机器人系统在血管外科的应用进展

PROGRESS OF ROBOTIC SYSTEM APPLICATION IN VASCULAR SURGERY

目的总结机器人系统在血管外科的应用进展。方法查阅近年国内外机器人系统治疗血管外科疾病的相关文献,进行总结分析。结果目前机器人系统主要分为手术机器人系统及腔内介入机器人系统两类。手术机器人系统使血管旁路术中的血管吻合时间及血管阻断时间明显缩短,并且能完成血管分离暴露操作。腔内介入机器人系统具有良好的导航功能及稳定性,在通过特殊解剖部位及复杂病变时具有明显优势。目前,高昂费用是限制机器人系统广泛应用的主要因素,触觉反馈缺失也是急需解决的问题。结论机器人系统在治疗血管外科疾病方面具有明显优势及良好前景,但在适应证及禁忌证确定、标准化术式制定、远期疗效评价等方面仍需大量临床试验加以明确。

Objective To review the progress of the robotic applications in vascular surgery. Methods Recent literature about the robotic applications in vascular surgery was reviewed and analyzed. Results Robotic system is composed of surgery robotic system and endovascular interventional robotic system. The time of aortic clamping and anastomosis is reduced considerably during the robotic-assisted aorta bypass surgery, and the dissection of aorta is completed successfully in totally robotic approach. Endovascular interventional robotic system has good performance in navigation and stability, and shows apparent advantages in passing special anatomical segment and complicated lesion. However, the robotic systems are still limited in application for high cost. The problem of tactile feedback should also be solved quickly. Conclusion Robotic systems have apparent advantages and good prospect in vascular surgery. Nevertheless, it still require many clinical trials to formulate the indication and contraindication, to establish standard procedure, to assess the long-term effectiveness of the robotic systems and so on.