Wang Peng, Su Ying-Jun, Jia Chi-Yu
Department of Burn and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen 361100, Fujian Province, China.
Department of Burn and Plastic Surgery, Xiang'an Hospital of Xiamen University, Xiamen 361100, Fujian Province, China.
Chin J Traumatol. 2019 Apr;22(2):88-92. doi: 10.1016/j.cjtee.2019.01.003. Epub 2019 Feb 27.
This paper systematically reviewed and analyzed the recent publications of robotic-assisted surgeries in the field of tissue repair and reconstruction. Surgical robots can elevate skin flap more accurately and shorten the time of tissue harvest. In addition, robotic-assisted surgery has the advantage of minimal tissue trauma and thus forms minimal scar. The utilization of surgical robots reduces the occurrence of complications after oral radical tumor resection while achieving cosmetic sutures. Robotic-assisted radical mastectomy could radically remove invasive breast cancer lesions and achieve breast reconstruction in the first stage through the small incisions in the operation areas. Surgical robots enable precise microvascular anastomosis and reduce tissue edema in the surgical field. Robotic-assisted technology can help appropriately locate the target tissues at different angles during sinus and skull base surgeries and accurately place tissues during urethroplasty. The robotic-assisted technology provides a new platform for surgical innovation in the field of tissue repair and reconstruction. However, the uncertainty in the survival rate after tumor radical surgery, the increase of operating time, and the high costs are barriers for its clinical application in tissue repair and reconstructive surgery. Nevertheless, robotic-assisted technology has already demonstrated an impact on the field of tissue repair and reconstruction in a meaningful way.
本文系统回顾并分析了组织修复与重建领域中机器人辅助手术的近期出版物。手术机器人能够更精确地掀起皮瓣并缩短组织获取时间。此外，机器人辅助手术具有组织创伤最小的优势，因此形成的瘢痕也最小。手术机器人的应用减少了口腔根治性肿瘤切除术后并发症的发生，同时实现了美容缝合。机器人辅助根治性乳房切除术能够彻底切除浸润性乳腺癌病灶，并通过手术区域的小切口一期完成乳房重建。手术机器人能够实现精确的微血管吻合，并减少手术区域的组织水肿。机器人辅助技术有助于在鼻窦和颅底手术中以不同角度准确找到目标组织，并在尿道成形术中精确放置组织。机器人辅助技术为组织修复与重建领域的手术创新提供了一个新平台。然而，肿瘤根治性手术后生存率的不确定性、手术时间的增加以及高昂的成本是其在组织修复和重建手术中临床应用的障碍。尽管如此，机器人辅助技术已经在组织修复与重建领域产生了有意义的影响。
