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1.
少颖-focus reverse aging
(2025-08-03 01:07):
#paper DOI: https://doi.org/10.5114/ait/203168
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杂志：Anaesthesiol Intensive Ther 年份：2025
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标题：Anesthesia for robot-assisted surgery: a review
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推荐理由：手术机器人能够减轻医生的工作量减少病人的痛苦，这篇文章让我们明白了手术机器人的瓶颈，让我们知道未来如何发展手术机器人技术。
1.生理干扰大
手术依赖充二氧化碳建立气腹和头低脚高体位，会挤压心肺，导致血压波动、呼吸不畅，还可能引发颅内压、眼内压升高，增加脑水肿、视力损伤风险，术后面部颈部水肿也可能影响气道安全。
2.并发症风险高
可能出现气体栓塞（二氧化碳进入血管），导致血压骤降、心跳异常；虽出血量少，但一旦出血更难控制；长时间固定体位还可能压伤神经，引发手脚麻木或无力。
3.操作和空间限制
设备体积大，占用手术室空间，麻醉师难靠近患者，术前需固定好所有管线以防脱落；紧急情况需多步骤卸除机器人，可能延误抢救；手术时间因设备对接、学习曲线长而延长，增加患者低体温风险。
4.患者适用范围窄
严重肥胖、肺病、心脏病、青光眼等患者无法耐受；胸廓过小、有粘连病史的患者，机械臂难以摆放，无法手术。
5.成本高且依赖技术
设备昂贵，仅大型医院能负担；需术者专项培训，且完全依赖人工操作，无自主纠错能力，技术垄断也限制普及。
Anaesthesiology Intensive Therapy,
2025-5-26.
DOI: 10.5114/ait/203168
Abstract:
Robotic surgery has become increasingly popular over the last 30 years. This techniqueis particularly attractive due to its minimally invasive nature, high precision comparedto open and laparoscopic techniques, less postoperative …
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Robotic surgery has become increasingly popular over the last 30 years. This techniqueis particularly attractive due to its minimally invasive nature, high precision comparedto open and laparoscopic techniques, less postoperative pain, shorter hospital stay forpatients, and faster recovery. For an anesthesiologist, robot-assisted operations involvenumerous challenges resulting from the surgical technique. The most important problems during anesthesia include changes in physiology resulting from the developmentof pneumoperitoneum and a steep Trendelenburg position. This review discusses problems that may be encountered by an anesthesiologist performing anesthesia duringrobotic surgery.
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