Urbanski Alexander, Babic Benjamin, Schröder Wolfgang, Schiffmann Lars, Müller Dolores T, Bruns Christiane J, Fuchs Hans F
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Tumor- und Transplantationschirurgie, Uniklinikum Köln, Kerpener Straße 62, 50937, Köln, Deutschland.
Chirurg. 2021 Feb;92(2):97-101. doi: 10.1007/s00104-020-01317-1.
Robotic surgery was introduced into general surgery more than 20 years ago. Shortly afterwards, Horgan performed the first robotic-assisted esophagectomy in 2003 in Chicago. The aim of this manuscript is to elucidate new developments and training methods in robotic surgery with a cost-benefit analysis for robotic-assisted Ivor Lewis esophagectomy.
Systematic literature search regarding new technology and training methods for robotic surgery and cost analysis of intraoperative materials for hybrid and robotic-assisted Ivor Lewis esophagectomy.
Robotic-assisted esophageal surgery is complex and involves an extensive learning curve, which can be shortened with modern teaching methods. New robotic systems aim at the use of image-guided surgery and artificial intelligence. Robotic-assisted surgery of esophageal cancer is significantly more expensive that surgery without this technology.
Oncological short-term and long-term benefits need to be further evaluated to support the higher cost of robotic esophageal cancer surgery.
机器人手术于20多年前被引入普通外科领域。此后不久，霍根于2003年在芝加哥完成了首例机器人辅助食管切除术。本文的目的是阐明机器人手术的新进展和培训方法，并对机器人辅助的艾弗·刘易斯食管切除术进行成本效益分析。
对机器人手术的新技术和培训方法进行系统的文献检索，并对杂交和机器人辅助的艾弗·刘易斯食管切除术的术中材料进行成本分析。
机器人辅助食管手术复杂，学习曲线长，而现代教学方法可缩短这一曲线。新型机器人系统旨在应用图像引导手术和人工智能。食管癌的机器人辅助手术比无此技术的手术成本显著更高。
需要进一步评估肿瘤学方面的短期和长期获益，以支持机器人食管癌手术的较高成本。
