栏目: 专家述评

摘要
• 摘要: 手术机器人在神经外科的应用形成了一个发展迅速且引人入胜的新领域，它正在改变神经外科的手术方式。本文就未来神经外科手术机器人发展做一述评。koko体育app 发现，当前在神经外科领域应用手术机器人最广泛的仍然是立体定向手术。手术机器人的应用较以往大大提高了穿刺精度，但其无法在其他类型神经外科手术应用。随着影像技术、机械技术、计算机控制技术、人工智能等领域高度融合发展，手术机器人作为神经外科手术辅助手段必然会紧随时代的需要迎来井喷式发展，逐步向神经外科各个领域发展，使手术更安全、更高效。

  关键词:
  • 手术机器人 / 
  • 神经外科 / 
  • 远程控制 / 
  • 人工智能 
  Abstract: The application of surgical robots in neurosurgery has formed a rapidly developing and fascinating new field that is revolutionizing the way neurosurgeries are performed. Herein, we discussed the prospects of the future development of neurosurgery robots. We found that, at present, surgical robots are most widely used in stereotactic surgeries in the field of neurosurgery. The use of surgical robots has greatly improved puncturing precision, but it cannot be used in other types of neurosurgeries.With the highly integrated development of imaging technology, mechanical technology, computer control technology, and artificial intelligence, surgical robotics will inevitably witness a surge of rapid development in line with the trend of contemporary needs. Surgical robotics will be applied to more fields of neurosurgery in the future, enhancing surgical safety and efficiency.

  Key words:
  • Surgical robotics / 
  • Neurosurgery / 
  • Remote control / 
  • Artificial intelligence 
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  表  1  神经外科手术机器人使用情况

  Table  1.   Current use of neurosurgical robots

  No.	Neurosurgical robot	Year published	Procedures	Clinical application
  1	PUMA	1985	Frameless stereotaxis	1 patient
  2	NeuroMate	1987	Frameless stereotaxis, endoscopy	FDA approved
  3	CRAS	1997	Frameless stereotaxis	CFDA approved
  4	Evolution 1	2002	Endoscopy	3 patients
  5	NeuRobot	2002	Frameless stereotaxis	5 patients
  6	NeuroArm	2002	Craniotomy	35 patients
  7	Robot hand	2009	Craniotomy	23 patients
  8	ROSA	2012	Frameless stereotaxis, Endoscopy	FDA approved
  9	Expert	2013	Craniotomy	13 patients
  10	Endonasal Robot	2016	Endoscopy	−
  11	iSYS1	2017	Frameless stereotaxis, Endoscopy	39 patients
  12	CorPath	2019	Cerebrovascular intervention	15 patients
  13	Remebot	2018	Frameless stereotaxis	CFDA approved
  14	Sinovation	2019	Frameless stereotaxis	CFDA approved

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