The current role of robotics in bariatric surgery.
The current role of robotics in bariatric surgery.
复制标题
机器人技术目前在减肥手术中的作用。
DOI：
10.23736/s2724-5691.20.08553-3
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发表时间：
2021
期刊：
影响因子：
1.4
通讯作者：
Emir C Guldogan
中科院分区：
文献类型：
--
作者：
M. Ozmen;Emre Gundogdu;Emir C Guldogan
在过去的二十年里，减肥手术取得了显著的进步。因此，早期和晚期并发症发生率显著降低。由于其令人振奋的结果，机器人手术在外科领域得到了越来越多的使用，减肥手术就是其中之一。自1997年第一台机器人减肥手术以来，由于其带来的优势，这种手术继续以越来越快的速度进行。机器人手术为改善减肥手术提供了新的机会，这要归功于遥控机械臂。三维(3D)视图，再加上运动的精确度和手臂的自由度，为更困难的手术提供了新的见解。医院应该准备一个好的商业计划，在财务上激活机器人手术，从而实现更多的机器人手术。对达芬奇系统表达的担忧包括成本、运行时间和缺乏触觉反馈等问题。每年的维护费和器械费用无疑比腹腔镜手术方法要高。机器人手术现在被整合到肥胖手术中，如袖状胃切除术、Roux-en-Y胃分流术、一次吻合胃分流术、胆胰管转流术和单吻合术十二指肠转流术。它允许更有效和理想的吻合和暴露在具有挑战性的领域。机器人减肥手术是一种安全的手术，学习曲线短，结果与腹腔镜相当，以及机器人技术的其他好处。
Significant improvements have been made in bariatric surgery for the past two decades. Thus, early and late complication rates decreased significantly. Thanks to its promising results, robotic surgery is finding increasing use in the field of surgery and the bariatric surgery is one of these areas. Following the first robotic bariatric surgery in 1997, it continues to be performed at increasing rates thanks to the advantages it brings. Robotic surgery offers new opportunities to improve bariatric surgery, thanks to remote control mechanical arms. The three-dimensional (3D) view, together with the precision of movements and the freedom of arms offer new insights into the more difficult surgeries. Hospitals should prepare a good business plan to financially activate robotic surgery, thus, more robotic procedures can be achieved. Among the expressed concerns for the Da Vinci Systems are issues such as the costs, operational times, and lack of tactile feedback. Annual maintenance fees and instrument costs are undoubtedly higher than laparoscopic surgery methods. Robotic surgery is now integrated into obesity surgery, such as sleeve gastrectomy, Roux-en-Y gastric bypass, one anastomosis gastric bypass, biliopancreatic diversion and single anastomosis duodenal switch. It allows for more efficient and ideal anastomosis and exposure in challenging fields. Robotic bariatric surgery is a safe procedure with a short learning curve, outcomes comparable to laparoscopy and other benefits of robotic technology.