Department of Urology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Institutes for Systems Genetics, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, 610041, China.
Mil Med Res. 2024 Aug 21;11(1):58. doi: 10.1186/s40779-024-00566-z.
Robot-assisted surgery has evolved into a crucial treatment for prostate cancer (PCa). However, from its appearance to today, brain-computer interface, virtual reality, and metaverse have revolutionized the field of robot-assisted surgery for PCa, presenting both opportunities and challenges. Especially in the context of contemporary big data and precision medicine, facing the heterogeneity of PCa and the complexity of clinical problems, it still needs to be continuously upgraded and improved. Keeping this in mind, this article summarized the 5 stages of the historical development of robot-assisted surgery for PCa, encompassing the stages of emergence, promotion, development, maturity, and intelligence. Initially, safety concerns were paramount, but subsequent research and engineering advancements have focused on enhancing device efficacy, surgical technology, and achieving precise multi modal treatment. The dominance of da Vinci robot-assisted surgical system has seen this evolution intimately tied to its successive versions. In the future, robot-assisted surgery for PCa will move towards intelligence, promising improved patient outcomes and personalized therapy, alongside formidable challenges. To guide future development, we propose 10 significant prospects spanning clinical, research, engineering, materials, social, and economic domains, envisioning a future era of artificial intelligence in the surgical treatment of PCa.
机器人辅助手术已经发展成为治疗前列腺癌 (PCa) 的重要手段。然而，从出现到今天，脑机接口、虚拟现实和元宇宙已经彻底改变了前列腺癌机器人辅助手术领域，带来了机遇和挑战。特别是在当代大数据和精准医学的背景下，面对 PCa 的异质性和临床问题的复杂性，它仍需要不断升级和改进。考虑到这一点，本文总结了 PCa 机器人辅助手术的 5 个历史发展阶段，包括出现、推广、发展、成熟和智能化阶段。最初，安全性是重中之重，但随后的研究和工程进展集中在提高设备效果、手术技术和实现精确多模态治疗上。达芬奇机器人辅助手术系统的主导地位使这一演变与它的连续版本密切相关。未来，PCa 的机器人辅助手术将朝着智能化方向发展，有望改善患者的治疗效果和实现个性化治疗，同时也面临着巨大的挑战。为了指导未来的发展，我们提出了跨越临床、研究、工程、材料、社会和经济领域的 10 个重要前景，设想了人工智能在 PCa 手术治疗中的未来时代。
