Jayne D
St James's University Hospital & University of Leeds, Level 7 Clinical Sciences Building, LS9 7TF, Leeds, Großbritannien.
Chirurg. 2013 Aug;84(8):635-42. doi: 10.1007/s00104-013-2499-7.
Robotic assistance has the potential to compensate for the limitations inherent in standard laparoscopic surgery. The daVinci® surgical system remains the only currently available commercial robotic system. It has found popularity in rectal cancer surgery where its application has consistently been shown to reduce the need to convert to open surgery. With this exception, the technological advances of the robotic system have not so far translated into any reproducible patient benefit. The first part of this manuscript presents an overview of the current daVinci® platform, its applications, the evidence base and future developments in colorectal surgery. The second part of the manuscript looks at other robot systems in development and the different innovations and strategies taken to advance minimally invasive surgery.The English full-text version of this article is available at SpringerLink (under supplemental).
机器人辅助有潜力弥补标准腹腔镜手术固有的局限性。达芬奇®手术系统仍是目前唯一可用的商用机器人系统。它在直肠癌手术中颇受欢迎,其应用一直被证明可减少转为开放手术的需求。除此之外,到目前为止,机器人系统的技术进步尚未转化为任何可重复的患者受益。本手稿的第一部分概述了当前的达芬奇®平台、其应用、证据基础以及结直肠手术的未来发展。手稿的第二部分探讨了其他正在研发的机器人系统以及为推进微创手术所采取的不同创新和策略。本文的英文全文版本可在SpringerLink(补充材料中)获取。