未来的机器人平台在泌尿科手术中的应用：最新进展。
Future robotic platforms in urologic surgery: recent developments.
机构信息
aDepartment of Urologic Surgery, Vanderbilt University Medical Center bDepartment of Mechanical Engineering, Vanderbilt University cVanderbilt Initiative in Surgical Engineering (ViSE), Nashville, Tennessee, USA.
出版信息
Curr Opin Urol. 2014 Jan;24(1):118-26. doi: 10.1097/MOU.0000000000000015.
PURPOSE OF REVIEW
To review recent developments at Vanderbilt University of new robotic technologies and platforms designed for minimally invasive urologic surgery and their design rationale and potential roles in advancing current urologic surgical practice.
RECENT FINDINGS
Emerging robotic platforms are being developed to improve performance of a wider variety of urologic interventions beyond the standard minimally invasive robotic urologic surgeries conducted currently with the da Vinci platform. These newer platforms are designed to incorporate significant advantages of robotics to improve the safety and outcomes of transurethral bladder surgery and surveillance, further decrease the invasiveness of interventions by advancing LESS surgery, and to allow for previously impossible needle access and ablation delivery.
SUMMARY
Three new robotic surgical technologies that have been developed at Vanderbilt University are reviewed, including a robotic transurethral system to enhance bladder surveillance and transurethral bladder tumor, a purpose-specific robotic system for LESS, and a needle-sized robot that can be used as either a steerable needle or small surgeon-controlled micro-laparoscopic manipulator.
目的综述：综述范德比尔特大学（美国田纳西州一所著名的研究型大学）在设计用于微创泌尿外科手术的新型机器人技术和平台方面的最新进展，以及它们的设计原理和在推进当前泌尿外科手术实践方面的潜在作用。
最新发现：目前正在开发新兴的机器人平台，以改善各种泌尿外科介入治疗的性能，这些介入治疗超出了目前使用达芬奇平台进行的标准微创机器人泌尿外科手术。这些新平台旨在结合机器人技术的显著优势，以提高经尿道膀胱手术和监测的安全性和效果，通过推进LESS 手术进一步降低介入的侵袭性，并允许以前不可能的针道进入和消融输送。
总结：本文综述了范德比尔特大学开发的三种新型机器人手术技术，包括用于增强膀胱监测和经尿道膀胱肿瘤治疗的机器人经尿道系统、用于LESS 的专用机器人系统以及可作为可转向针或小型外科医生控制的微腹腔镜操纵器使用的针状机器人。
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