Early experiences of robotic surgery in children

Gutt, Carsten N.; Markus, B. H.; Kim, Z.G.; Meininger, Dirk; Brinkmann, Lars; Heller, Klaus

doi:10.1007/s00464-001-9151-1

Cited by 105 publications

(57 citation statements)

References 11 publications

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“…Previous studies have reported the safety and feasibility of robot-assisted antireflux surgery in children [1][2][3][4][5][6]. The first report on a randomised study [2] concluded that there was no obvious added benefit from the robotic technique compared with laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 96%

Robotic fundoplication in children

2006

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Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the operation robot, da Vinci Surgical System from Intuitive Surgical, were included prospectively. As controls, data from the latest six children operated on using the open surgical procedure and the latest six children operated on using the minimal invasive laparoscopic technique were selected retrospectively. All the patients were operated on due to gastroesophageal reflux and were comparable in the De Meester score. The main outcome measures were the operating time, the use of postoperative analgesics, the duration of the postoperative hospital stay and the short-term outcome. There was no significant difference between the three groups concerning age, body weight and preoperative 24 h pH measurement. The mean operating time for the robotic group, 213 min, was the longer one, but the operating time for the latest four patients in the robotic group was similar to that for the laparoscopic group, 189 min. The postoperative hospital stay was shorter and a reduction in the use of analgesics postoperatively was noted. The reduction in the postoperative hospital stay and in the use of analgesics had been already noted with the introduction of the minimal invasive laparoscopic technique. There was no difference in short-term clinical outcome; the gastroesophageal reflux symptoms disappeared in all the patients. Robot-assisted laparoscopic fundoplication is comparable with the standard laparoscopic surgical procedure in terms of duration of operation, postoperative hospital stay, use of postoperative analgesics and short-term clinical outcome. The robotic surgery adds qualities to the surgical work when compared with open or laparoscopic surgery. These include better visualisation for the surgeon and greater precision in the movements of the instruments used.

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Section: Discussionmentioning

confidence: 96%

Robotic fundoplication in children

2006

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“…The question remains if these advantages detected experimentally can be transferred to the clinical setting. In fact, several clinical studies have demonstrated the feasibility and safety of a variety of robotassisted procedures [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. However, there is only a limited number of controlled trials.…”

Section: Introductionmentioning

confidence: 99%

No relevant difference in quality of life and functional outcome at 12 months’ follow-up—a randomised controlled trial comparing robot-assisted versus conventional laparoscopic Nissen fundoplication

Müller‐Stich

Reiter

Mehrabi

et al. 2009

Langenbecks Arch Surg

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“…Robotic surgery technology and techniques have made rapid advances in recent years across a wide range of clinical applications including cardiovascular surgery (Kappert et al, 2000), urology (Menon, Tewari, Baize, Guillonneau, & Vallancien, 2002), pediatrics (Gutt et al, 2002), gynecology (Falcone, Goldberg, Margossian, & Stevens, 2000), neurosurgery (Giorgi, Sala, Riva, Cossu, & Eisenberg, 2000), orthopedics (Jakopec et al, 2001), microsurgery (Siemionow, Ozer, Siemionow, & Lister, 2000), and fetal surgery (Aaronson et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Optimizing the surgeon-robot interface: The effect of control-display gain and zoom level on movement time

Ellis¹,

Cao²,

Pandya³

et al. 2004

PsycEXTRA Dataset

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While many advances have been made in surgical robotics technology, even for surgeons with relatively high levels of robotic surgery experience, many tasks take less time to perform manually. Although there are other benefits to surgical robotics that may outweigh task completion time, relatively lower efficiency will hinder the adoption of this technology. This study focused on two interface parameters: ControlDisplay Gain (CDG, i.e., the amount of robot movement resulting from a given robot controller movement) and the optical Zoom level that defines the working field of view. Results from a study with 10 participants suggest that CDG is a promising interface parameter for optimizing movement time in robot-assisted surgical tasks. The results have implications for the development and implementation of intelligent surgeon-robot interface technology and hold the potential to greatly improve the efficiency of roboticassisted surgery techniques.

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Early experiences of robotic surgery in children

Cited by 105 publications

References 11 publications

Robotic fundoplication in children

Robotic fundoplication in children

No relevant difference in quality of life and functional outcome at 12 months’ follow-up—a randomised controlled trial comparing robot-assisted versus conventional laparoscopic Nissen fundoplication

Optimizing the surgeon-robot interface: The effect of control-display gain and zoom level on movement time

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