Nuzzi Raffaele, Brusasco Luca
Department of Surgical Sciences, Eye Clinic, University of Torino, Turin, Italy.
Eye Brain. 2018 Feb 1;10:13-24. doi: 10.2147/EB.S148644. eCollection 2018.
Robot-assisted surgery has revolutionized many surgical subspecialties, mainly where procedures have to be performed in confined, difficult to visualize spaces. Despite advances in general surgery and neurosurgery, in vivo application of robotics to ocular surgery is still in its infancy, owing to the particular complexities of microsurgery. The use of robotic assistance and feedback guidance on surgical maneuvers could improve the technical performance of expert surgeons during the initial phase of the learning curve.
We analyzed the advantages and disadvantages of surgical robots, as well as the present applications and future outlook of robotics in neurosurgery in brain areas related to vision and ophthalmology.
Limitations to robotic assistance remain, that need to be overcome before it can be more widely applied in ocular surgery.
There is heightened interest in studies documenting computerized systems that filter out hand tremor and optimize speed of movement, control of force, and direction and range of movement. Further research is still needed to validate robot-assisted procedures.
机器人辅助手术已经给许多外科亚专业带来了变革，主要是在必须在狭窄、难以可视化的空间中进行手术的领域。尽管普通外科和神经外科取得了进展，但由于显微手术的特殊复杂性，机器人在眼科手术中的体内应用仍处于起步阶段。在手术操作中使用机器人辅助和反馈指导可以在学习曲线的初始阶段提高专家外科医生的技术表现。
我们分析了手术机器人的优缺点，以及机器人在与视觉和眼科相关的脑区神经外科中的当前应用和未来前景。
在机器人辅助能够更广泛地应用于眼科手术之前，仍存在需要克服的限制。
人们对记录能够滤除手部震颤并优化运动速度、力量控制以及运动方向和范围的计算机化系统的研究兴趣日益浓厚。仍需要进一步研究来验证机器人辅助手术程序。
