A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future

Frontiers in Surgery

Khurram Khan¹  Olivia Cundy²  Harsh Samarendra²  Iain Stuart Whitaker⁴  Thomas D. Dobbs⁴ 

[1] Department of Plastic Surgery, Birmingham Children’s Hospital, Birmingham, United Kingdom;Oxford University Medical School, Oxford, United Kingdom;Reconstructive Surgery and Regenerative Medicine Research Group (ReconRegen), Institute of Life Science, Swansea University Medical School, Swansea, United Kingdom;The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom;

关键词: robotic surgery;    plastic surgery;    microsurgery;    head and neck;    technology;    innovation;   

DOI  :  10.3389/fsurg.2017.00066

来源: DOAJ

【 摘 要 】

BackgroundThe use of robots in surgery has become commonplace in many specialties. In this systematic review, we report on the current uses of robotics in plastic and reconstructive surgery and looks to future roles for robotics in this arena.MethodsA systematic literature search of Medline, EMBASE, and Scopus was performed using appropriate search terms in order to identify all applications of robot-assistance in plastic and reconstructive surgery. All articles were reviewed by two authors and a qualitative synthesis performed of those articles that met the inclusion criteria. The systematic review and results were conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines.ResultsA total of 7,904 articles were identified for title and abstract review. Sixty-eight studies met the inclusion criteria. Robotic assistance in plastic and reconstructive surgery is still in its infancy, with areas such as trans-oral robotic surgery and microvascular procedures the dominant areas of interest currently. A number of benefits have been shown over conventional open surgery, such as improved access and greater dexterity; however, these must be balanced against disadvantages such as the lack of haptic feedback and cost implications.ConclusionThe feasibility of robotic plastic surgery has been demonstrated in several specific indications. As technology, knowledge, and skills in this area improve, these techniques have the potential to contribute positively to patient and provider experience and outcomes.

【 授权许可】

Unknown