurgeons versus general surgeons: is there a difference in the first exposure to a virtual reality simulator?

Minim Invasive Neurosurg. 2007-4

[10]
Future directions in 3-dimensional imaging and neurosurgery: stereoscopy and autostereoscopy.

Neurosurgery. 2013-1

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[1]
Simulators with Haptic Feedback in Neurosurgery: Are We Reaching the "Aviator" Type of Training? Narrative Review and Future Perspectives.

Life (Basel). 2025-5-13

[2]
An attempt to identify brain tumour tissue in neurosurgery by mechanical indentation measurements.

Acta Neurochir (Wien). 2024-8-21

[3]
Use of a High-Fidelity Training Simulator for Minimally Invasive Lumbar Decompression Increases Working Knowledge and Technical Skills Among Orthopedic and Neurosurgical Trainees.

Global Spine J. 2023-10

[4]
Radiological and clinical differences between robotic-assisted pedicle screw fixation with and without real-time optical tracking.

Eur Spine J. 2021-1

[5]
Radiological and Clinical Differences between Tinavi Orthopedic Robot and O-Arm Navigation System in Thoracolumbar Screw Implantation for Reconstruction of Spinal Stability.

Med Sci Monit. 2020-9-12

[6]
Robot-assisted Percutaneous Pedicle Screw Placement Using Three-Dimensional Fluoroscopy: A Preliminary Clinical Study.

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[7]
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Indian J Urol. 2015

[8]
Simulation and resident education in spinal neurosurgery.

Surg Neurol Int. 2015-2-26

[9]
Current state-of-the-art and future perspectives of robotic technology in neurosurgery.

Neurosurg Rev. 2014-4-13

[10]
A robot-assisted surgical system using a force-image control method for pedicle screw insertion.

PLoS One. 2014-1-22

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