Chen Kuo, Zhang Jin, Beeraka Narasimha M, Sinelnikov Mikhail Y, Zhang Xinliang, Cao Yu, Lu Pengwei
Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, 1 Jianshedong Street, Zhengzhou 450052, China.
Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA.
J Clin Med. 2022 Mar 25;11(7):1827. doi: 10.3390/jcm11071827.
In recent times, robot-assisted surgery has been prominently gaining pace to minimize overall postsurgical complications with minimal traumatization, due to technical advancements in telerobotics and ergonomics. The aim of this review is to explore the efficiency of robot-assisted systems for executing breast surgeries, including microsurgeries, direct-to-implant breast reconstruction, deep inferior epigastric perforators-based surgery, latissimus dorsi breast reconstruction, and nipple-sparing mastectomy. Robot-assisted surgery systems are efficient due to 3D-based visualization, dexterity, and range of motion while executing breast surgery. The review describes the comparative efficiency of robot-assisted surgery in relation to conventional or open surgery, in terms of clinical outcomes, morbidity rates, and overall postsurgical complication rates. Potential cost-effective barriers and technical skills were also delineated as the major limitations associated with these systems in the clinical sector. Furthermore, instrument articulation of robot-assisted surgical systems (for example, da Vinci systems) can enable high accuracy and precision surgery due to its promising ability to mitigate tremors at the time of surgery, and shortened learning curve, making it more beneficial than other open surgery procedures.
近年来，由于远程机器人技术和人体工程学的技术进步，机器人辅助手术正迅速发展，以尽量减少整体术后并发症，并使创伤最小化。本综述的目的是探讨机器人辅助系统在实施乳房手术方面的效率，包括显微手术、直接植入式乳房重建、基于腹壁下深动脉穿支的手术、背阔肌乳房重建和保留乳头的乳房切除术。机器人辅助手术系统在实施乳房手术时，由于基于三维的可视化、灵活性和活动范围而具有高效性。本综述从临床结果、发病率和总体术后并发症发生率方面，描述了机器人辅助手术相对于传统手术或开放手术的比较效率。潜在的成本效益障碍和技术技能也被描述为临床领域中与这些系统相关的主要限制因素。此外，机器人辅助手术系统（例如达芬奇系统）的器械关节运动能够在手术时减轻震颤，具有很高的准确性和精确性，并且缩短了学习曲线，使其比其他开放手术更具优势。
