Onen Mehmet Resid, Naderi Sait
Umraniye Teaching and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2014;24(3):305-11. doi: 10.5137/1019-5149.JTN.8292-13.1.
Surgical robotic systems have been available for almost twenty years. The first surgical robotic systems were designed as supportive systems for laparoscopic approaches in general surgery (the first procedure was a cholecystectomy in 1987). The da Vinci Robotic System is the most common system used for robotic surgery today. This system is widely used in urology, gynecology and other surgical disciplines, and recently there have been initial reports of its use in spine surgery, for transoral access and anterior approaches for lumbar inter-body fusion interventions. SpineAssist, which is widely used in spine surgery, and Renaissance Robotic Systems, which are considered the next generation of robotic systems, are now FDA approved. These robotic systems are designed for use as guidance systems in spine instrumentation, cement augmentations and biopsies. The aim is to increase surgical accuracy while reducing the intra-operative exposure to harmful radiation to the patient and operating team personnel during the intervention. We offer a review of the published literature related to the use of robotic systems in spine surgery and provide information on using robotic systems.
手术机器人系统已经问世近二十年了。最初的手术机器人系统被设计为普通外科腹腔镜手术的辅助系统（1987年的第一台手术是胆囊切除术）。达芬奇机器人系统是如今机器人手术中最常用的系统。该系统广泛应用于泌尿外科、妇科及其他外科领域，最近也有关于其用于脊柱手术的初步报道，如经口入路和腰椎椎间融合术的前路手术。广泛应用于脊柱手术的SpineAssist和被视为下一代机器人系统的Renaissance机器人系统现已获得美国食品药品监督管理局（FDA）批准。这些机器人系统被设计用作脊柱器械植入、骨水泥强化和活检的引导系统。目的是提高手术准确性，同时减少手术过程中患者和手术团队人员受到有害辐射的术中暴露。我们对已发表的有关机器人系统在脊柱手术中应用的文献进行了综述，并提供了使用机器人系统的相关信息。
