Garcia Alejandro, Shave Samantha, Cheng Yew S, Santos Felipe, Quesnel Alicia, Cohen Michael S, Lee Daniel J
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (MEEI), Harvard Medical School, Boston, Massachusetts, USA.
Otolaryngol Head Neck Surg. 2024 Apr;170(4):1190-1194. doi: 10.1002/ohn.571. Epub 2024 Jan 17.
Robotic-assisted surgery has gained popularity for otolaryngology procedures. It provides high-definition images and surgical precision to perform diverse procedures. It is an alternative to the operating microscope, endoscope, or exoscope when reaching hidden anatomical structures in the ear. In this proof-of-concept study, we aim to demonstrate the possibility of using a robotic-assisted device to perform ear surgery in conjunction with the microscope or the endoscope. In total, there were 9 ear and lateral skull base procedures performed with the use of robotic-assisted surgery. All surgeons underwent surveys to assess the performance and workload of the device compared to the microscope or endoscope. There were no postoperative complications. Robotic-assisted surgery was optimal for providing high image quality, ergonomics, and maintaining surgical performance. The size of the device and mental demand were higher compared to the microscope or endoscope. Robotic-assisted surgery can be an adjuvant to perform otologic and neurotologic surgery.
机器人辅助手术在耳鼻喉科手术中越来越受欢迎。它提供高清图像和手术精度，以执行各种手术。当到达耳部隐藏的解剖结构时，它是手术显微镜、内窥镜或外视镜的替代选择。在这项概念验证研究中，我们旨在证明使用机器人辅助设备结合显微镜或内窥镜进行耳部手术的可能性。总共使用机器人辅助手术进行了9例耳部和侧颅底手术。所有外科医生都接受了调查，以评估该设备与显微镜或内窥镜相比的性能和工作量。没有术后并发症。机器人辅助手术在提供高图像质量、人体工程学和维持手术性能方面是最佳的。与显微镜或内窥镜相比，该设备的尺寸和精神需求更高。机器人辅助手术可以作为进行耳科和神经耳科手术的辅助手段。
