Schoeb D S, Rassweiler J, Sigle A, Miernik A, Engels C, Goezen A S, Teber D
Medizinische Fakultät, Klinik für Urologie, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Klinik für Urologie, SLK-Kliniken Heilbronn GmbH, Heilbronn, Deutschland.
Urologe A. 2021 Jan;60(1):27-38. doi: 10.1007/s00120-020-01405-4. Epub 2020 Dec 15.
Urology has always been closely linked to technological progress. In the last few decades, we have witnessed increasing implementation of various technologies and innovations in subdisciplines of urology. While conventional laparoscopy is increasingly being replaced by robot-assisted procedures and the introduction of new robotic systems from various manufactures will continue for years, the field of endourolgy is still not dominated by robotic systems. However, new systems (e.g., autonomous, robot-controlled aquablation of the prostate) are becoming increasingly popular and numerous development projects will also probably change clinical care in coming years. In addition, further advancements in the combination of robotics with intraoperative navigation through the integration of imaging and augmented-reality (AR) and virtual reality (VR) technology can be expected. This combination of navigation and robotic technology is already being used successfully in prostate biopsy.
泌尿外科一直与技术进步紧密相连。在过去几十年里,我们目睹了各种技术和创新在泌尿外科各亚专业中越来越多地得到应用。虽然传统腹腔镜手术正越来越多地被机器人辅助手术所取代,并且来自不同制造商的新型机器人系统的引入还将持续数年,但腔内泌尿外科领域仍未被机器人系统主导。然而,新系统(例如,自主的、机器人控制的前列腺水刀消融术)正变得越来越受欢迎,并且众多的开发项目在未来几年也可能会改变临床护理。此外,可以预期通过成像与增强现实(AR)和虚拟现实(VR)技术的整合,机器人技术与术中导航的结合将取得进一步进展。这种导航与机器人技术的结合已在前列腺活检中成功应用。