Robotisch-assistierte Lymphchirurgie

Zusammenfassung

In den letzten Jahren finden speziell für die Mikrochirurgie entwickelte Roboter insbesondere in der rekonstruktiven Lymphchirurgie zunehmend Anwendung. Derzeit gibt es zwei Robotersysteme, welche in der Mikrochirurgie eingesetzt werden. Beide Systeme verfügen über Technologien zur Tremorreduzierung und Bewegungsskalierung, wodurch die Präzision und Geschicklichkeit des Chirurgen optimiert werden sollen. In der Klinik für Plastische Chirurgie und Handchirurgie des Universitätsspitals Zürich wird das Symani Surgical System bei vielen mikro- und supermikrochirurgischen Operationen eingesetzt. Das Hauptanwendungsgebiet des Robotersystems liegt in der rekonstruktiven Lymphchirurgie, im Speziellen robotisch-assistierte lymphovenöse Anastomosen, der mikrochirurgische Anschluss des Lymphgewebslappens sowie der Anwendung in der zentralen Lymphchirurgie. Hierbei ermöglicht die Verwendung des Roboters kleinere Operationszugänge für anatomisch tiefe Strukturen und eine Verbesserung der chirurgischen Präzision. In Kombination mit einem Exoskop kann es zudem die Ergonomie des Mikrochirurgen verbessern.

Abstract

Surgical robotic systems specifically developed for microsurgery are increasingly being used in recent years, particularly in reconstructive lymphatic surgery. Currently, there are two robotic systems that are used in microsurgery. Both systems feature tremor reduction and motion scaling technologies, which are intended to optimise the surgeon’s precision and dexterity. In the Department of Plastic Surgery and Hand Surgery at the University Hospital Zurich, the Symani Surgical System is used in many microsurgical and supermicrosurgical procedures. It is mainly used in reconstructive lymphatic surgery, especially for robotic-assisted lymphovenous anastomosis, microvascular anastomosis of lymph node flaps, and it is used in central lymphatic surgery. The robot enables smaller surgical approaches for deep anatomical structures with enhanced surgical precision. In combination with an exoscope, it can also improve the ergonomics of the microsurgeon.

Schlüsselwörter

Robotisch-assistierte Mikrochirurgie - rekonstruktive Lymphchirurgie - Robotisch-assistierte Lymphchirurgie

Keywords

Robotic-assisted microsurgery - Reconstructive lymphatic surgery - Symani Surgical System - Robotic-assisted lymphatic surgery

Publication History

Received: 16 November 2023

Accepted: 09 January 2024

Article published online:
26 April 2024

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