Zusammenfassung
Operationsroboter sind seit Anfang dieses Jahrhunderts auch bei HNO Eingriffen im Einsatz. Dabei unterstützen sie den Chirurgen in erster Linie bei minimalinvasiven transoralen Operationen. Vor allem im multidisziplinären Behandlungskonzept von Kopf- und Halstumoren, aber auch bei Schnarchoperationen stellt der Roboter eine Ergänzung zur etablierten transoralen Laserchirurgie dar. Mittlerweile gibt es eine große Anzahl von Daten, die sich mit seiner Bedeutung in Hinblick auf onkologische Ergebnisse, Funktionserhalt, Wirtschaftlichkeit und Zukunftsperspektiven beschäftigen.
Die Einsatzgebiete im HNO Bereich sind mit den derzeitigen Geräten noch begrenzt, sodass aufgrund geringer Fallzahlen Bestrebungen bestehen, Zentren auf nationaler und internationaler Ebene zu vernetzen. Einheitliche Ausbildungsstandards, gezielter Wissens- und Datenaustausch, sowie die Weiterentwicklung der Systeme ließen sich dadurch besser steuern. Die Schaffung von kleineren, wendigeren, HNO-spezifischen Geräten könnte im nächsten Schritt die Anwendungsmöglichkeiten erweitern und würde zu einer HNO-chirurgischen Anwendung auf breiter Basis führen.
Abstract
Since the beginning of the 21st century, surgical robots have been used in the ENT-environment. They primarily support surgeons in minimal invasive transoral operations, especially in multidisciplinary treatment concepts of head and neck tumors, but also in snoring surgery the robot provides a complement to the established transoral laser surgery. In the meantime there is a large number of data that deals with the importance of oncological results, function maintenance, economics and future perspectives.
Operation areas of the current robot devices are still limited in the ENT-environment. As the number of cases are small, efforts are being made to connect centres on a national and international level. Thus, uniform training standards, targeted knowledge and data exchange as well as further development of systems would be managed better. The creation of small and agile ENT-specific equipment could expand the possibilities as a next step for the future and finally lead to a wide scale of ENT-surgical applications.
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C. Winkler, A. Strobl, T. J. Schmal, M. Hartl, M. Burian und M. Formanek geben an, dass kein Interessenkonflikt besteht.
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Winkler, C., Strobl, A., Schmal, T.J. et al. Bedeutung der transoralen robotischen Chirurgie in der HNO. Wien Med Wochenschr 172, 20–30 (2022). https://doi.org/10.1007/s10354-021-00865-3
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DOI: https://doi.org/10.1007/s10354-021-00865-3