Urologic robots and future directions.
Urologic robots and future directions.
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DOI：
10.1097/mou.0b013e32831cc1ba
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发表时间：
2009-01
影响因子：
2.5
通讯作者：
Stoianovici D
中科院分区：
文献类型：
--
作者：
Mozer P;Troccaz J;Stoianovici D
泌尿外科机器人辅助腹腔镜手术已经获得了极大的普及与达芬奇系统，但许多研究小组正在研究新的机器人。本文的目的是回顾目前泌尿外科机器人，并提出未来的发展方向。未来的系统预计将在两个方向：远程操作机器人的改进和图像引导机器人的发展。机器人的最终目标是允许更安全和更均匀的结果，外科医生的表现变化更小，以及新的工具，以更低的成本，以微创的方式执行基于医学经皮成像的任务。预计远程系统的改进可以是增强现实、触觉反馈、尺寸减小和开发用于NOTES手术的新工具。图像引导机器人的范例接近临床可用性，最先进的机器人与最终用户的技术评估。同样值得注意的是，机器人的潜力比达芬奇系统的成就要远得多。将成像技术与机器人技术相结合有着巨大的前景，因为这可以完成其他不可能完成的任务。图像引导机器人有可能提供一个范式转变。
Robot-assisted laparoscopic surgery in urology has gained immense popularity with the Da Vinci system but a lot of research teams are working on new robots. The purpose of this paper is to review current urologic robots and present future developments directions. Future systems are expected to advance in two directions: improvements of remote manipulation robots and developments of image-guided robots. The final goal of robots is to allow safer and more homogeneous outcomes with less variability of surgeon performance, as well as new tools to perform tasks based on medical transcutaneous imaging, in a less invasive way, at lower costs. It is expected that improvements for remote system could be augmented reality, haptic feed back, size reduction and development of new tools for NOTES surgery. The paradigm of image-guided robots is close to a clinical availability and the most advanced robots are presented with end-user technical assessments. It is also notable that the potential of robots lies much further ahead than the accomplishments of the daVinci system. The integration of imaging with robotics holds a substantial promise, because this can accomplish tasks otherwise impossible. Image guided robots have the potential to offer a paradigm shift.