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[机器人系统在血管外科手术中的应用进展]

[Progress of robotic system application in vascular surgery].

作者信息

Jia Senhao, Xiong Jiang, Wei Ren, Guo Wei

机构信息

Department of Vascular Surgery, General Hospital of Chinese PLA, Beijing, 100853, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Nov;27(11):1395-9.

Abstract

OBJECTIVE

To review the progress of the robotic applications in vascular surgery.

METHODS

Recent literature about the robotic applications in vascular surgery was reviewed and analyzed.

RESULTS

Robotic system is composed of surgery robotic system and endovascular interventional robotic system. The time of aortic clamping and anastomosis is reduced considerably during the robotic-assisted aorta bypass surgery, and the dissection of aorta is completed successfully in totally robotic approach. Endovascular interventional robotic system has good performance in navigation and stability, and shows apparent advantages in passing special anatomical segment and complicated lesion. However, the robotic systems are still limited in application for high cost. The problem of tactile feedback should also be solved quickly.

CONCLUSION

Robotic systems have apparent advantages and good prospect in vascular surgery. Nevertheless, it still require many clinical trials to formulate the indication and contraindication, to establish standard procedure, to assess the long-term effectiveness of the robotic systems and so on.

摘要

目的

回顾机器人技术在血管外科手术中的应用进展。

方法

对近期有关机器人技术在血管外科手术中应用的文献进行回顾与分析。

结果

机器人系统由手术机器人系统和血管腔内介入机器人系统组成。在机器人辅助下的主动脉旁路移植手术中,主动脉阻断和吻合时间显著缩短,并且完全通过机器人技术成功完成了主动脉的解剖分离。血管腔内介入机器人系统在导航和稳定性方面表现良好,在通过特殊解剖节段和复杂病变时显示出明显优势。然而,机器人系统因成本高昂,应用仍受到限制。触觉反馈问题也亟待解决。

结论

机器人系统在血管外科手术中具有明显优势和良好前景。尽管如此,仍需要进行大量临床试验来制定适应证和禁忌证,建立标准操作流程,评估机器人系统的长期有效性等。

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