Mattos Leonardo S, Caldwell Darwin G, Peretti Giorgio, Mora Francesco, Guastini Luca, Cingolani Roberto
Fondazione Istituto Italiano di Tecnologia, Genoa, Italy.
Università degli Studi di Genova, Genoa, Italy.
Swiss Med Wkly. 2016 Oct 26;146:w14375. doi: 10.4414/smw.2016.14375. eCollection 2016.
Robotics has a significant potential to enhance the overall capacity and efficiency of healthcare systems. Robots can help surgeons perform better quality operations, leading to reductions in the hospitalisation time of patients and in the impact of surgery on their postoperative quality of life. In particular, robotics can have a significant impact on microsurgery, which presents stringent requirements for superhuman precision and control of the surgical tools. Microsurgery is, in fact, expected to gain importance in a growing range of surgical specialties as novel technologies progressively enable the detection, diagnosis and treatment of diseases at earlier stages. Within such scenarios, robotic microsurgery emerges as one of the key components of future surgical interventions, and will be a vital technology for addressing major surgical challenges. Nonetheless, several issues have yet to be overcome in terms of mechatronics, perception and surgeon-robot interfaces before microsurgical robots can achieve their full potential in operating rooms. Research in this direction is progressing quickly and microsurgery robot prototypes are gradually demonstrating significant clinical benefits in challenging applications such as reconstructive plastic surgery, ophthalmology, otology and laryngology. These are reassuring results offering confidence in a brighter future for high-precision surgical interventions.
机器人技术在提升医疗系统的整体能力和效率方面具有巨大潜力。机器人可以帮助外科医生进行质量更高的手术,从而缩短患者的住院时间,并减轻手术对其术后生活质量的影响。特别是,机器人技术可对显微外科手术产生重大影响,因为显微外科手术对手术工具的超人精度和控制提出了严格要求。事实上,随着新技术逐渐能够在疾病的早期阶段实现检测、诊断和治疗,显微外科手术在越来越多的外科专科中预计将变得更加重要。在这种情况下,机器人显微外科手术成为未来外科手术干预的关键组成部分之一,并且将成为应对重大外科挑战的一项至关重要的技术。尽管如此,在显微外科手术机器人能够在手术室中充分发挥其潜力之前,在机电一体化、感知和外科医生与机器人的接口方面仍有几个问题有待克服。这方面的研究进展迅速,显微外科手术机器人原型在诸如整形重建手术、眼科、耳科和喉科等具有挑战性的应用中逐渐展现出显著的临床益处。这些令人欣慰的结果为高精度外科手术干预的光明未来提供了信心。