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机器的崛起:机器人是否是肾动脉动脉瘤修复的未来?系统评价。

The rise of the machines: are robots the future of renal artery aneurysm repair? A systematic review.

机构信息

Zbigniew Religa Student Scientific Club, Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.

出版信息

Updates Surg. 2024 Oct;76(6):2141-2149. doi: 10.1007/s13304-024-01971-8. Epub 2024 Sep 16.

Abstract

Renal artery aneurysms (RAAs) are a rare vascular condition. Robot-assisted surgery offers a minimally invasive approach for RAA repair, potentially improving surgical outcomes. This review investigates the current evidence on the effectiveness and limitations of this technique. A systematic search following PRISMA guidelines identified relevant studies across five electronic databases. Studies investigating the use of robot-assisted surgery for RAA repair were included. The review identified 11 studies encompassing a total of 23 patients. Procedures included aneurysmectomy, end-to-end anastomosis, prosthetic graft repair, and even coil embolization. All surgeries were successful, with only minor complications reported in four cases. Robot-assisted RAA repair shows promise as a minimally invasive approach with encouraging preliminary outcomes. However, the limited data come from small studies. Future advancements in robotic technology hold the potential to optimize this approach for improved patient care.

摘要

肾动脉动脉瘤(RAAs)是一种罕见的血管疾病。机器人辅助手术为 RAA 修复提供了一种微创方法,可能改善手术结果。本综述调查了该技术的有效性和局限性的现有证据。按照 PRISMA 指南进行的系统搜索在五个电子数据库中确定了相关研究。纳入了研究机器人辅助手术治疗 RAA 的研究。该综述确定了 11 项研究,共纳入 23 例患者。手术包括动脉瘤切除术、端对端吻合术、人工移植物修复术,甚至线圈栓塞术。所有手术均成功,仅 4 例报告有轻微并发症。机器人辅助 RAA 修复作为一种微创方法具有很大的潜力,初步结果令人鼓舞。然而,有限的数据来自小型研究。机器人技术的未来发展有可能优化这种方法,以改善患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5275/11541306/4714f15b63a7/13304_2024_1971_Fig1_HTML.jpg

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