[Robotics in otorhinolaryngology, head and neck surgery].
Roboterassistierte Chirurgie in der Hals‑Nasen-Ohren-Heilkunde.
Computer-assisted surgery
Head and neck neoplasms
Minimally invasive surgical procedures
Organ-sparing treatments
Robotic surgical procedures
Journal
HNO
ISSN: 1433-0458
Titre abrégé: HNO
Pays: Germany
ID NLM: 2985099R
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
18
06
2021
pubmed:
18
7
2021
medline:
7
9
2021
entrez:
17
7
2021
Statut:
ppublish
Résumé
In many surgical specialities, e.g., visceral surgery or urology, the use of robotic assistance is widely regarded as standard for many interventions. By contrast, in European otorhinolaryngology, robotic-assisted surgery (RAS) is rarely conducted. This is because currently available robotic systems are not adequately adapted to the restricted space and partially difficult access to surgical fields in the head and neck area. Furthermore, RAS is associated with high costs at present. In some Anglo-American regions, robot-assisted surgery is already used regularly for different indications, particularly in transoral surgery of oropharyngeal tumors. Several feasibility studies demonstrate multiple fields of application for RAS in head and neck surgery. For standard use, the robotic systems and surgical instruments need to be reduced in size and adapted to application in the head and neck area. In chirurgischen Fachdisziplinen, wie der Viszeralchirurgie und Urologie, ist eine robotische Unterstützung vieler Eingriffe bereits standardmäßig etabliert. Dagegen werden in der europäischen Hals-Nasen-Ohren-Heilkunde roboterunterstützte Operationen vergleichsweise selten durchgeführt. Dies ist auf die aktuell verfügbaren Robotiksysteme mit noch ungenügender Adaptation an die begrenzten anatomischen Platzverhältnisse und teilweise schwer erreichbaren OP-Areale im Kopf-Hals-Bereich sowie die hohen Kosten der robotischen Chirurgie zurückzuführen. Im angloamerikanischen Raum wird die roboterassistierte Chirurgie (RAC) z. B. in der transoralen Resektion oropharyngealer Tumoren regelmäßig eingesetzt. Einige Machbarkeitsstudien zeigen multiple Einsatzmöglichkeiten der RAC im HNO-Bereich auf. Um den routinemäßigen Einsatz zu ermöglichen, sind Verkleinerungen der Robotiksysteme und eine Anpassung der OP-Instrumente für den Einsatz im Kopf-Hals-Bereich erforderlich.
Autres résumés
Type: Publisher
(ger)
In chirurgischen Fachdisziplinen, wie der Viszeralchirurgie und Urologie, ist eine robotische Unterstützung vieler Eingriffe bereits standardmäßig etabliert. Dagegen werden in der europäischen Hals-Nasen-Ohren-Heilkunde roboterunterstützte Operationen vergleichsweise selten durchgeführt. Dies ist auf die aktuell verfügbaren Robotiksysteme mit noch ungenügender Adaptation an die begrenzten anatomischen Platzverhältnisse und teilweise schwer erreichbaren OP-Areale im Kopf-Hals-Bereich sowie die hohen Kosten der robotischen Chirurgie zurückzuführen. Im angloamerikanischen Raum wird die roboterassistierte Chirurgie (RAC) z. B. in der transoralen Resektion oropharyngealer Tumoren regelmäßig eingesetzt. Einige Machbarkeitsstudien zeigen multiple Einsatzmöglichkeiten der RAC im HNO-Bereich auf. Um den routinemäßigen Einsatz zu ermöglichen, sind Verkleinerungen der Robotiksysteme und eine Anpassung der OP-Instrumente für den Einsatz im Kopf-Hals-Bereich erforderlich.
Identifiants
pubmed: 34272572
doi: 10.1007/s00106-021-01088-z
pii: 10.1007/s00106-021-01088-z
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
765-776Informations de copyright
© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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