Dexterity enhancement with robotic surgery

Moorthy, Krishna; Munz, Yaron; Dosis, A.; Hernández, Juan David; Martin, S.; Bello, Fernando; Rockall, Timothy; Darzi, Ara

doi:10.1007/s00464-003-8922-2

Cited by 262 publications

(198 citation statements)

References 19 publications

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“…In contrast, many complex laparoscopic tasks such as suturing are more easily mastered when a robotic platform is applied (10,11). Some studies suggest that surgical novices are able to gain proficiency in robotic surgery quickly despite lack of prior laparoscopic experience, and that those with experience are able to perform many laparoscopic tasks more quickly when using the robot (12,13).…”

Section: Minimally Invasive Surgery At the Crossroads: The Case For Rmentioning

confidence: 99%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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Though laparoscopic cholecystectomy (LC) was highly criticized in its early stages, it quickly grew to become a new standard of care and has revolutionized the field of general surgery. Now emerging robotic technology is making its way into the minimally invasive arena. Robotic cholecystectomy (RC) is often disparaged as a costly technology that can lead to increased operative times with outcomes that are quite similar to LC. However, this perspective is skewed as many existing studies were performed in the early phase of learning for this procedure. RC can be performed in a cost-effective manner as the volume of robotic procedures increases. In addition, improved visualization and capability to perform fluorescence cholangiography can improve the safety profile of cholecystectomy to a level that has not yet been achieved with conventional laparoscopy. Advanced simulation technology for robotic surgery, and newer singlesite robotic platforms have the potential to further revolutionize this technology and lead to improved patient satisfaction. In this review, we will present current data, trends, and controversies in robotic-assisted cholecystectomy.

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Section: Minimally Invasive Surgery At the Crossroads: The Case For Rmentioning

confidence: 99%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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“…Moorthy et al reported that these technological advantages enhanced dexterity by nearly 50% as compared to laparoscopic surgery [2].…”

Section: Commentmentioning

confidence: 99%

Origami using da Vinci Surgical System

et al. 2007

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“…However, current surgical robots, such as the da Vinci surgical system made by Intuitive Surgical, have several significant limitations. Although one recent report concluded that robotic surgery can enhance dexterity compared to traditional laparoscopy [7], most studies suggest that current robotic systems offer little or no improvement over standard laparoscopic instruments in the performance of basic skills [8]- [10]. Current systems also remain constrained by limited sensory and mobility capabilities, and their high cost and extensive support requirements make them unavailable to most hospitals.…”

Section: A Robot-assisted Surgerymentioning

confidence: 99%

Miniature in vivo Robots for Remote and Harsh Environments

Rentschler

Platt

Berg

et al. 2008

IEEE Trans. Inform. Technol. Biomed.

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Abstract-Long-term human space exploration will require contingencies for emergency medical procedures including some capability to perform surgery. The ability to perform minimally invasive surgery (MIS) would be an important capability. The use of small incisions reduces surgical risk, but also eliminates the ability of the surgeon to view and touch the surgical environment directly. Robotic surgery, or telerobotic surgery, may provide emergency surgical care in remote or harsh environments such as space flight, or extremely forward environments such as battlefields. However, because current surgical robots are large and require extensive support personnel, their implementation has remained limited in forward environments, and they would be difficult, or impossible, to use in space flight or on battlefields. This paper presents experimental analysis of miniature fixed-base and mobile in vivo robots to support MIS surgery in remote and harsh environments. The objective is to develop wireless imaging and task-assisting robots that can be placed inside the abdominal cavity during surgery. Such robots will provide surgical task assistance and enable an on-site or remote surgeon to view the surgical environment from multiple angles. This approach is applicable to long-duration space flight, battlefield situations, and for traditional medical centers and other remote surgical locations.Index Terms-Extreme and remote environments, in vivo, robots, surgical, telementoring.

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Dexterity enhancement with robotic surgery

Abstract: The presence of wristed instrumentation, tremor abolition, and motion scaling enhance dexterity by nearly 50% as compared to laparoscopic surgery. 3-D vision enhances dexterity by a further 10-15%. In addition, the presence of 3-D vision results in a 93% reduction in skills-based errors.

Cited by 262 publications

References 19 publications

The emerging role for robotics in cholecystectomy: the dawn of a new era?

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Origami using da Vinci Surgical System

Miniature in vivo Robots for Remote and Harsh Environments

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