[Application progress and future prospects of interventional robotics in vascular injury hemostasis]

Zhonghua Wai Ke Za Zhi. 2024 Dec 1;62(12):1082-1086. doi: 10.3760/cma.j.cn112139-20240627-00313.
[Article in Chinese]

Abstract

The field of traumatic hemostasis is currently confronted with numerous challenges, particularly in addressing the treatment of non-compressible torso hemorrhage(NCTH), where conventional hemostatic methods have limited efficacy. Endovascular intervention holds promise for NCTH, but its application in trauma care is hampered by a shortage of specialized personnel, stringent equipment requirements, and lengthy preoperative preparation times, which fail to meet the urgent hemostasis needs of NCTH patients. In recent years, the rapid development of vascular interventional robotic surgery systems, with a continuous influx of new products both domestically and internationally, has shown potential. These systems, equipped with autonomous navigation capabilities, can swiftly and accurately plan surgical routes. Their precise pressure sensing systems, coupled with high-precision mechanical arms and advanced control systems, are set to enhance the precision and safety of surgical procedures. Looking forward, the integration of interventional robots with other methods such as angioscopy is anticipated to surpass the limitations of traditional interventional approaches. This synergy is expected to unlock significant potential, especially in the critical field of emergency trauma hemostasis.

目前创伤止血领域面临许多挑战,其中不可压迫性躯干出血(NCTH)治疗困难,常规止血方法效果有限。血管内介入止血是治疗NCTH的可选方法,然而,血管内介入治疗在创伤领域的应用受到专业人员缺乏、对设备要求高、手术前期准备时间较长等限制,难以满足NCTH患者的止血需求。近年来,血管介入机器人手术系统发展迅速,国内外新产品不断涌现,有望通过自动导航功能迅速、精准规划手术路径,依靠精确的压力传感系统与高精度的机械臂和先进的控制系统,进一步提升手术的精准性和安全性。未来,血管介入机器人手术系统可与其他介入手段如血管内镜等结合,有望克服传统介入手段的局限性,尤其在紧急创伤止血领域中展现巨大潜力。.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Hemorrhage / therapy
  • Hemostasis
  • Humans
  • Robotic Surgical Procedures / methods
  • Robotics*
  • Vascular System Injuries / surgery