Robotik Cerrahi ve Ortopedi: Yeni Nesil Cerrahlar
Özet
Robotik cerrahi, tıp teknolojisinde devrim niteliğinde bir gelişme olarak ortopedi alanında giderek artan bir öneme sahiptir. Bu bölüm, robotik cerrahinin ortopedik uygulamalarının tarihsel gelişimini, mevcut teknolojilerini ve geleceğe yönelik potansiyelini kapsamlı bir şekilde incelemektedir.
Bu bölüm; 1970'lerden günümüze robotik cerrahinin evrimini detaylı olarak ele almakta ve Da Vinci, Mako, ROSA gibi güncel sistemlerin ortopedik prosedürlerdeki rolünü analiz etmektedir. Diz ve kalça artroplastileri, omurga cerrahisi, travma cerrahisi ve pediatrik ortopedi gibi alt alanlarda robotik teknolojilerin sağladığı hassasiyet ve kişiye özgü tedavi yaklaşımları ayrıntılı olarak incelenmektedir. Robotik cerrahinin sağladığı yüksek cerrahi hassasiyet, minimal invaziv yaklaşımlar ve daha hızlı iyileşme süreçleri gibi önemli avantajlarının yanı sıra, yüksek maliyet, eğitim gereksinimleri ve teknik sınırlamalar gibi dezavantajlarını da objektif bir şekilde değerlendirmektedir. Ayrıca, yapay zekâ entegrasyonu, artırılmış gerçeklik teknolojileri ve otonom cerrahi sistemler gibi gelecekteki potansiyel gelişmeler de detaylı olarak ele alınmaktadır.
Sonuç olarak; çalışma robotik cerrahinin ortopedi alanındaki mevcut durumunu ve gelecekteki stratejik önemini kapsamlı bir perspektifle ortaya koymaktadır. Robotik cerrahinin klinik uygulamalara tam entegrasyonu için gerekli olan araştırma, eğitim ve teknolojik inovasyonlara yönelik öneriler sunulmaktadır.
Robotic surgery has increasingly gained importance in the field of orthopedics as a revolutionary advancement in medical technology. This chapter comprehensively examines the historical development, current technologies, and future potential of robotic surgical applications in orthopedics.
The chapter details the evolution of robotic surgery from the 1970s to the present and analyzes the role of current systems such as Da Vinci, Mako, and ROSA in orthopedic procedures. It meticulously explores the precision and personalized treatment approaches provided by robotic technologies across sub-disciplines including knee and hip arthroplasty, spine surgery, trauma surgery, and pediatric orthopedics. The study objectively evaluates the significant advantages of robotic surgery, such as high surgical precision, minimally invasive approaches, and faster recovery processes, while also assessing its disadvantages including high costs, training requirements, and technical limitations. Additionally, potential future developments such as artificial intelligence integration, augmented reality technologies, and autonomous surgical systems are examined in detail.
In conclusion, the study provides a comprehensive perspective on the current state and future strategic importance of robotic surgery in orthopedics. Recommendations are presented for the research, education, and technological innovations necessary for full integration of robotic surgery into clinical practices.
Referanslar
Rivero-Moreno Y, Echevarria S, Vidal-Valderrama C, Pianetti L, Cordova-Guilarte J, Navarro-Gonzalez J, et al. Robotic Surgery: A Comprehensive Review of the Literature and Current Trends. Cureus. 2023;15(7):e42370.
Shah J, Vyas A, Vyas D. The History of Robotics in Surgical Specialties. Am J Robot Surg. 2014;1(1):12-20.
Lane T. A short history of robotic surgery. Ann R Coll Surg Engl. 2018;100(6_sup):5-7.
Marescaux J, Rubino F. The ZEUS robotic system: experimental and clinical applications. Surg Clin North Am. 2003;83(6):1305-15, vii-viii.
Bodner J, Augustin F, Wykypiel H, Fish J, Muehlmann G, Wetscher G, et al. The da Vinci robotic system for general surgical applications: a critical interim appraisal. Swiss Med Wkly. 2005;135(45-46):674-8.
Leung T, Vyas D. Robotic Surgery: Applications. Am J Robot Surg. 2014;1(1):1-64.
Rivero-Moreno Y, Rodriguez M, Losada-Muñoz P, Redden S, Lopez-Lezama S, Vidal-Gallardo A, et al. Autonomous Robotic Surgery: Has the Future Arrived? Cureus. 2024;16(1):e52243.
Palep JH. Robotic assisted minimally invasive surgery. J Minim Access Surg. 2009;5(1):1-7.
Perazzini P, Trevisan M, Sembenini P, Alberton F, Laterza M, Marangon A, et al. The Mako ™ robotic arm-assisted total hip arthroplasty using direct anterior approach: surgical technique, skills and pitfals. Acta Biomed. 2020;91(4-s):21-30.
Johnson N. Imaging, Navigation, and Robotics in Spine Surgery. Spine (Phila Pa 1976). 2016;41 Suppl 7:S32.
Buza JA, 3rd, Good CR, Lehman RA, Jr., Pollina J, Chua RV, Buchholz AL, et al. Robotic-assisted cortical bone trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system: workflow and technical tips for safe and efficient use. J Robot Surg. 2021;15(1):13-23.
Siddaiah-Subramanya M, Tiang KW, Nyandowe M. A New Era of Minimally Invasive Surgery: Progress and Development of Major Technical Innovations in General Surgery Over the Last Decade. Surg J (N Y). 2017;3(4):e163-e6.
Bhandari M, Zeffiro T, Reddiboina M. Artificial intelligence and robotic surgery: current perspective and future directions. Curr Opin Urol. 2020;30(1):48-54.
Khor WS, Baker B, Amin K, Chan A, Patel K, Wong J. Augmented and virtual reality in surgery-the digital surgical environment: applications, limitations and legal pitfalls. Ann Transl Med. 2016;4(23):454.
Konan S, Maden C, Robbins A. Robotic surgery in hip and knee arthroplasty. British Journal of Hospital Medicine. 2017;78(7):378-84.
Cronin PK, Poelstra K, Protopsaltis TS. Role of Robotics in Adult Spinal Deformity. Int J Spine Surg. 2021;15(s2):S56-s64.
Wu Z, Dai Y, Zeng Y. Intelligent robot-assisted fracture reduction system for the treatment of unstable pelvic fractures. J Orthop Surg Res. 2024;19(1):271.
Mei H, Tang S. Robotic-assisted surgery in the pediatric surgeons' world: Current situation and future prospectives. Front Pediatr. 2023;11:1120831.
Innocenti B, Bori E. Robotics in orthopaedic surgery: why, what and how? Archives of Orthopaedic and Trauma Surgery. 2021;141(12):2035-42.
Referanslar
Rivero-Moreno Y, Echevarria S, Vidal-Valderrama C, Pianetti L, Cordova-Guilarte J, Navarro-Gonzalez J, et al. Robotic Surgery: A Comprehensive Review of the Literature and Current Trends. Cureus. 2023;15(7):e42370.
Shah J, Vyas A, Vyas D. The History of Robotics in Surgical Specialties. Am J Robot Surg. 2014;1(1):12-20.
Lane T. A short history of robotic surgery. Ann R Coll Surg Engl. 2018;100(6_sup):5-7.
Marescaux J, Rubino F. The ZEUS robotic system: experimental and clinical applications. Surg Clin North Am. 2003;83(6):1305-15, vii-viii.
Bodner J, Augustin F, Wykypiel H, Fish J, Muehlmann G, Wetscher G, et al. The da Vinci robotic system for general surgical applications: a critical interim appraisal. Swiss Med Wkly. 2005;135(45-46):674-8.
Leung T, Vyas D. Robotic Surgery: Applications. Am J Robot Surg. 2014;1(1):1-64.
Rivero-Moreno Y, Rodriguez M, Losada-Muñoz P, Redden S, Lopez-Lezama S, Vidal-Gallardo A, et al. Autonomous Robotic Surgery: Has the Future Arrived? Cureus. 2024;16(1):e52243.
Palep JH. Robotic assisted minimally invasive surgery. J Minim Access Surg. 2009;5(1):1-7.
Perazzini P, Trevisan M, Sembenini P, Alberton F, Laterza M, Marangon A, et al. The Mako ™ robotic arm-assisted total hip arthroplasty using direct anterior approach: surgical technique, skills and pitfals. Acta Biomed. 2020;91(4-s):21-30.
Johnson N. Imaging, Navigation, and Robotics in Spine Surgery. Spine (Phila Pa 1976). 2016;41 Suppl 7:S32.
Buza JA, 3rd, Good CR, Lehman RA, Jr., Pollina J, Chua RV, Buchholz AL, et al. Robotic-assisted cortical bone trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system: workflow and technical tips for safe and efficient use. J Robot Surg. 2021;15(1):13-23.
Siddaiah-Subramanya M, Tiang KW, Nyandowe M. A New Era of Minimally Invasive Surgery: Progress and Development of Major Technical Innovations in General Surgery Over the Last Decade. Surg J (N Y). 2017;3(4):e163-e6.
Bhandari M, Zeffiro T, Reddiboina M. Artificial intelligence and robotic surgery: current perspective and future directions. Curr Opin Urol. 2020;30(1):48-54.
Khor WS, Baker B, Amin K, Chan A, Patel K, Wong J. Augmented and virtual reality in surgery-the digital surgical environment: applications, limitations and legal pitfalls. Ann Transl Med. 2016;4(23):454.
Konan S, Maden C, Robbins A. Robotic surgery in hip and knee arthroplasty. British Journal of Hospital Medicine. 2017;78(7):378-84.
Cronin PK, Poelstra K, Protopsaltis TS. Role of Robotics in Adult Spinal Deformity. Int J Spine Surg. 2021;15(s2):S56-s64.
Wu Z, Dai Y, Zeng Y. Intelligent robot-assisted fracture reduction system for the treatment of unstable pelvic fractures. J Orthop Surg Res. 2024;19(1):271.
Mei H, Tang S. Robotic-assisted surgery in the pediatric surgeons' world: Current situation and future prospectives. Front Pediatr. 2023;11:1120831.
Innocenti B, Bori E. Robotics in orthopaedic surgery: why, what and how? Archives of Orthopaedic and Trauma Surgery. 2021;141(12):2035-42.
