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[颅神经外科中的机器人技术与计算机辅助手术]

[Robotics and computer-assisted procedures in cranial neurosurgery].

作者信息

Picht Thomas, Vajkoczy Peter

机构信息

Klinik für Neurochirurgie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

Exzellenzcluster Matters of Activity. Image Space Material, Humboldt Universität zu Berlin, Berlin, Deutschland.

出版信息

Chirurgie (Heidelb). 2023 Apr;94(4):299-306. doi: 10.1007/s00104-022-01783-9. Epub 2023 Jan 11.

Abstract

BACKGROUND

The medical technical innovations over the last decade have made operations in the highly sensitive regions of the brain much safer.

OBJECTIVE

Presentation of how far computer assistance and robotics have become incorporated into clinical neurosurgery.

MATERIAL AND METHOD

Evaluation of the scientific literature and analysis of the certification status of the corresponding medical devices.

RESULTS

The rapid development of computer technology and the switch to digital imaging has led to the widespread introduction of neurosurgical planning software and intraoperative neuronavigation. In the field of robotics, the penetration into clinical neurosurgery is currently still largely limited to the automatic setting of trajectories.

CONCLUSION

The digitalization of imaging has fundamentally transformed neurosurgery. In the field of cranial neurosurgery, computer-assisted procedures can now be distinguished from noncomputer-assisted procedures only in a handful of cases. In the coming years important innovations for the clinical implementation can be expected in the field of robotics.

摘要

背景

过去十年的医学技术创新使在大脑高度敏感区域进行手术更加安全。

目的

介绍计算机辅助和机器人技术在临床神经外科中的应用程度。

材料与方法

评估科学文献并分析相应医疗设备的认证状况。

结果

计算机技术的快速发展以及向数字成像的转变导致神经外科手术规划软件和术中神经导航的广泛应用。在机器人技术领域,目前其在临床神经外科的应用主要仍局限于轨迹的自动设定。

结论

成像数字化从根本上改变了神经外科。在颅神经外科领域,如今只有少数情况下计算机辅助手术与非计算机辅助手术能够区分开来。未来几年,预计机器人技术领域将出现重要的临床应用创新。

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