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采用Medrobotics Flex™系统的经口机器人手术(TORS):首次在人体上的手术应用。

Transoral robotic surgery (TORS) with the Medrobotics Flex™ System: first surgical application on humans.

作者信息

Remacle M, M N Prasad V, Lawson G, Plisson L, Bachy V, Van der Vorst S

机构信息

Department of ORL-Head and Neck Surgery, Louvain University Hospital of Mont-Godinne, Avenue Docteur G. Therasse, 1, 5530, Yvoir, Belgium.

出版信息

Eur Arch Otorhinolaryngol. 2015 Jun;272(6):1451-5. doi: 10.1007/s00405-015-3532-x. Epub 2015 Feb 8.

DOI:10.1007/s00405-015-3532-x
PMID:25663191
Abstract

Head and neck surgery can be fraught with difficulties in accessing the pharynx and larynx. Minimally invasive surgery has developed with the recent advances in technology. Currently, we have a variety of high-definition multichannel videoendoscopes and robots in our armamentarium. We present our experience in a new robotic surgical system-'The Medrobotics Flex™ System' at our tertiary referral unit. We aimed to assess the safety, functionality and ease of use of this new device in this prospective study. Thus far, this is the first study in live human subjects who have undergone surgery for the following conditions: (1) obstructive sleep apnoea involving the base of tongue, the tonsil and the velum; (2) vocal fold polyp; (3) carcinoma of the lateral edge of the tongue. There were no complications in our series and the system provided good visualisation and access to these subsites without compromising safety or success. In summary, we found the Medrobotics Flex™ System to have certain other advantages including ease of set up and use besides being reliable and safe.

摘要

头颈部手术在进入咽和喉时可能充满困难。随着技术的最新进展,微创手术得以发展。目前,我们的设备中有各种高清多通道视频内窥镜和机器人。我们在我们的三级转诊单位展示了我们在一种新型机器人手术系统——“美迪机器人Flex™系统”方面的经验。在这项前瞻性研究中,我们旨在评估这种新设备的安全性、功能性和易用性。到目前为止,这是第一项针对以下病症接受手术的活体人类受试者的研究:(1)涉及舌根、扁桃体和软腭的阻塞性睡眠呼吸暂停;(2)声带息肉;(3)舌外侧缘癌。我们的系列病例中没有并发症,该系统提供了良好的可视化效果,并能在不影响安全性或成功率的情况下进入这些亚部位。总之,我们发现美迪机器人Flex™系统除了可靠和安全之外,还有其他一些优点,包括易于设置和使用。

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Laryngoscope. 2013 May;123(5):1168-72. doi: 10.1002/lary.23512. Epub 2013 Mar 14.
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Robotic surgery: a current perspective.机器人手术:当前视角
Ann Surg. 2004 Jan;239(1):14-21. doi: 10.1097/01.sla.0000103020.19595.7d.
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Flexible fiberoptic nasopharyngolaryngoscope.可弯曲纤维鼻咽喉镜
Proc IEEE Inst Electr Electron Eng. 2022 Jul;110(7):847-870. doi: 10.1109/JPROC.2022.3141338. Epub 2022 Feb 8.
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Robotic Surgery Techniques to Improve Traditional Laparoscopy.机器人手术技术对传统腹腔镜手术的改进。
JSLS. 2022 Apr-Jun;26(2). doi: 10.4293/JSLS.2022.00002.
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Current Advances in Robotics for Head and Neck Surgery-A Systematic Review.头颈外科机器人技术的当前进展——一项系统综述
Cancers (Basel). 2021 Mar 19;13(6):1398. doi: 10.3390/cancers13061398.
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Flexible transoral robotic surgery: the Italian experience.柔性经口机器人手术:意大利的经验。
Acta Otorhinolaryngol Ital. 2021 Feb;41(1):24-30. doi: 10.14639/0392-100X-N0688.
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[Robot-assisted head and neck surgery].[机器人辅助头颈外科手术]
HNO. 2021 Feb;69(2):131-139. doi: 10.1007/s00106-020-00934-w.
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Novel Energy Devices in Head and Neck Robotic Surgery - A Narrative Review.头颈机器人手术中的新型能量设备——一篇叙述性综述。
Robot Surg. 2020 Apr 23;7:25-39. doi: 10.2147/RSRR.S247455. eCollection 2020.
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Tech Coloproctol. 2020 May;24(5):471-474. doi: 10.1007/s10151-020-02180-2. Epub 2020 Mar 4.
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