Kaan Hung Leng, Ho Khek Yu
Department of General Surgery Ng Teng Fong General Hospital Singapore.
Department of General Surgery National University Hospital Singapore.
JGH Open. 2020 Sep 9;4(5):790-794. doi: 10.1002/jgh3.12412. eCollection 2020 Oct.
The endoscope was traditionally used as a diagnostic instrument. In past decades, it has increasingly been adapted for therapeutic intents. Subsequently, the master-slave robotic concept was introduced into the field of endoscopy to potentially reduce the difficulty and complication rates of endoscopic therapeutic procedures. As interest in robotic endoscopy intensified, progressively more robotic endoscopic platforms were developed, tested, and introduced. Nevertheless, the future of robotic endoscopy hinges on the ability to meet specific clinical needs of procedurists. Three aspects are vital in ensuring continued success and clinical adoption of the robotic endoscope-demonstration of clinical safety and cost-efficacy of the device, widespread availability of directed training opportunities to enhance technical skills and clinical decision-making capabilities of the procedurist, and continued identification of new clinical applications beyond the current uses of the device. This review provides a brief discussion of the historical development of robotic endoscopy, current robotic endoscopic platforms, use of robotic endoscopy in conventional therapeutic endoscopic procedures, and the future of robotic endoscopy.
传统上，内窥镜用作诊断工具。在过去几十年中，它越来越多地被用于治疗目的。随后，主从式机器人概念被引入内窥镜领域，以潜在地降低内窥镜治疗程序的难度和并发症发生率。随着对机器人内窥镜的兴趣增强，越来越多的机器人内窥镜平台被开发、测试并推出。然而，机器人内窥镜的未来取决于满足手术医生特定临床需求的能力。在确保机器人内窥镜持续成功并被临床采用方面，三个方面至关重要——证明该设备的临床安全性和成本效益、广泛提供定向培训机会以提高手术医生的技术技能和临床决策能力，以及持续确定该设备当前用途之外的新临床应用。本综述简要讨论了机器人内窥镜的历史发展、当前的机器人内窥镜平台、机器人内窥镜在传统治疗性内窥镜手术中的应用以及机器人内窥镜的未来。
