Reddy Srinivasa, Tote Darshana, Zade Anup, Sudabattula Kesav, Dahmiwal Tushar, Hatewar Akansha, Bawiskar Dushyant
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Sports Medicine, Abhinav Bindra Targeting Performance, Bangalore, IND.
Cureus. 2024 Jun 29;16(6):e63488. doi: 10.7759/cureus.63488. eCollection 2024 Jun.
Appendectomy ranks among the most common surgical procedures. Laparoscopic appendectomy has become increasingly popular among certain surgeons. Even laparoscopic appendectomy is considered the gold standard; many surgical subspecialties have adopted robotic surgery in the past 10 years. The robotic system is recognized for enhancing stability, visualization, precision, and spatial flexibility. Surgeons can operate with enhanced dexterity, reduced tremors, three-dimensional visualization, up to 10 times magnification, and control over four arms thanks to improved ergonomics that allow them to sit at a customizable console. The purpose of this study is to evaluate and compare the overall effects, such as intraoperative time, postoperative recovery, feasibility for surgeons, and cost-effectiveness, of robotic-assisted appendectomy and laparoscopic appendectomy through the available literature. It was found that both robotic and laparoscopic surgeries work well for appendectomy, but in some studies, it was found that robotic surgery comes with the perks of shorter hospital stays and quicker recovery, even though it is more expensive, and in some studies, no differences were observed in patient recovery postoperatively. Laparoscopic surgery is still a highly effective and commonly used method, with proven advantages over open appendectomy, despite taking longer for the procedure. We need more studies to fully understand the advantages and disadvantages of robotic surgery, especially when it comes to cost-effectiveness and wider health outcomes.
阑尾切除术是最常见的外科手术之一。腹腔镜阑尾切除术在某些外科医生中越来越受欢迎。即使腹腔镜阑尾切除术被视为金标准，但在过去10年中，许多外科亚专业都采用了机器人手术。机器人系统因增强稳定性、可视化、精确性和空间灵活性而得到认可。由于改进了人体工程学设计，使外科医生能够坐在可定制的控制台前，他们可以更灵活地操作，减少震颤，实现三维可视化，放大倍数高达10倍，并可控制四个机械臂。本研究的目的是通过现有文献评估和比较机器人辅助阑尾切除术和腹腔镜阑尾切除术的总体效果，如手术时间、术后恢复情况、外科医生的操作可行性和成本效益。研究发现，机器人手术和腹腔镜手术在阑尾切除术中都效果良好，但在一些研究中发现，机器人手术虽成本更高，但具有住院时间短和恢复快的优点，而在另一些研究中，术后患者恢复情况未观察到差异。腹腔镜手术仍然是一种高效且常用的方法，尽管手术时间较长，但与开腹阑尾切除术相比具有已证实的优势。我们需要更多研究来全面了解机器人手术的优缺点，尤其是在成本效益和更广泛的健康结果方面。
