Winkler Christoph, Strobl Andreas, Schmal Thomas J, Hartl Maximilian, Burian Martin, Formanek Michael
Abteilung für HNO und Phoniatrie, Krankenhaus der Barmherzigen Brüder Wien, Johannes-von-Gott-Platz 1, 1020, Wien, Österreich.
Fakultät für Medizin, Sigmund Freud Privat Universität Wien, Campus Prater, Freudplatz 1, 1020, Wien, Österreich.
Wien Med Wochenschr. 2022 Feb;172(1-2):20-30. doi: 10.1007/s10354-021-00865-3. Epub 2021 Aug 2.
Since the beginning of the 21 century, surgical robots have been used in the ENT-environment. They primarily support surgeons in minimal invasive transoral operations, especially in multidisciplinary treatment concepts of head and neck tumors, but also in snoring surgery the robot provides a complement to the established transoral laser surgery. In the meantime there is a large number of data that deals with the importance of oncological results, function maintenance, economics and future perspectives.Operation areas of the current robot devices are still limited in the ENT-environment. As the number of cases are small, efforts are being made to connect centres on a national and international level. Thus, uniform training standards, targeted knowledge and data exchange as well as further development of systems would be managed better. The creation of small and agile ENT-specific equipment could expand the possibilities as a next step for the future and finally lead to a wide scale of ENT-surgical applications.
自21世纪初以来,手术机器人已在耳鼻喉科环境中得到应用。它们主要在微创经口手术中为外科医生提供支持,特别是在头颈部肿瘤的多学科治疗概念中,但在打鼾手术中,机器人也为既定的经口激光手术提供了补充。与此同时,有大量数据涉及肿瘤学结果、功能维持、经济性和未来前景的重要性。目前机器人设备在耳鼻喉科环境中的手术领域仍然有限。由于病例数量较少,正在努力在国家和国际层面连接各个中心。这样,统一的培训标准、有针对性的知识和数据交流以及系统的进一步开发将得到更好的管理。制造小型且灵活的耳鼻喉科专用设备可能会在未来进一步扩大可能性,并最终导致耳鼻喉科手术应用的广泛普及。