Hamlyn Centre for Robotic Surgery and Artificial Intelligence, Imperial College London, London, UK.
National Hospital for Neurology and Neurosurgery, London, UK.
Int J Med Robot. 2022 Apr;18(2):e2358. doi: 10.1002/rcs.2358. Epub 2021 Dec 30.
From traditional open surgery to laparoscopic surgery and robot-assisted surgery, advances in robotics, machine learning, and imaging are pushing the surgical approach to-wards better clinical outcomes. Pre-clinical and clinical evidence suggests that automation may standardise techniques, increase efficiency, and reduce clinical complications.
A PRISMA-guided search was conducted across PubMed and OVID.
Of the 89 screened articles, 51 met the inclusion criteria, with 10 included in the final review. Automatic data segmentation, trajectory planning, intra-operative registration, trajectory drilling, and soft tissue robotic surgery were discussed.
Although automated surgical systems remain conceptual, several research groups have developed supervised autonomous robotic surgical systems with increasing consideration for ethico-legal issues for automation. Automation paves the way for precision surgery and improved safety and opens new possibilities for deploying more robust artificial intelligence models, better imaging modalities and robotics to improve clinical outcomes.
从传统的开放式手术到腹腔镜手术和机器人辅助手术，机器人技术、机器学习和成像技术的进步正在推动手术方法朝着更好的临床结果发展。临床前和临床证据表明，自动化可以使技术标准化，提高效率，并减少临床并发症。
在 PubMed 和 OVID 上进行了 PRISMA 指导的搜索。
在筛选出的 89 篇文章中，有 51 篇符合纳入标准，最终有 10 篇纳入综述。讨论了自动数据分割、轨迹规划、术中配准、轨迹钻孔和软组织机器人手术。
尽管自动化手术系统仍处于概念阶段，但已经有几个研究小组开发了有监督的自主机器人手术系统，并越来越多地考虑自动化的伦理法律问题。自动化为精准手术和提高安全性铺平了道路，并为部署更强大的人工智能模型、更好的成像方式和机器人技术以改善临床结果开辟了新的可能性。
