Existe espaço para a microcirurgia na cirurgia robótica?*

Jefferson Braga Silva; Catarina Vellinho Busnello; Matheus Ribeiro Cesarino; Luiza Fernandes Xavier; Leandro Totti Cavazzola

doi:10.1055/s-0042-1744496

Revista Brasileira de Ortopedia, Table of Contents

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(05): 709-717
DOI: 10.1055/s-0042-1744496

Revisão Sistemática e Metanálise

Mão

Existe espaço para a microcirurgia na cirurgia robótica?^[*]

Article in several languages: português | English

Authors

Jefferson Braga Silva

¹Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil

²Departamento de Cirurgia da Mão e Microcirurgia Reconstrutiva, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Catarina Vellinho Busnello

¹Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Matheus Ribeiro Cesarino

¹Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Luiza Fernandes Xavier

¹Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Leandro Totti Cavazzola

³Departamento de Cirurgia da Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil

Abstract

Resumo

A cirurgia robótica abriu uma nova era de procedimentos minimamente invasivos, por meio da sua precisão, da eliminação dos tremores, e dos maiores graus de liberdade e demais aspectos facilitadores. O campo da microcirurgia robótica apresentou grande crescimento nos últimos anos em especial, uma vez que a robótica oferece uma configuração potencialmente ideal para realização das manipulações delicadas exigidas na microcirurgia. Assim, conduzimos uma revisão sistemática com o objetivo de avaliar os benefícios da cirurgia robótica e sua contribuição para a microcirurgia, comparando-a com as demais técnicas cirúrgicas utilizadas em pacientes de todas as faixas etárias. Foram analisados 25 artigos encontrados nas bases de dados PubMed e Cochrane utilizando os descritores robotic surgery AND microsurgery com filtro para os últimos cinco anos, e estudos realizados em humanos e publicados em inglês ou português. Concluímos que existe grande espaço para a cirurgia robótica na microcirurgia, como em procedimentos primários de infertilidade masculina, microcirurgia neurológica, cirurgias oculares e otológicas, cirurgia transoral, hepatobiliar, microvascular, e cirurgia plástica e reconstrutiva.

Palavras-chave

procedimentos cirúrgicos robóticos - microcirurgia - procedimentos cirúrgicos minimamente invasivos

Full Text

References

Referências
1 Marino MV, Shabat G, Gulotta G, Komorowski AL. From illusion to reality: a brief history of robotic surgery. Surg Innov 2018; 25 (03) 291-296
2 Saleh DB, Syed M, Kulendren D, Ramakrishnan V, Liverneaux PA. Plastic and reconstructive robotic microsurgery–a review of current practices. Ann Chir Plast Esthet 2015; 60 (04) 305-312
3 Ibrahim AE, Sarhane KA, Selber JC. New Frontiers in Robotic-Assisted Microsurgical Reconstruction. Clin Plast Surg 2017; 44 (02) 415-423
4 Da Vinci Surgical System. 2005 Available from: http://www.intuitivesurgical.com/products/davinci_surgicalsystem/index.aspx
5 Struk S, Qassemyar Q, Leymarie N. et al. The ongoing emergence of robotics in plastic and reconstructive surgery. Ann Chir Plast Esthet 2018; 63 (02) 105-112
6 Guillonneau B. What robotics in urology? A current point of view. Eur Urol 2003; 43 (02) 103-105
7 Lee N. Robotic surgery: where are we now?. Lancet 2014; 384 (9952): 1417
8 Selber JC. Transoral robotic reconstruction of oropharyngeal defects: a case series. Plast Reconstr Surg 2010; 126 (06) 1978-1987
9 Longfield EA, Holsinger FC, Selber JC. Reconstruction after robotic head and neck surgery: when and why. J Reconstr Microsurg 2012; 28 (07) 445-450
10 Toesca A, Peradze N, Galimberti V. et al. Robotic Nipple-sparing Mastectomy and Immediate Breast Reconstruction With Implant: First Report of Surgical Technique. Ann Surg 2017; 266 (02) e28-e30
11 Toesca A, Peradze N, Manconi A. et al. Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study. Breast 2017; 31: 51-56
12 Pedersen J, Song DH, Selber JC. Robotic, intraperitoneal harvest of the rectus abdominis muscle. Plast Reconstr Surg 2014; 134 (05) 1057-1063
13 Clemens MW, Kronowitz S, Selber JC. Robotic-assisted latissimus dorsi harvest in delayed-immediate breast reconstruction. Semin Plast Surg 2014; 28 (01) 20-25
14 Selber JC, Baumann DP, Holsinger CF. Robotic harvest of the latissimus dorsi muscle: laboratory and clinical experience. J Reconstr Microsurg 2012; 28 (07) 457-464
15 Selber JC. Can I make robotic surgery make sense in mypractice?. Plast Reconstr Surg 2017; 139 (03) 781e-792e
16 van Mulken TJM, Boymans CAEM, Schols RM. et al. Preclinical Experience Using a New Robotic System Created for Microsurgery. Plast Reconstr Surg 2018; 142 (05) 1367-1376
17 van Mulken TJM, Schols RM, Qiu SS. et al. Robotic (super) microsurgery: Feasibility of a new master-slave platform in an in vivo animal model and future directions. J Surg Oncol 2018; 118 (05) 826-831
18 Wang P, Su YJ, Jia CY. Current surgical practices of robotic-assisted tissue repair and reconstruction. Chin J Traumatol 2019; 22 (02) 88-92
19 Ind TE, Marshall C, Hacking M. et al. Introducing robotic surgery into an endometrial cancer service–a prospective evaluation of clinical and economic outcomes in a UK institution. Int J Med Robot 2016; 12 (01) 137-144
20 Rudmik L, An W, Livingstone D. et al. Making a case for high-volume robotic surgery centers: A cost-effectiveness analysis of transoral robotic surgery. J Surg Oncol 2015; 112 (02) 155-163
21 Goto T, Hongo K, Ogiwara T. et al. Intelligent Surgeon's Arm Supporting System iArmS in Microscopic Neurosurgery Utilizing Robotic Technology. World Neurosurg 2018; 119: e661-e665
22 Smith JA, Jivraj J, Wong R, Yang V. 30 Years of Neurosurgical Robots: Review and Trends for Manipulators and Associated Navigational Systems. Ann Biomed Eng 2016; 44 (04) 836-846
23 Roizenblatt M, Grupenmacher AT, Belfort Junior R, Maia M, Gehlbach PL. Robot-assisted tremor control for performance enhancement of retinal microsurgeons. Br J Ophthalmol 2019; 103 (08) 1195-1200
24 Kavoussi PK. Validation of robot-assisted vasectomy reversal. Asian J Androl 2015; 17 (02) 245-247
25 Darves-Bornoz A, Panken E, Brannigan RE, Halpern JA. Robotic Surgery for Male Infertility. Urol Clin North Am 2021; 48 (01) 127-135
26 Edwards TL, Xue K, Meenink HCM. et al. First-in-human study of the safety and viability of intraocular robotic surgery. Nat Biomed Eng 2018; 2: 649-656
27 Bourcier T, Chammas J, Becmeur PH. et al. Robotically Assisted Pterygium Surgery: First Human Case. Cornea 2015; 34 (10) 1329-1330
28 Gonzalez-Ciccarelli LF, Quadri P, Daskalaki D, Milone L, Gangemi A, Giulianotti PC. Robotic approach to hepatobiliary surgery. Chirurg 2017; 88 (Suppl. 01) 19-28
29 Gundlapalli VS, Ogunleye AA, Scott K. et al. Robotic-assisted deep inferior epigastric artery perforator flap abdominal harvest for breast reconstruction: A case report. Microsurgery 2018; 38 (06) 702-705
30 Fiorelli A, Mazzone S, Costa G, Santini M. Endoscopic treatment of idiopathic subglottic stenosis with digital AcuBlade robotic microsurgery system. Clin Respir J 2018; 12 (02) 802-805
31 Fu TS, Foreman A, Goldstein DP, de Almeida JR. The role of transoral robotic surgery, transoral laser microsurgery, and lingual tonsillectomy in the identification of head and neck squamous cell carcinoma of unknown primary origin: a systematic review. J Otolaryngol Head Neck Surg 2016; 45 (01) 28
32 Kwong FN, Puvanendran M, Paleri V. Transoral robotic surgery in head neck cancer management. B-ENT 2015; (Suppl. 24) 7-13
33 Lörincz BB, Jowett N, Knecht R. Decision management in transoral robotic surgery: Indications, individual patient selection, and role in the multidisciplinary treatment for head and neck cancer from a European perspective. Head Neck 2016; 38 (Suppl. 01) E2190-E2196
34 Castellano A, Sharma A. Systematic Review of Validated Quality of Life and Swallow Outcomes after Transoral Robotic Surgery. Otolaryngol Head Neck Surg 2019; 161 (04) 561-567
35 Chalmers R, Schlabe J, Yeung E, Kerawala C, Cascarini L, Paleri V. Robot-Assisted Reconstruction in Head and Neck Surgical Oncology: The Evolving Role of the Reconstructive Microsurgeon. ORL J Otorhinolaryngol Relat Spec 2018; 80 (3-4): 178-185
36 Li H, Torabi SJ, Park HS. et al. Clinical value of transoral robotic surgery: Nationwide results from the first 5 years of adoption. Laryngoscope 2019; 129 (08) 1844-1855
37 Hanna J, Brauer PR, Morse E, Judson B, Mehra S. Is robotic surgery an option for early T-stage laryngeal cancer? Early nationwide results. Laryngoscope 2020; 130 (05) 1195-1201
38 Akst LM, Olds KC, Balicki M, Chalasani P, Taylor RH. Robotic microlaryngeal phonosurgery: Testing of a “steady-hand” microsurgery platform. Laryngoscope 2018; 128 (01) 126-132
39 McGuire DA, Rodney JP, Vasan NR. Improved Glottic Exposure for Robotic Microlaryngeal Surgery: A Case Series. J Voice 2017; 31 (05) 628-633
40 Kim JY, Kim WS, Choi EC, Nam W. The Role of Virtual Surgical Planning in the Era of Robotic Surgery. Yonsei Med J 2016; 57 (01) 265-268
41 Dahroug B, Tamadazte B, Weber S, Tavernier L, Andreff N. Review on Otological Robotic Systems: Toward Microrobot-Assisted Cholesteatoma Surgery. IEEE Rev Biomed Eng 2018; 11: 125-142
42 van Mulken TJM, Schols RM, Scharmga AMJ. et al; MicroSurgical Robot Research Group. First-in-human robotic supermicrosurgery using a dedicated microsurgical robot for treating breast cancer-related lymphedema: a randomized pilot trial. Nat Commun 2020; 11 (01) 757
43 Doulgeris JJ, Gonzalez-Blohm SA, Filis AK, Shea TM, Aghayev K, Vrionis FD. Robotics in Neurosurgery: Evolution, Current Challenges, and Compromises. Cancer Contr 2015; 22 (03) 352-359
44 Chang DW. Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study. Plast Reconstr Surg 2010; 126 (03) 752-758
45 McBeth PB, Louw DF, Rizun PR, Sutherland GR. Robotics in neurosurgery. Am J Surg 2004; 188 (4A, Suppl) 68S-75S

Existe espaço para a microcirurgia na cirurgia robótica?[*]

Authors

Existe espaço para a microcirurgia na cirurgia robótica?^[*]