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Review
. 2021 Feb;69(2):131-139.
doi: 10.1007/s00106-020-00934-w.

[Robot-assisted head and neck surgery]

[Article in German]
P J Schuler  1   2 , F Boehm  3   4 , L R Schild  3   4 , J Greve  3   4 , T K Hoffmann  3   4
Affiliations
Review

[Robot-assisted head and neck surgery]

[Article in German]
P J Schuler et al. HNO. 2021 Feb.

Abstract
in English, German

Robot-assisted surgery (RAS) has already been approved for several clinical applications in head and neck surgery. In some Anglo-American regions, RAS is currently the common standard for treatment of oropharyngeal diseases. Systematic randomized studies comparing established surgical procedures with RAS in a large number of patients are unavailable so far. Experimental publications rather describe how to reach poorly accessible anatomical regions using RAS, or represent feasibility studies on the use of transoral robotic surgery (TORS) in established surgical operations. With general application of RAS in clinical practice, the question of financial reimbursement arises. Furthermore, the technical applications currently on the market still require some specific improvements for routine use in head and neck surgery.

In der klinischen Anwendung gibt es bereits einige für den Kopf-Hals-Bereich zugelassene Assistenzsysteme für die roboterassistierte Chirurgie (RAC). In Teilen des angloamerikanischen Raums hat sich die RAC im Oropharynx zum Standard entwickelt. Große systematische Studien, welche Vergleiche mit etablierten Standardverfahren anstellen, existieren bis heute nicht. Vielmehr wird in experimentellen Arbeiten beschrieben, schlecht zugängliche anatomische Regionen mittels RAC zu erreichen, oder aber es werden Machbarkeitsstudien zur Verwendung von transoraler robotischer Chirurgie (TORS) bei etablierten chirurgischen Operationen angestellt. Bei einem flächendeckenden Einsatz stellt sich bis heute die Frage der Finanzierung des Mehraufwands. Außerdem sollten die auf dem Markt befindlichen technischen Lösungen für einen standardisierten Einsatz in der Kopf-Hals-Chirurgie systematisch verbessert werden.

Keywords: Computer-assisted surgery; Head and neck neoplasms; Health care costs; Robotic surgical procedures; Treatment outcome.

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References

Literatur

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