Singla Nirmish, Singla Ajay K
Department of Urology, University of Texas Southwestern, Dallas, TX.
Department of Urology, University of Toledo Medical Center, Toledo, OH.
Urol Listy. 2014 Oct 15;12(3):13-16.
Over the last 25 years, the field of urology has seen the advent and evolution of minimally invasive surgical techniques. The robot in particular has been shown to be safe and efficacious in managing malignancies. More recently its application has been expanded to benign urological conditions. While some robotic applications have been well established, others remain at varying stages of evolution. Relative to open approaches, the robot has been shown to enhance intraoperative visualization and precision, mitigate surgeon tremor, hasten post-operative recovery, and shorten length of hospital stay for certain indications; however, it has also been associated with higher costs, longer operative times, and limited outcomes data. We review the evolution of robotic applications within urology and speculate on the future directions and implications within the field.
在过去25年里，泌尿外科领域见证了微创外科技术的出现和发展。特别是机器人已被证明在治疗恶性肿瘤方面安全有效。最近，其应用已扩展到良性泌尿系统疾病。虽然一些机器人应用已经成熟，但其他应用仍处于不同的发展阶段。相对于开放手术方法，机器人已被证明可增强术中可视化和精确性，减轻外科医生的震颤，加速术后恢复，并缩短某些适应症的住院时间；然而，它也与更高的成本、更长的手术时间和有限的结果数据相关。我们回顾了泌尿外科中机器人应用的发展，并推测该领域的未来方向和影响。
