Rapolti Diana, Neumeister Michael W
Department of Surgery, Southern Illinois University School of Medicine, 747 N Rutledge, Springfield, IL 62702, USA.
Department of Surgery, Southern Illinois University School of Medicine, 747 N Rutledge, Springfield, IL 62702, USA.
Clin Plast Surg. 2026 Jan;53(1):183-186. doi: 10.1016/j.cps.2025.09.003. Epub 2025 Oct 23.
Microsurgery is rapidly advancing in robotics, imaging, simulation, and education. Robotic-assisted microsurgery improves precision, maneuverability, and reduces surgeon fatigue, particularly in delicate procedures like lymphaticovenous anastomosis. Computer models and augmented reality enhance surgical planning and intraoperative adaptability while offering immersive educational tools. Simulation platforms help train surgeons without ethical or financial burdens. Monitoring perfusion is critical for surgical success; technologies like indocyanine green angiography and infrared thermography offer real-time assessments to prevent complications. Despite challenges like lack of haptic feedback and steep learning curves, these evolving technologies are transforming microsurgery, improving outcomes, reducing morbidity, and expanding the capabilities of surgeons.
显微外科手术在机器人技术、成像技术、模拟技术和教育领域正迅速发展。机器人辅助显微外科手术提高了精确性、可操作性,并减少了外科医生的疲劳,尤其是在诸如淋巴管静脉吻合术等精细手术中。计算机模型和增强现实技术增强了手术规划和术中适应性,同时提供了沉浸式教育工具。模拟平台有助于在没有伦理或经济负担的情况下培训外科医生。监测灌注对于手术成功至关重要;吲哚菁绿血管造影和红外热成像等技术可提供实时评估以预防并发症。尽管存在缺乏触觉反馈和学习曲线陡峭等挑战,但这些不断发展的技术正在改变显微外科手术,改善手术效果,降低发病率,并扩展外科医生的能力。