Möller Thorben, Egberts Jan-Hendrik
Klinik für Allgemein‑, Viszeral‑, Thorax‑, Transplantations- und Kinderchirurgie, Christian-Albrechts-Universität zu Kiel und Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
Sektion Thoraxchirurgie, Klinik für Allgemeine, Viszeral- Thorax‑, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland.
Chirurg. 2021 Feb;92(2):122-127. doi: 10.1007/s00104-020-01298-1.
The proportion of robot-assisted thoracic surgery (RATS) is continuously increasing. The main areas of clinical application are anatomical lung resections with lymphadenectomy and resection of mediastinal tumors. Especially in the area of the thymus robot-assisted procedures can now be considered the gold standard. Overall, the limitations of video-assisted thoracoscopic surgery (VATS) can be overcome by the use of robot-assisted surgery and thus a larger proportion of patients can be treated with minimally invasive procedures. The safety of the RATS procedure has been repeatedly demonstrated, although it remains difficult to demonstrate scientifically measurable benefits. With the introduction of new systems on the market further technical evolution and improvement can be expected in the future.
机器人辅助胸外科手术（RATS）的比例在持续上升。其临床应用的主要领域是伴有淋巴结清扫的解剖性肺切除术以及纵隔肿瘤切除术。特别是在胸腺领域，机器人辅助手术如今可被视为金标准。总体而言，使用机器人辅助手术能够克服电视辅助胸腔镜手术（VATS）的局限性，从而可以用微创手术治疗更大比例的患者。尽管难以科学地证明其可测量的益处，但RATS手术的安全性已得到反复证实。随着市场上新型系统的推出，预计未来技术将进一步发展和改进。
