Giaccone Agnese, Solli Piergiorgio, Bertolaccini Luca
School of Medicine and Surgery, University of Turin (Polo Molinette), Turin, Italy.
Department of Thoracic Surgery - AUSL Romagna, Forlì Teaching Hospital, Forlì, Italy.
J Vis Surg. 2017 Feb 13;3:17. doi: 10.21037/jovs.2017.01.13. eCollection 2017.
The magnetic anchoring guidance system (MAGS) is one of the most promising technological innovations in minimally invasive surgery and consists in two magnetic elements matched through the abdominal or thoracic wall. The internal magnet can be inserted into the abdominal or chest cavity through a small single incision and then moved into position by manipulating the external component. In addition to a video camera system, the inner magnetic platform can house remotely controlled surgical tools thus reducing instruments fencing, a serious inconvenience of the uniportal access. The latest prototypes are equipped with self-light-emitting diode (LED) illumination and a wireless antenna for signal transmission and device controlling, which allows bypassing the obstacle of wires crossing the field of view (FOV). Despite being originally designed for laparoscopic surgery, the MAGS seems to suit optimally the characteristics of the chest wall and might meet the specific demands of video-assisted thoracic surgery (VATS) surgery in terms of ergonomics, visualization and surgical performance; moreover, it involves less risks for the patients and an improved aesthetic outcome.
磁锚定引导系统（MAGS）是微创手术中最具前景的技术创新之一，它由通过腹壁或胸壁匹配的两个磁性元件组成。内部磁体可通过一个小的单一切口插入腹腔或胸腔，然后通过操作外部组件移动到指定位置。除了摄像系统外，内部磁性平台还可容纳遥控手术工具，从而减少器械缠绕，这是单孔入路的一个严重不便之处。最新的原型配备了自发光二极管（LED）照明以及用于信号传输和设备控制的无线天线，这使得能够绕过电线穿过视野（FOV）的障碍。尽管MAGS最初是为腹腔镜手术设计的，但它似乎最适合胸壁的特点，并且在人体工程学、可视化和手术性能方面可能满足电视辅助胸腔镜手术（VATS）的特定需求；此外，它对患者的风险较小，美观效果更好。
