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脊柱外科机器人:当前应用综述及对未来前景的劣势分析。

Spine surgical robotics: review of the current application and disadvantages for future perspectives.

机构信息

Department of Spine Surgery, Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

J Robot Surg. 2020 Feb;14(1):11-16. doi: 10.1007/s11701-019-00983-6. Epub 2019 Jun 26.

DOI:10.1007/s11701-019-00983-6
PMID:31243701
Abstract

In the past decade, intelligent medical technology has been a hot research direction, which results in a series of products such as image-assisted AI and tumor diagnostic auxiliary systems. In the field of surgery, surgical robotics is one of the most attractive intelligent technologies. After nearly a decade of revolution, robots have shown much superiority in spine surgery, and many published studies on accuracy and radiation volume have reported these advantages. However, in reviewing these articles, we found that some of them mentioned the shortcomings of robots, which led us to review the comprehensive evaluation of spinal robots. In this article, we summarize the aspects that have been mentioned in published articles as well as unpublished ones that we have concluded. Through these summaries, we hope that future researchers will be able to make targeted improvements to robots and broaden the future direction of spine surgery robotics. Spine surgical robotics is still widely believed to have a brilliant future application, but it needs to solve the disadvantages of not having a wide application range, not having a deep application depth and not having prominent advantages compared with other existing application technologies.

摘要

在过去的十年中,智能医疗技术一直是一个热门的研究方向,由此产生了一系列产品,如图像辅助 AI 和肿瘤诊断辅助系统。在外科领域,手术机器人是最具吸引力的智能技术之一。经过近十年的革命,机器人在脊柱外科中显示出了很大的优势,许多关于准确性和辐射量的已发表研究都报道了这些优势。然而,在回顾这些文章时,我们发现其中一些文章提到了机器人的缺点,这促使我们对脊柱机器人进行了全面评估。在本文中,我们总结了已发表和未发表的文章中提到的各个方面,我们对此进行了总结。通过这些总结,我们希望未来的研究人员能够针对机器人的缺点进行有针对性的改进,并拓宽脊柱外科机器人的未来发展方向。脊柱外科机器人仍被广泛认为具有广阔的应用前景,但它需要解决应用范围不广、应用深度不深以及与其他现有应用技术相比优势不明显等缺点。

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Potential Risk of Intelligent Technologies in Clinical Orthopedics.智能技术在临床骨科中的潜在风险。
Adv Exp Med Biol. 2018;1093:281-288. doi: 10.1007/978-981-13-1396-7_21.
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Robot-Assisted Spine Surgery: A Solution for Aging Spine Surgeons.机器人辅助脊柱手术:老年脊柱外科医生的解决方案。
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Robotic-assisted pedicle screw placement fails to reduce overall postoperative complications in fusion surgery.机器人辅助椎弓根螺钉固定未能减少融合手术的总体术后并发症。
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Robotic-guided placement of cervical pedicle screws: feasibility and accuracy.机器人引导下颈椎椎弓根螺钉置入:可行性与准确性
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The safety and accuracy of robot-assisted pedicle screw internal fixation for spine disease: a meta-analysis.机器人辅助椎弓根螺钉内固定治疗脊柱疾病的安全性与准确性:一项Meta分析
Bone Joint Res. 2020 Oct 10;9(10):653-666. doi: 10.1302/2046-3758.910.BJR-2020-0064.R2. eCollection 2020 Oct.
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Robot-assisted orthopedic surgery in the treatment of adult degenerative scoliosis: a preliminary clinical report.机器人辅助骨科手术治疗成人退行性脊柱侧凸:初步临床报告。
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Comparison of Accuracy of Pedicle Screw Insertion Among 4 Guided Technologies in Spine Surgery.四种脊柱手术导板技术置入椎弓根螺钉准确性的比较
Med Sci Monit. 2017 Dec 16;23:5960-5968. doi: 10.12659/msm.905713.
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Association of Robotic-Assisted vs Laparoscopic Radical Nephrectomy With Perioperative Outcomes and Health Care Costs, 2003 to 2015.2003年至2015年机器人辅助与腹腔镜根治性肾切除术的围手术期结局及医疗保健成本的关联
JAMA. 2017 Oct 24;318(16):1561-1568. doi: 10.1001/jama.2017.14586.
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Pedicle Screw Insertion Accuracy Using O-Arm, Robotic Guidance, or Freehand Technique: A Comparative Study.经皮椎弓根螺钉置入准确性的比较研究:O 臂导航、机器人辅助与徒手技术。
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Neurosurg Focus. 2017 May;42(5):E2. doi: 10.3171/2017.2.FOCUS16544.
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Neurosurgery. 2017 Mar 1;80(3S):S86-S99. doi: 10.1093/neuros/nyw077.
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Pedicle screw placement accuracy of bone-mounted miniature robot system.骨-mounted微型机器人系统的椎弓根螺钉置入精度。 你这里“bone-mounted”表述不太准确,可能是“bone-mounted”,更准确的翻译或许是“基于骨骼安装的” 。完整准确译文:基于骨骼安装的微型机器人系统的椎弓根螺钉置入精度 。
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