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新型机器人单孔手术系统:泌尿外科的可行性和现状。

Novel System for Robotic Single-port Surgery: Feasibility and State of the Art in Urology.

机构信息

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Eur Urol Focus. 2018 Sep;4(5):669-673. doi: 10.1016/j.euf.2018.06.004. Epub 2018 Jun 18.

Abstract

Robotic urology has evolved in parallel with the development of new robotic systems. A recently conceived robotic platform, specifically designed for single-port (SP) surgery, has reignited the interest for the approach. In this review, the evolution of robotic SP surgery was analyzed. Since the first published experience with a robot-assisted SP urological procedure in 2010, despite technical adjustments, robotic SP has remained with limited diffusion. However, the limitations of the available instrumentation are going to be softened with an upcoming next-generation robotic platform. Indeed, a purpose-built SP platform is being tested. The new purpose-built SP robotic system seems to represent a step forward. Based on the preliminary available experience, it facilitates the SP approach being the platform specifically designed for SP surgery. The novel SP robot could sponsor the alternative approaches to common urological interventions, allowing for potentially further minimization of the invasiveness of robotic surgery. Clinical trials will be awaited when this technology is commercially available. PATIENT SUMMARY: A novel robotic platform has been designed to be used for single-port surgery. With this particular approach, the surgery is performed through a single skin incision. Alternative access for common urological interventions will be sponsored by the new robotic platform, allowing for further reduction of the invasiveness of robotic surgery.

摘要

机器人泌尿外科与新型机器人系统的发展是并行的。最近构思的一种机器人平台,专门为单端口(SP)手术设计,重新点燃了人们对这种方法的兴趣。在这篇综述中,分析了机器人 SP 手术的发展。自 2010 年首次发表机器人辅助 SP 泌尿外科手术经验以来,尽管进行了技术调整,机器人 SP 仍然扩散有限。然而,随着下一代机器人平台的出现,可用仪器的局限性将得到缓解。事实上,一种专为 SP 设计的下一代机器人平台正在测试中。新的专用 SP 机器人系统似乎代表了向前迈进的一步。根据初步的可用经验,它促进了 SP 方法成为专门为 SP 手术设计的平台。新型 SP 机器人可以为常见的泌尿外科干预提供替代方法,从而有可能进一步减少机器人手术的侵袭性。当这项技术商业化时,将进行临床试验。

病人总结

一种新型机器人平台被设计用于单端口手术。通过这种特殊的方法,手术通过单个皮肤切口进行。新的机器人平台将为常见的泌尿外科干预提供替代途径,从而进一步减少机器人手术的侵袭性。

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