A Review of Robotic Surgery: Engineering Considerations and Future Directions From Surgeons' Perspectives

IF 2.4 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-10-06 DOI:10.1002/rcs.70238

Noah Shaikh, Walter Fitschen, Abhinaba Bhattacharjee, Dimitrios Stefanidis, Michael W. Sim, Meghan T. Turner, Sohel Anwar, Muhammad Ashraful Alam

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引用次数: 0

Abstract

Introduction

Since its initial inception, robotic-assisted minimally invasive surgery (RAMIS) is continually being applied to a wider array of procedures. However, there are significant limitations in current surgical subsystems, including a large learning curve, lack of effective haptic feedback, decreased surgical intuition, and decreased dexterity.

Methods

A narrative review of the literature was conducted to provide an overview of key developments in the field. Relevant articles were identified through searches of PubMed, IEEE, Google Scholar, and EMBASE, along with manual screening of references.

Results

A selection of representative articles covering topics including teleoperation, kinematics, dynamics, and haptic feedback is discussed to highlight major themes and recent advances.

Conclusions

Despite recent advances, limitations to operator experience remain. Numerous strategies and approaches are currently being proposed and explored to further advance surgical subsystems, improving dexterity, haptic feedback, movement time delay, and learning curve.

查看原文本刊更多论文

机器人手术的回顾：从外科医生的角度考虑工程和未来方向。

导读：自从机器人辅助微创手术（RAMIS）问世以来，它一直被应用于更广泛的手术中。然而，目前的外科子系统存在明显的局限性，包括较大的学习曲线，缺乏有效的触觉反馈，手术直觉下降，灵活性下降。方法：对文献进行叙述性回顾，概述该领域的关键发展。通过检索PubMed、IEEE、b谷歌Scholar和EMBASE，以及人工筛选参考文献，确定了相关文章。结果：本文选取了一些具有代表性的文章，讨论了远程操作、运动学、动力学和触觉反馈等主题，以突出主要主题和最新进展。结论：尽管最近取得了进展，但操作员经验的局限性仍然存在。目前提出和探索了许多策略和方法，以进一步推进外科子系统，提高灵活性，触觉反馈，运动时间延迟和学习曲线。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.