First experiences with the da Vinci™ operating robot in thoracic surgery☆

Bodner, Johannes; Wykypiel, Heinz; Wetscher, Gerold J.; Schmid, Thomas

doi:10.1016/j.ejcts.2004.02.001

Cited by 287 publications

(166 citation statements)

References 18 publications

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“…The most prominent in hospitals today are stationary or tele-operated devices, such as robots that assist with surgery, rehabilitation, information, or drug-dispensing (Ahn et al, 2014;Barrett et al, 2012;Bepko Jr et al, 2009;Berlinger, 2006). Inherent to this robot type is that actions and tasks require some extent of human intervention or fixed installation to function properly; for instance, a surgeon handling a haptic input device to maneuver certain instruments of a surgery robot (Bodner et al, 2004), a physiotherapist assisting patients to perform pre-configured physical exercises (Riener et al, 2005), or a nurse using her computer to video-chat with patients and to remotely control the movement of a telepresence robot (Tsui et al, 2011). While there is evidence that these applications are helpful, most people would not associate robots with them (Diprose et al, 2012).…”

Section: Definition and Scope Of Service Robotics In Healthcarementioning

confidence: 99%

Service robots in hospitals: new perspectives on niche evolution and technology affordances

Mettler

Sprenger

Winter

2017

European Journal of Information Systems

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Changing demands in society and the limited capabilities of health systems have paved the way for robots to move out of industrial contexts and enter more human-centered environments such as healthcare. We explore the shared beliefs and concerns of health workers on the introduction of autonomously operating service robots in hospitals or professional care facilities. By means of Qmethodology, a mixed research approach specifically designed for studying subjective thought patterns, we identify five potential end-user niches, each of which perceive different affordances and outcomes from using service robots in their working environment. Our findings allows for better understanding resistance and susceptibility of different users in a hospital and encourages managerial awareness of varying demands, needs, and surrounding conditions a service robot must contend with. We also discuss general insights into presenting the Q-methodology results and how an affordance-based view could inform the adoption, appropriation, and adaptation of emerging technologies.

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Section: Definition and Scope Of Service Robotics In Healthcarementioning

confidence: 99%

Service robots in hospitals: new perspectives on niche evolution and technology affordances

Mettler

Sprenger

Winter

2017

European Journal of Information Systems

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“…[4][5][6][7][8][9][10][11][12][13][14][15][16] However, very few institutions perform robot-assisted thoracic surgery routinely. In particular, there is only one report of robotically operated lung cancer.…”

Section: Discussionmentioning

confidence: 99%

Training in Robotic Surgery Using the da Vinci® Surgical System for Left Pneumonectomy and Lymph Node Dissection in an Animal Model

Kajiwara

Kakihana

Usuda

et al. 2011

ATCS

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Objectives: In Japan, as of March 2010, only 13 hospitals were using the da Vinci system and only for selected cases. Few clinical robotic lung surgery has been done in Japan, and there are no standardized training programs, although some exist in the U.S. and are under consideration by the Japanese society for thoracic surgery. We have used the da Vinci S ® Surgical System for pneumonectomy and lymph node dissection in pigs. We report and review future possibilities and problems of robotic surgery, especially concerning education, training, safety management and ethical considerations for pneumonectomy and lymph node dissection in clinical practice. Methods: The da Vinci ® system consists of a surgeon's console connected to a patient-side cart, a manipulator unit with three instrument arms and a central arm to guide the endoscope. The surgeon, sitting at the console, triggers highly sensitive motion sensors that transmit the surgeon's movements to the instrument arm. Results: We experienced exactly the same sensation as when performing standard open thoracotomy. Visual recognition is 3-D, and the high manipulation potential allows free movement of the various accessory instruments, exceeding the capacity of a surgeon's hands in video-assisted thoracic surgery (VATS) or even standard thoracotomy. Conclusions: Robotic surgery achieves at least the same level of operation technique for pneumonectomy and lymph node dissection under standard open thoracotomy, and it seemed as safe and easily performed as conventional VATS. The training program using pigs was effective and holds promise as a system to train thoracic surgeons in robotic lung surgery.

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“…Robotic assistance provides surgeons with the familiarity of conventional open surgery with its easier maneuverability, allowing MIS to be performed more easily [41] . Thus, in a report comparing the learning curve between conventional laparoscopy and robotic assistance in surgical tasks, laparoscopic surgery showed a steep learning curve, whereas robot-assisted surgery showed better results from the beginning of the initial case with a shallower learning curve, showing the easy adaptability of robot-assisted surgery [31,[42][43][44] .…”

Section: Feasibility and Safetymentioning

confidence: 99%

Current status of robot-assisted gastric surgery

Baek

Lee²,

Kim³

2011

WJGO

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In an effort to minimize the limitations of laparoscopy, a robotic surgery system was introduced, but its role for gastric cancer is still unclear. The objective of this article is to assess the current status of robotic surgery for gastric cancer and to predict future prospects. Although the current study was limited by its small number of patients and retrospective nature, robot-assisted gastrectomy with lymphadenectomy for the treatment of gastric cancer is a feasible and safe procedure for experienced laparoscopic surgeons. Most studies have reported satisfactory results for postoperative short-term coutcomes, such as: postoperative oral feeding, gas out, hospital stay and complications, compared with laparoscopic surgery; the difference is a longer operation time. However, robotic surgery showed a shallow learning curve compared with the familarity of conventional open surgery; after the accumulation of several cases, robotic surgery could be expected to result in a similar operation time. Robotic-assisted gastrectomy can expand the indications of minimally invasive surgery to include advanced gastric cancer by improving the ability to perform lymphadenectomy. Moreover, "total" robotic gastrectomy can be facilitated using a robotsewing technique and gastric submucosal tumors near the gastroesophageal junction or pylorus can be resected safely by this novel technique. In conclusion, robotassisted gastrectomy may offer a good alternative to conventional open or laparoscopic surgery for gastric cancer, provided that long-term oncologic outcomes can be confirmed.

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First experiences with the da Vinci™ operating robot in thoracic surgery☆

Cited by 287 publications

References 18 publications

Service robots in hospitals: new perspectives on niche evolution and technology affordances

Service robots in hospitals: new perspectives on niche evolution and technology affordances

Training in Robotic Surgery Using the da Vinci® Surgical System for Left Pneumonectomy and Lymph Node Dissection in an Animal Model

Current status of robot-assisted gastric surgery

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