Nocini Riccardo, Marini Lorenzo, Michelutti Luca, Zilio Chiara, Troise Stefania, Sembronio Salvatore, Dell'Aversana Orabona Giovanni, Robiony Massimo, Tel Alessandro
Section of Ear Nose and Throat (ENT), Department of Medical and Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37124 Verona, Italy.
Clinic of Maxillofacial Surgery, Head-Neck and Neuroscience Department, University Hospital of Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy.
Medicina (Kaunas). 2025 Jun 12;61(6):1081. doi: 10.3390/medicina61061081.
: Robotic surgery represents one of the most significant innovations in the field of surgery, offering new opportunities for the treatment of complex pathologies that require greater accuracy and precision. It is a technology that has become widely used in general, urologic, gynecologic, and cardio-thoracic surgery, but has a limited evidence in the head and neck region. This review explores the use of robotic surgery in orbital pathology, focusing on its applications, benefits, and limitations. : A cross-sectional search method was performed in multiple databases to answer the following question: "What are the applications of robotic surgery in the management of orbital pathologies?" Studies were carefully reviewed by two simultaneous researchers, and, in case of disagreement, a third researcher was engaged. Care was taken to identify the surgical hardware (robotic station) used to perform the surgical procedure. : Out of 491 records, eight studies met the inclusion criteria. These included cadaveric, preclinical, in vitro, and early clinical investigations assessing robotic approaches for fronto-orbital advancement, tumor resection, orbital decompression, and other surgical procedures such as lacrimal gland dissection and biopsy, medial and lateral orbital wall dissections, enucleation, and lid-sparing orbital exenteration. The robotic systems evaluated included the Da Vinci Xi, Da Vinci SP, Medineering Robotic Endoscope Guiding System, and a modular multi-arm concentric tube robot, each with specific advantages and limitations. : Robotic surgery provides significant advantages for orbital pathologies such as improved precision, visualization, and tissue preservation, with reduced complications and faster recovery, although some limitations still exist. Future advancements, such as smaller instruments and AI integration, promise to improve outcomes, making robotic surgery more effective in treating orbital conditions.
机器人手术是外科领域最重大的创新之一，为治疗需要更高准确性和精确性的复杂病症提供了新机会。这项技术已在普通外科、泌尿外科、妇科和心胸外科广泛应用，但在头颈部区域的证据有限。本综述探讨机器人手术在眼眶疾病中的应用，重点关注其应用、益处和局限性。采用横断面检索方法在多个数据库中进行检索，以回答以下问题：“机器人手术在眼眶疾病管理中的应用有哪些？”由两名研究人员同时仔细审查研究，如有分歧，则引入第三名研究人员。仔细确定用于实施手术的外科硬件（机器人工作站）。在491条记录中，有八项研究符合纳入标准。这些研究包括尸体研究、临床前研究、体外研究和早期临床研究，评估了机器人技术用于额眶前移、肿瘤切除、眼眶减压以及其他手术操作，如泪腺解剖和活检、眶内侧壁和外侧壁解剖、眼球摘除术以及保留眼睑的眼眶内容剜除术。所评估的机器人系统包括达芬奇Xi、达芬奇SP、Medineering机器人内窥镜引导系统和模块化多臂同心管机器人，每个系统都有其特定的优缺点。机器人手术为眼眶疾病带来显著优势，如提高精确性、可视化程度和组织保留率，减少并发症并加快恢复速度，尽管仍存在一些局限性。未来的进展，如更小的器械和人工智能集成，有望改善治疗效果，使机器人手术在治疗眼眶疾病方面更有效。
