Eichhorn Martin, Haag Johannes, Grünewald Christiane, Reimer Peter, Winter Hauke
Chirurgische Abteilung, Thoraxklinik, Universitätsklinikum Heidelberg, Deutschland, Translational Lung Research Center (TLRCH) Heidelberg, Deutsches Zentrum für Lungenforschung (DZL).
Zentralbl Chir. 2021 Feb;146(1):111-118. doi: 10.1055/a-1192-7205. Epub 2020 Aug 6.
In recent years, robot-assisted thoracic surgery is gaining more and widespread interest in Europe. Due to the narrow space and the complexity of anatomical structures, conventional minimally invasive mediastinal surgery may be challenging for the thoracic surgeon. Robot-assisted mediastinal surgery opens up new possibilities for minimally invasive surgery, as it permits greater dexterity, a three-dimensional view, and tremor adjustment, which allows the surgeon to perform complex procedures in small thoracic spaces. As robotic platforms continue to evolve, more complex mediastinal thoracic surgical interventions will be facilitated, translating to improved outcomes for patients. This article provides an overview of the current status of robot-assisted mediastinal surgery and summarises general aspects of the indication, set-up and steps of robot-assisted thoracoscopic surgery in mediastinal mass resections.
近年来，机器人辅助胸外科手术在欧洲越来越受到广泛关注。由于空间狭窄和解剖结构复杂，传统的微创纵隔手术对胸外科医生来说可能具有挑战性。机器人辅助纵隔手术为微创手术开辟了新的可能性，因为它具有更高的灵活性、三维视野和震颤调节功能，使外科医生能够在狭小的胸腔空间内进行复杂手术。随着机器人平台的不断发展，将有助于开展更复杂的纵隔胸外科手术干预，从而为患者带来更好的治疗效果。本文概述了机器人辅助纵隔手术的现状，并总结了纵隔肿物切除术中机器人辅助胸腔镜手术的适应症、设置和步骤等一般情况。
