用于治疗性灵活内镜的机器人平台:文献综述
1Department of Endoscopy, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Diagnostics (Basel, Switzerland)
|March 27, 2024
概括
机器人灵活内镜可以增强复杂的手术,如无痕手术. 本综述考察了用于内镜下粘膜切割 (ESD) 和内镜全厚切除 (EFTR) 的机器人平台,详细介绍了它们的好处和挑战.
科学领域:
- 最少侵入性的手术
- 医疗机器人 医疗机器人
- 胃肠病学 胃肠病学
背景情况:
- 灵活内镜从诊断工具演变为治疗干预措施,特别是自然孔透光内镜手术 (NOTES).
- 由于NOTES的复杂性,需要改进以提高直观性和安全性,从而推动了双臂灵活的内镜机器人平台的开发.
- 虽然NOTES的兴趣已经减弱,但无痕手术的原则适用于ESD和EFTR等先进的内镜切除.
研究的目的:
- 审查双臂灵活的内镜机器人平台的技术进步.
- 阐明与灵活内镜中的机器人应用相关的优势和当前挑战,用于复杂的内干预.
- 探索机器人技术在全球标准化和传播ESD和EFTR等程序中的潜力.
主要方法:
- 对专注于灵活内镜中机器人平台的技术和应用的出版物的系统审查.
- 分析临床前和临床研究,评估开发机器人系统的有效性和安全性.
- 检查ESD和EFTR从NOTES到当前应用的演变.
主要成果:
- 已经开发和测试了多个双臂,灵活的内镜机器人平台.
- 这些平台旨在提高复杂的内镜手术的安全性,精度和标准化.
- 目前正在进行的研究解决了机器人灵活内镜技术的现有挑战.
结论:
- 机器人辅助具有很大的潜力,可以超越NOTES,推进复杂的内膜干预.
- 机器人平台可以促进标准化和更广泛地采用ESD和EFTR等程序.
- 持续开发对于克服当前的局限性和最大限度地发挥机器人灵活内镜的好处至关重要.
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