Feasibility of using the potassium titanyl phosphate laser with micromanipulators in robotic neurosurgery: a preliminary study in the rat.
Feasibility of using the potassium titanyl phosphate laser with micromanipulators in robotic neurosurgery: a preliminary study in the rat.
复制标题
在机器人神经外科手术中使用磷酸氧钛钾激光和显微操作器的可行性：在大鼠中的初步研究。
DOI：
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发表时间：
2003
影响因子：
4.1
通讯作者：
Shigeaki Kobayashi
中科院分区：
文献类型：
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作者：
T. Goto;K. Hongo;J. Koyama;Shigeaki Kobayashi
对象
机器人手术可以作为一种新的技术在超微外科。日本开发了一种用于微创远程神经外科手术的显微操作器（显微操作器）系统，该系统具有刚性神经内窥镜和三个引导操作器。为了在临床环境中应用该系统，必须确认其能够执行各种外科手术，包括切割、凝固和出血控制。作者选择磷酸钛氧钾（KTP）激光进行此类手术。本文的目的是评估该系统安装KTP激光器的可行性。
方法
在大鼠中测试了原型显微操作系统。使用KTP激光进行了两种体内实验：凝固和活检。凝固的病变被精确对齐，并且它们的最大深度与凝固实验期间施加的能量成比例。在活检实验中获得可诊断的标本。显微操作系统能够准确地执行所有外科手术。没有与使用显微操作系统相关的并发症，如脑损伤或无法控制的出血。
结论
本研究的结果证明，该系统的工作精确和安全，并将成为一种新的神经外科工具，在管理病变，难以使用传统的显微外科手术或神经内窥镜手术。
OBJECT
Robotic surgery can be used as a novel technology in ultramicrosurgery. A microscopic-manipulator (micromanipulator) system, which has a rigid neuroendoscope and three guiding manipulators, was developed in Japan for less invasive telerobotic neurosurgery. To apply this system in a clinical setting, it is necessary to confirm that it is capable of performing various surgical procedures including cutting, coagulation, and bleeding control. The authors chose the potassium titanyl phosphate (KTP) laser for such procedures. The aim of this paper was to evaluate the feasibility of this system mounted with the KTP laser.
METHODS
A prototypical micromanipulator system was tested in rats. Two kinds of in vivo experiments were performed using the KTP laser: coagulation and biopsy. The coagulated lesions were precisely aligned and their maximum depths were proportional to the energy applied during the coagulation experiment. The diagnosable specimens were obtained during the biopsy experiment. The micromanipulator system was able to perform all surgical procedures accurately. There was no complication relating to the use of the micromanipulator system such as brain injury or uncontrollable bleeding.
CONCLUSIONS
The results from this study proved that this system works precisely and safely and will become a new neurosurgical tool in managing lesions that are difficult to treat using conventional microsurgery or neuroendoscopic surgery.
大鼠脑组织对氩激光和二氧化碳激光损伤的反应比较。
影响因子：
4.8
作者：
Boggan,JE;Edwards,MS;Davis,RL;Bolger,CA;Martin,N
通讯作者：
Martin,N