机器人手术:文献综述与当前趋势
Robotic Surgery: A Comprehensive Review of the Literature and Current Trends.
作者信息
Rivero-Moreno Yeisson, Echevarria Sophia, Vidal-Valderrama Carlos, Pianetti Luigi, Cordova-Guilarte Jesus, Navarro-Gonzalez Jhon, Acevedo-Rodríguez Jessica, Dorado-Avila Gabriela, Osorio-Romero Luisa, Chavez-Campos Carmen, Acero-Alvarracín Katheryn
机构信息
General Surgery, Universidad de Oriente, Barcelona, VEN.
General Surgery, Universidad Mayor de San Simón, Cochabamba, BOL.
出版信息
Cureus. 2023 Jul 24;15(7):e42370. doi: 10.7759/cureus.42370. eCollection 2023 Jul.
Robotic surgery (RS) is an evolution of minimally invasive surgery that combines medical science, robotics, and engineering. The first robots approved by the Food and Drug Administration (FDA) were the Da Vinci Surgical System and the ZEUS Robotic Surgical System, which have been improving over time. Through the decades, the equipment applied to RS had undergone a wide transformation as a response to the development of new techniques and facilities for the assembly and implementation of the own. RS has revolutionized the field of urology, enabling surgeons to perform complex procedures with greater precision and accuracy, and many other surgical specialties such as gynecology, general surgery, otolaryngology, cardiothoracic surgery, and neurosurgery. Several benefits, such as a better approach to the surgical site, a three-dimensional image that improves depth perception, and smaller scars, enhance range of motion, allowing the surgeon to conduct more complicated surgical operations, and reduced postoperative complications have made robotic-assisted surgery an increasingly popular approach. However, some points like the cost of surgical procedures, equipment-instrument, and maintenance are important aspects to consider. Machine learning will likely have a role to play in surgical training shortly through "automated performance metrics," where algorithms observe and "learn" individual surgeons' techniques, assess performance, and anticipate surgical outcomes with the potential to individualize surgical training and aid decision-making in real time.
机器人手术(RS)是微创手术的一种演进形式,它融合了医学、机器人技术和工程学。美国食品药品监督管理局(FDA)批准的首批机器人是达芬奇手术系统和宙斯机器人手术系统,随着时间的推移,它们一直在不断改进。几十年来,由于自身组装和实施的新技术与设备的发展,应用于机器人手术的设备经历了广泛的变革。机器人手术彻底改变了泌尿外科领域,使外科医生能够以更高的精度和准确性进行复杂手术,以及在许多其他外科专科领域,如妇科、普通外科、耳鼻喉科、心胸外科和神经外科。一些益处,如更好地接近手术部位、能改善深度感知的三维图像、更小的疤痕、更大的活动范围,使外科医生能够进行更复杂的外科手术,以及减少术后并发症,这些都使得机器人辅助手术成为一种越来越受欢迎的手术方式。然而,诸如手术程序、设备器械和维护成本等一些问题是需要考虑的重要方面。机器学习可能很快会通过“自动化性能指标”在外科培训中发挥作用,即算法观察并“学习”个体外科医生的技术、评估性能并预测手术结果,有潜力实现外科培训的个性化并实时辅助决策。