在内镜内外科手术中具有机器人式的机动性:使用手动操作的可转向子的临床经验
Masaaki Taniguchi1, Hidehito Kimura2, Toru Umehara3
1Department of Neurosurgery, Osaka Neurological Institute, Toyonaka, Osaka, Japan. m_taniguchi@oni.or.jp.
Journal of robotic surgery
|October 20, 2025
概括
手动控制的可转向尖尖可以提高内镜内鼻外科手术中的机动性. 这些类似机器人的仪器改进了外科手术技术,并增加了整体切除率,为未来的神经外科机器人铺平了道路.
科学领域:
- 神经外科 神经外科
- 外科手术仪器仪器仪表的使用
- 医疗机器人 医疗机器人
背景情况:
- 内镜内外科手术需要在狭窄的空间中提高机动性.
- 可转向的尖端具提供机器人式的关节,以改善仪表控制.
- 评估这些子对于推进神经外科机器人的发展至关重要.
研究的目的:
- 评估可转向尖在内镜内鼻外科手术中的临床实用性和有效性.
- 确定这些仪器是否代表了迈向神经外科手术中机器人整合的过渡阶段.
- 分析可转向尖对手术技术和切除率的影响.
主要方法:
- 对402例使用可转向尖的内镜内外科手术病例的回顾性审查.
- 分析手术记录和视频,以评估仪器的使用和有效性.
- 有效性的分类是完全有用,部分有用或不有用.
主要成果:
- 在330个案例中使用了可转向尖端,其中61.5%被认为是完全有用的.
- 该仪器促进了先进的技术,如多向瘤引和粗解剖.
- 与其他病例相比,子完全有用时,总切除率明显高 (62.5%),而其他病例 (40%).
结论:
- 手动控制的可转向尖尖显著提高了内镜内鼻外科手术中的机动性和访问性.
- 这些仪器提供类似于机器人系统的功能优势,提供翻译见解.
- 这些发现支持机器人在神经外科手术中的发展和应用.
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