Robotische Chirurgie – operiert der Roboter?

Patrick J. Schuler

doi:10.1055/s-0043-121791

Laryngo-Rhino-Otologie, Table of Contents

CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 01): S231-S278
DOI: 10.1055/s-0043-121791

Referat

Robotische Chirurgie – operiert der Roboter?

Article in several languages: deutsch | English

Authors

Patrick J. Schuler

¹Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm

Abstract

Zusammenfassung

Der Roboter-assistierten Chirurgie (RAC) im Kopf-Hals-Bereich wird ein großes Potenzial zugeschrieben. Vor allem in der operativen Onkologie wird der Einsatz von Roboter-Systemen als besonders interessant erachtet. Bislang sind 2 Gerätetypen (DaVinci^® und FLEX^®) für die klinische Anwendung im Kopf-Hals-Bereich zugelassen, und multiple weitere Systeme befinden sich in der präklinischen Erprobungsphase. Auch wenn prinzipiell bestimmte Patientengruppen von der RAC profitieren könnten, finden sich keine systematischen randomisierten Studien. Ein möglicher Vorteil der RAC gegenüber den bisherigen Standardverfahren kann daher bisher nicht nachgewiesen werden. Der begrenzte klinische Nutzen und die finanzielle Zusatzbelastung scheinen aktuell der Hauptgrund zu sein, warum der flächendeckende Einsatz der RAC bislang ausgeblieben ist. Diese Übersichtsarbeit beschreibt die verschiedenen Anwendungsmöglichkeiten der RAC im Kopf-Hals-Bereich. Außerdem werden die finanziellen und technischen Herausforderungen, sowie anstehende Weiterentwicklungen der RAC beleuchtet. Besonderes Augenmerk wird auf spezielle Risiken der Roboter-Chirurgie und aktuell laufende klinische Studien gelegt. Mittelfristig wird davon ausgegangen, dass die RAC Einzug in die klinische Routine erhalten wird und sich das medizinische Personal zunehmend mit den technischen, wissenschaftlichen und auch ethischen Besonderheiten auseinandersetzen muss.

Schlüsselwörter

Robotik - TORS - Kopf-Hals-Tumor - Haptik - Kosten - Studien

Full Text

References

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