Möller Thorben, Steinert Matthias, Becker Thomas, Egberts Jan-Hen Drik
Klinik für Allgemein‑, Viszeral‑, Thorax‑, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland.
Klinik für Herz- und Thoraxchirurgie - Sektion Thoraxchirurgie, Universitätsklinikum Jena, Jena, Deutschland.
Chirurg. 2020 Aug;91(8):689-698. doi: 10.1007/s00104-020-01210-x.
The number of interventions using robot-assisted thoracic surgery (RATS) is increasing in Germany, following the previous international development. Robot-assisted surgery provides some technical advantages and can overcome existing limitations of video-assisted thoracic surgery (VATS), especially in the case of extended resections, thus enabling the proportion of minimally invasive operations to be further increased. The safety of the procedure, even in extended resections, has repeatedly been demonstrated but whether there are clinically relevant benefits from RATS is currently the subject of scientific discussions. In addition, a further technical evolution of the RATS can be postulated by the upcoming market introduction of new robotic systems.
随着之前的国际发展趋势，德国使用机器人辅助胸外科手术（RATS）的干预数量正在增加。机器人辅助手术具有一些技术优势，并且可以克服电视辅助胸外科手术（VATS）现有的局限性，特别是在扩大切除的情况下，从而使微创手术的比例得以进一步提高。该手术的安全性，即使在扩大切除手术中，也已多次得到证明，但RATS是否具有临床相关益处目前仍是科学讨论的主题。此外，随着新机器人系统即将推向市场，可以推测RATS将有进一步的技术发展。
