机器人技术在整形和重建外科中的应用：系统评价。
The application of robotics in plastic and reconstructive surgery: A systematic review.
机构信息
Department of Plastic Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Department of Internal Medicine, The University Hospitals of Leicester NHS Foundation Trust, Leicester, UK.
出版信息
Int J Med Robot. 2024 Aug;20(4):e2661. doi: 10.1002/rcs.2661.
BACKGROUND
Robotic assisted surgery (RAS) has seen significant advancement in many surgical specialties, although the application of robotics in plastic and reconstructive surgery remains to be widely established. This systematic review aims to assess the role of RAS in plastic and reconstructive surgery.
METHODS
The review protocol was published and registered a priori as CRD42024507420. A comprehensive electronic search for relevant studies was performed in MEDLINE, Embase and Google scholar databases.
RESULTS
Overall, 132 studies were initially identified, of which, 44 studies satisfied the eligibility criteria with a cumulative total of 239 patients. RAS demonstrated a high degree of procedural success and anastomotic patency in microvascular procedures. There was no significant difference in periprocedural adverse events between robotic and manual procedures.
CONCLUSION
RAS can be feasibly implemented in plastic and reconstructive surgery with a good efficacy and safety profile, particularly for microsurgical anastomosis and trans-oral surgery.
背景
机器人辅助手术（RAS）在许多外科专业领域取得了重大进展，尽管机器人在整形和重建外科中的应用仍有待广泛确立。本系统评价旨在评估 RAS 在整形和重建外科中的作用。
方法
该综述方案已预先在 MEDLINE、Embase 和 Google Scholar 数据库中发布和注册。对相关研究进行了全面的电子检索。
结果
总体而言，最初确定了 132 项研究，其中 44 项研究符合纳入标准，共有 239 例患者。RAS 在微血管手术中显示出了高度的手术成功率和吻合通畅率。机器人手术与手动手术之间在围手术期不良事件方面无显著差异。
结论
RAS 可在整形和重建外科中安全有效地实施，尤其适用于显微吻合和经口手术。
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