Robotic Surgery: Research and Reviews最新文献

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Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends 机器人辅助脊柱手术:历史、疗效、成本和未来趋势

Robotic Surgery: Research and Reviews Pub Date : 2019-11-01 DOI: 10.2147/RSRR.S190720

Marissa D'Souza, Julian L. Gendreau, Austin Y. Feng, L. Kim, Allen L. Ho, A. Veeravagu

{"title":"Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends","authors":"Marissa D'Souza, Julian L. Gendreau, Austin Y. Feng, L. Kim, Allen L. Ho, A. Veeravagu","doi":"10.2147/RSRR.S190720","DOIUrl":"https://doi.org/10.2147/RSRR.S190720","url":null,"abstract":"Abstract Robot-assisted spine surgery has recently emerged as a viable tool to enable less invasive and higher precision surgery. The first-ever spine robot, the SpineAssist (Mazor Robotics Ltd., Caesarea, Israel), gained FDA approval in 2004. With its ability to provide real-time intraoperative navigation and rigid stereotaxy, robotic-assisted surgery has the potential to increase accuracy while decreasing radiation exposure, complication rates, operative time, and recovery time. Currently, robotic assistance is mainly restricted to spinal fusion and instrumentation procedures, but recent studies have demonstrated its use in increasingly complex procedures such as spinal tumor resections and ablations, vertebroplasties, and deformity correction. However, robots do require high initial costs and training, and thus, require justification for their incorporation into common practice. In this review, we discuss the history of spinal robots along as well as currently available systems. We then examine the literature to evaluate accuracy, operative time, complications, radiation exposure, and costs – comparing robotic-assisted to traditional fluoroscopy-assisted freehand approaches. Finally, we consider future applications for robots in spine surgery.","PeriodicalId":258020,"journal":{"name":"Robotic Surgery: Research and Reviews","volume":"63 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134545259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

Potential of robotic systems in phonosurgery 机器人系统在声学外科中的潜力

Robotic Surgery: Research and Reviews Pub Date : 2019-10-01 DOI: 10.2147/RSRR.S177698

N. Vasan, M. Sharum, Jennifer P. Rodney

{"title":"Potential of robotic systems in phonosurgery","authors":"N. Vasan, M. Sharum, Jennifer P. Rodney","doi":"10.2147/RSRR.S177698","DOIUrl":"https://doi.org/10.2147/RSRR.S177698","url":null,"abstract":"Abstract There has been rapid growth in the utilization of robotic surgery in the head and neck. Its utilization in the phonosurgical space has lagged owing to difficulty with access and exposure to the laryngeal site, small working space due to the size of the larynx and the need to work around an endotracheal tube. The goal of this work is to explore recent developments in robotic microlaryngeal surgery. At this time robotic instrumentation is available; however, the range of instruments is not as extensive to match the current microlaryngeal instrumentation that exists for traditional endoscopic surgery. Studies have demonstrated the ability to perform phonosurgery safely with currently available robotic systems but exposure is less than ideal. Work is been undertaken to develop specialized transoral robotic retractors which will improve visualization and allow the robotic instrument to reach the glottis, which has traditionally been the most difficult to area to access. Additional studies will be needed to assess the application of these systems to more patient populations, and prospective research will be required to compare outcomes of traditional phonosurgery to robotic phonosurgery.","PeriodicalId":258020,"journal":{"name":"Robotic Surgery: Research and Reviews","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115767952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2