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项目器机人推动神经系统美容外科流入新的时代

koko体育app: 张剑宁 koko体育app: 刘嘉霖

张剑宁, 刘嘉霖. 手术机器人推动神经外科进入新时代[J]. koko体育app 学报(医学版), 2022, 53(4): 554-558. doi: 10.12182/20220760205
引用本文: 张剑宁, 刘嘉霖. 手术机器人推动神经外科进入新时代[J]. koko体育app 学报(医学版), 2022, 53(4): 554-558. doi:
ZHANG Jian-ning, LIU Jia-lin. Robotics Helps Usher in a New Era of Neurosurgery[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION), 2022, 53(4): 554-558. doi: 10.12182/20220760205
Citation: ZHANG Jian-ning, LIU Jia-lin. Robotics Helps Usher in a New Era of Neurosurgery[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION), 2022, 53(4): 554-558. doi:

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手术机器人推动神经外科进入新时代

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Robotics Helps Usher in a New Era of Neurosurgery

  • 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。
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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 robotYear publishedProceduresClinical 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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    [16] 乔天富, 吉尔. 机器人施行脑手术—海军总医院为72位患者手术成功. 科学koko体育app ,2000(28): 23.
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    [19] CHUMNANVEJ S, PILLAI B M, CHALONGWONGSE S, et al. Endonasal endoscopic transsphenoidal approach robot prototype: A cadaveric trial. Asian J Surg,2021,44(1): 345–351. doi:
    [20] CHALONGWONGSE S, CHUMNANVEJ S, SUTHAKORN J. Analysis of endonasal endoscopic transsphenoidal (EET) surgery pathway and workspace for path guiding robot design. Asian J Surg,2019,42(8): 814–822. doi:
    [21] MENDES PEREIRA V, CANCELLIERE N M, NICHOLSON P, et al. First-in-human, robotic-assisted neuroendovascular intervention. J Neurointerv Surg,2020,12(4): 338–340. doi:
    [22] SAJJA K C, SWEID A, AL SAIEGH F, et al. Endovascular robotic: Feasibility and proof of principle for diagnostic cerebral angiography and carotid artery stenting. J Neurointerv Surg,2020,12(4): 345–349. doi:
    [23] KANE G, EGGERS G, BOESECKE R, et al. System design of a hand-held mobile robot for craniotomy. Med Image Comput Comput Assist Interv,2009,12(Pt 1): 402–409. doi:
    [24] BAST P, POPOVIC A, WU T, et al. Robot- and computer-assisted craniotomy: Resection planning, implant modelling and robot safety. Int J Med Robot,2006,2(2): 168–178. doi:
    [25] ENGELHARDT M, BAST P, JEBLINK N, et al. Analysis of surgical management of calvarialtumours and first results of a newly designed robotic trepanation system. Minim Invasive Neurosurg,2006,49(2): 98–103. doi:
    [26] HONG W C, TSAI J C, CHANG S D, et al. Robotic skull base surgery via supraorbital keyhole approach: A cadaveric study. Neurosurgery,2013,72(Suppl 1): 33–38. doi:
    [27] DALLAN I, CASTELNUOVO P, SECCIA V, et al. Combined transnasal transcervical robotic dissection of posterior skull base: Feasibility in a cadaveric model. Rhinology,2012,50(2): 165–170. doi:
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    [29] DIMITRAKAKIS E, AYLMORE H, LINDENROTH L, et al. Robotic handle prototypes for endoscopic endonasal skull base surgery: Pre-clinical randomised controlled trial of performance and ergonomics. Ann Biomed Eng,2022,50(5): 549–563. doi:
    [30] CHAUVET D, MISSISTRANO A, HIVELIN M, et al. Transoral robotic-assisted skull base surgery to approach the sella turcica: Cadaveric study. Neurosurg Rev,2014,37(4): 609–617. doi:
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    [32] CARRAU R L, PREVEDELLO D M, DE LARA D, et al. Combined transoral robotic surgery and endoscopic endonasal approach for the resection of extensive malignancies of the skull base. Head Neck,2013,35(11): E351–E358. doi:
    [33] CHAUVET D, HANS S, MISSISTRANO A, et al. Transoral robotic surgery for sellar tumors: First clinical study. J Neurosurg,2017,127(4): 941–948. doi:
    [34] 世界帕金森日. “5G+医疗”带来新希望. 世界电子元器件, 2021(4): 3−4.
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出版历程
  • 收稿日期:  2023-05-05
  • 修回日期:  2023-06-14
  • 刊出日期:  2023-07-22

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