Thomas Michael N, Schmidt Thomas, Fuchs Hans, Stippel Dirk, Wagner Tristan, Hummels Marielle, Buchner Denise, Hiort Mirka, Kraus Dolores, Bruns Christiane J
Klinik für Allgemeine‑, Viszeral‑, Thorax- und Transplantationschirurgie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland.
Chirurgie (Heidelb). 2025 May 9. doi: 10.1007/s00104-025-02268-1.
Minimally invasive surgery is currently undergoing a paradigm shift from the classical laparoscopic approach to robot-assisted minimally invasive surgery. Robotic surgery has made significant progress in various surgical disciplines in recent years and is increasingly being used. This is due to the increasing clinical availability of robotic systems as well as better visualization, an increased surgical precision and a higher degree of freedom of the robotic instruments used, compared to classical laparoscopy, resulting in a flatter learning curve and better ergonomics for the surgeon. This article examines the current status of robot-assisted liver surgery, highlights the technical and clinical challenges and discusses future perspectives and potential developments in this dynamic field.
微创手术目前正经历从传统腹腔镜手术方法到机器人辅助微创手术的范式转变。近年来，机器人手术在各个外科领域都取得了显著进展，并且使用越来越频繁。这是由于机器人系统在临床上的可及性不断提高，以及与传统腹腔镜手术相比，具有更好的可视化效果、更高的手术精度和所使用机器人器械的更高自由度，从而使学习曲线更平缓，对外科医生来说人体工程学更优。本文探讨了机器人辅助肝脏手术的现状，突出了技术和临床挑战，并讨论了这个充满活力的领域的未来前景和潜在发展。
