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中华胸部外科电子杂志 ›› 2022, Vol. 09 ›› Issue (01) : 35 -40. doi: 10.3877/cma.j.issn.2095-8773.2022.01.05

综述

医疗机器人在肺部小结节诊疗中的应用现状及前景展望
郭超1, 张家齐2, 李桢3, 边桂彬3, 李单青1,()   
  1. 1. 100730 北京,中国医学科学院,北京协和医学院,北京协和医院胸外科;100730 北京,协和转化医学中心
    2. 100730 北京,中国医学科学院,北京协和医学院,北京协和医院胸外科
    3. 100190 北京,中国科学院自动化研究所
  • 收稿日期:2022-01-02 修回日期:2022-02-07 接受日期:2022-02-10 出版日期:2022-02-28
  • 通信作者: 李单青
  • 基金资助:
    国家重点研发计划(2020YFB1313700)

Application and prospect of medical robot in diagnosis and treatment of small pulmonary nodule

Chao Guo1, Jiaqi Zhang2, Zhen Li3, Guibin Bian3, Shanqing Li1,()   

  1. 1. Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China; Department of Translational Medicine, Peking Union Medical College Hospital, Beijing 100730, China
    2. Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
    3. Institute of Automation, Chinese Academy of Science, Beijing 100190, China
  • Received:2022-01-02 Revised:2022-02-07 Accepted:2022-02-10 Published:2022-02-28
  • Corresponding author: Shanqing Li
引用本文:

郭超, 张家齐, 李桢, 边桂彬, 李单青. 医疗机器人在肺部小结节诊疗中的应用现状及前景展望[J/OL]. 中华胸部外科电子杂志, 2022, 09(01): 35-40.

Chao Guo, Jiaqi Zhang, Zhen Li, Guibin Bian, Shanqing Li. Application and prospect of medical robot in diagnosis and treatment of small pulmonary nodule[J/OL]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2022, 09(01): 35-40.

近年来,肺部小结节的微创诊疗技术突飞猛进;无论是介入机器人支气管镜还是手术机器人系统,均在不停地迭代更新,不断趋于完善以契合临床需求,为医生及患者带来了医疗获益;但机器人支气管镜及国产手术机器人的普及程度仍偏低。目前机器人支气管镜包括MonarchTM平台和IonTM系统,分别于2018年、2019年被美国食品药品监督管理局批准使用,其具有运动精确、灵活性高、稳定性强的特点,可实现8级以下支气管的导航活检,活检率、诊断率以及并发症发生率等各方面均优于传统的支气管镜;目前广泛使用的手术机器人系统为Da Vinci手术机器人,已成熟应用于胸外科各手术领域,包括肺、食管、纵隔等。国产化的手术机器人系统已获批应用,国产化的机器人支气管镜也正在积极的研发与试验过程中。医疗机器人的应用前景广大,国产设备研发空间广阔。

Rapid progress has been seen in the minimally invasive diagnosis and treatment of pulmonary nodule in recent years; both interventional robotic bronchoscope and surgical robot system are constantly updated and improved to meet clinical needs, which bring medical benefits to doctors and patients. However, the popularity of medical robots, especially robotic bronchoscope and domestic surgical robot, remains low. Robotic bronchoscope including MonarchTM and IonTM, which were approved by the United States Food and Drug Administration in 2018 and 2019 respectively, is characterized with precise motion, high flexibility and strong stability, and can realize the navigation and biopsy of bronchus below grade 8. The biopsy rate, diagnosis rate and complication result of robotic bronchoscope are better than that of traditional bronchoscope. The widely used surgical robot system, Da Vinci system, is applied in all areas of thoracic surgery, including lung, esophagus, and mediastinum. Domestic surgical robot system has been approved for application, and the domestic robotic bronchoscope is also on the way. There is a great prospective for the application of medical robots and the development of domestic equipment.

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