First-in-Human Integrated Use of a Dedicated Microsurgical Robot with a 4K 3D Exoscope: The Future of Microsurgery

Abstract

Innovative techniques can help overcome the limitations of the human body. Operating on very small structures requires adequate vision of the surgical field and precise movements of sophisticated instruments. Both the human eye and hand are limited when performing microsurgery. Conventional microsurgery uses operation microscopes to enhance the visualization of very small structures. Evolving technology of high-definition 3D cameras provides the opportunity to replace conventional operation microscopes, thereby improving ergonomics for surgeons. This leaves the human hand as a limiting factor in microsurgery. A dedicated robot for microsurgery has been developed to overcome this limitation and enhance the precision and stability of the surgeons’ hands. We present the first-in-human case in reconstructive microsurgery where both technologies are integrated using a dedicated microsurgical robot in combination with a 4K 3D exoscope.

Micro robot as the feature of robotic in healthcare approach from design to application: the State of art and challenges

“…With respect to area of use , there are some area and disease that micro robots can be applied. Robotics in medicine encompasses targeted drug delivery [16], surgery assistance [17], and diagnostic support [18] across various fields are shown in Table 1.…”

Future of autologous breast reconstruction: a review of novel technological innovations

“…However, they allowed for precise micro-movements with minimal tissue manipulation and made hard-to-reach anatomy more accessible [33] . Barbon et al demonstrated that despite a steep learning curve, the time taken for robotic anastomosis eventually became comparable to that of hand-sewn anastomosis after several procedures [35] . A significant advantage of robotic microsurgery is the ability to scale motions down from 7-20 x, allowing the robot to function at a slower, more controlled speed [33] .…”

Robot-assisted DIEAP flap harvesting: a review of techniques

“…Робот-ассистированная радикальная подкожная мастэктомия ассоциирована с низкой частотой возникновения ранних и поздних осложнений [9][10][11][12], а лимфоаксиллярная диссекция с применением методов роботической хирургии снижает вероятность возникновения послеоперационных осложнений и лимфедематозных ятрогенных осложнений [13]. Манипуляторы роботической системы позволяют оперировать в ограниченных операционном поле и полостях, поэтому их применение может сделать сложную микрохирургию более удобной [14,15]. В хирургии молочной железы роботассистированная микрохирургия также применялась в реиннервации сохраненной кожи и сосково-ареолярного комплекса.…”