Fourth-year resident completing general surgical training at Detroit Medical Center in Michigan.
Assistant professor of surgery at Wayne State University in Detroit, Michigan.
AMA J Ethics. 2023 Aug 1;25(8):E598-604. doi: 10.1001/amajethics.2023.598.
The surgical platform for robotic-assisted surgery has enabled many surgeons to join a popular trend in minimally invasive surgery, which offers prospective benefits to patients (eg, shorter hospital stays, earlier recovery, and less pain) and operational benefits to surgeons. Surgeons without minimally invasive surgical training typically acquired during fellowship training are generally able to perform complex procedures with the robotic platform due to its ergonomic suturing instrumentation, tremor stabilization, 3D visualization, and 4-arm control by a single surgeon. Prospective benefits, however, must be balanced against prospective risks. This article explores the multitude of factors that persuade both surgeons and patients to choose robotic surgery over open surgery or conventional laparoscopy and explores whether evidence exists to support its use despite sometimes conflicting research.
机器人辅助手术的手术平台使许多外科医生能够加入微创手术的流行趋势，这为患者（例如，住院时间更短、恢复更早、疼痛更少）和外科医生带来了预期的益处。没有微创外科培训经验的外科医生通常能够通过机器人平台进行复杂的手术，因为它具有符合人体工程学的缝合器械、震颤稳定、3D 可视化和由单个外科医生控制的 4 个臂。然而，预期的好处必须与预期的风险相平衡。本文探讨了促使外科医生和患者选择机器人手术而不是开放手术或传统腹腔镜手术的众多因素，并探讨了是否存在证据支持其使用，尽管有时存在相互矛盾的研究。
