机器人的作用呈指数级增长。有一个积极的利益之间的从业者的转移到塑料和重建手术的潜在利益;然而,许多整形外科医生报告缺乏广泛的实施,培训,或临床暴露。我们报告了目前的证据基础,和手术机会,除了关键障碍,和需要克服的限制,在该领域开发机器人的使用。这篇对PubMed的系统综述,Medline,Embase已根据系统评价和荟萃分析的首选报告项目(PROSPERO(ID:CRD42024524237)进行。临床前,教育,包括临床文章,在整形和重建手术范围内。2,181篇文章进行了筛选;176篇文章符合淋巴结清扫的纳入标准,皮瓣和显微外科手术,阴道成形术,颅面重建,腹壁重建和经口机器人手术(TOR)。已经报道了许多好处,包括技术优势,如更好的可视化,提高了精度和准确度,震颤减少。患者获益包括并发症发生率较低和恢复较快;然而,在某些类别中,手术持续时间较长。成本是实施的重大障碍。机器人手术为改善患者预后和手术易用性提供了一个令人兴奋的机会,在这篇综述中证明了许多子专业的可行性。然而,通过仔细的案例选择,进一步进行更高质量的比较研究,它有足够的动力,以及纳入成本分析,有必要充分了解患者护理的真正好处,以及资源利用的理由。
The role of robotics has grown exponentially. There is an active interest amongst practitioners in the transferability of the potential benefits into plastic and reconstructive surgery; however, many plastic surgeons report lack of widespread implementation, training, or clinical exposure. We report the current evidence base, and surgical opportunities, alongside key barriers, and limitations to overcome, to develop the use of robotics within the field. This systematic review of PubMed, Medline, and Embase has been conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PROSPERO (ID: CRD42024524237). Preclinical, educational, and clinical articles were included, within the scope of plastic and reconstructive surgery. 2, 181, articles were screened; 176 articles met the inclusion criteria across lymph node dissection, flap and microsurgery, vaginoplasty, craniofacial reconstruction, abdominal wall reconstruction and transoral robotic surgery (TOR). A number of benefits have been reported including technical advantages such as better visualisation, improved precision and accuracy, and tremor reduction. Patient benefits include lower rate of complications and quicker recovery; however, there is a longer operative duration in some categories. Cost presents a significant barrier to implementation. Robotic surgery presents an exciting opportunity to improve patient outcomes and surgical ease of use, with feasibility for many subspecialities demonstrated in this review. However, further higher quality comparative research with careful case selection, which is adequately powered, as well as the inclusion of cost-analysis, is necessary to fully understand the true benefit for patient care, and justification for resource utilisation.