Bankar Gayatri R, Keoliya Ajay
Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Forensic Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Sep 15;14(9):e29190. doi: 10.7759/cureus.29190. eCollection 2022 Sep.
The advancement of robotics-based procedures in the medical industry is the subject of this review article. The purpose of the surgical robot is to increase surgical abilities and address human shortcomings. The robot's success has been predicated on its ability to accurately and consistently repeat tasks. The following are a few objectives and quantifiable benefits of robotic technology improving surgical maneuverability and physical capabilities. In 2005, the FDA granted gynecological surgery approval for the Da Vinci surgical system. It has been quickly embraced and has already taken on a significant role at many of the locations where it is offered. It consists of a cart with robotic branches next to the patient and a high-resolution three-dimensional (3D) vision system. This study covers laparoscopy via robots in benign gynecological surgeries, myomectomy surgery, hysterectomies, endometriosis, tubal anastomosis, and sacrocolpopexy. The appropriate published studies were evaluated after a PubMed search was conducted. Additionally, procedures that may be used in the future are highlighted. In benign gynecological illness, most currently available research does not show a substantial benefit over traditional laparoscopic surgery. Robotics, however, does provide help in more complicated operations. Compared to laparoscopy, robotic assistance has a lower conversion rate to open procedures. Endo wrist movement of an automated machine during myomectomy surgery can perform proper and better suturing than traditional laparoscopy. The automated program is a noticeable improvement over laparoscopic surgery and, if price issues are resolved, can gain popularity among gynecological surgeons around the globe.
本文综述了医疗行业中基于机器人技术的手术进展。手术机器人的目的是提高手术能力并弥补人类的不足。机器人的成功基于其准确且持续重复任务的能力。以下是机器人技术在提高手术可操作性和身体能力方面的一些目标和可量化的益处。2005年，美国食品药品监督管理局（FDA）批准了达芬奇手术系统用于妇科手术。它很快就被广泛采用，并且在许多应用它的地方已经发挥了重要作用。它由一台带有位于患者旁边的机器人臂的推车和一个高分辨率三维（3D）视觉系统组成。本研究涵盖了机器人辅助的良性妇科手术中的腹腔镜检查、子宫肌瘤切除术、子宫切除术、子宫内膜异位症、输卵管吻合术和骶骨阴道固定术。在进行PubMed搜索后，对适当的已发表研究进行了评估。此外，还强调了未来可能使用的手术方法。在良性妇科疾病中，目前大多数现有研究并未显示出相对于传统腹腔镜手术有实质性的优势。然而，机器人技术在更复杂的手术中确实能提供帮助。与腹腔镜手术相比，机器人辅助下转为开放手术的比率更低。子宫肌瘤切除术中自动机械的内腕运动比传统腹腔镜手术能进行更恰当、更好的缝合。与腹腔镜手术相比，该自动化程序有显著改进，如果价格问题得到解决，可能会在全球妇科外科医生中受到欢迎。
