Friedrich Daniel T, Scheithauer Marc O, Greve Jens, Hoffmann Thomas K, Schuler Patrick J
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Ulm University Medical Center, Germany.
Int J Med Robot. 2017 Jun;13(2). doi: 10.1002/rcs.1744. Epub 2016 Mar 16.
This article reviews current clinical applications and experimental developments for robotic surgery in the head and neck with special focus on financial challenges, current clinical trials, and the controversial aspect of haptic and tactile feedback.
Literature was screened using the pubmed library. Information on clinical trials was excerpted from the National Institute of Health database. Additional data on experimental developments were gathered by personal communication.
A steep increase in clinical applications for robotic surgery in the head and neck is determined as possible indications extend. Clinical trials are mostly non-randomized. A wide range of new robotic systems are expected to come into clinical use in the near future.
As head and neck surgeons become more familiar with robotic surgery some patients evidently benefit from new technologies. Increased competition between the systems will certainly drive technological improvement and decrease the financial burden. Copyright © 2016 John Wiley & Sons, Ltd.
本文回顾了机器人手术在头颈部的当前临床应用和实验进展,特别关注财务挑战、当前临床试验以及触觉反馈这一有争议的方面。
使用PubMed数据库筛选文献。临床试验信息摘自美国国立卫生研究院数据库。关于实验进展的其他数据通过个人交流收集。
随着可能的适应证范围扩大,头颈部机器人手术的临床应用急剧增加。临床试验大多是非随机的。预计在不久的将来会有多种新型机器人系统投入临床使用。
随着头颈外科医生对机器人手术越来越熟悉,一些患者显然从新技术中受益。系统之间竞争的加剧肯定会推动技术进步并减轻财务负担。版权所有© 2016约翰威立父子有限公司。