Frontiers of Medical Robotics: From Concept to Systems to Clinical Translation

Troccaz, Jocelyne; Dagnino, Giulio; Yang, Guang‐Zhong

doi:10.1146/annurev-bioeng-060418-052502

Cited by 127 publications

(93 citation statements)

References 137 publications

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“…These principles could be applied to a variety of disciplines (for a detailed review see ref. 7 ). Major surgical societies have addressed specific guidelines during COVID-19 (see Supplementary Information), of which some have argued against the use of minimal-invasive procedures.…”

Section: The Rise Of Robots In Surgical Environments During Covid-19mentioning

confidence: 99%

“…ZEUS was used for the first long-distance telesurgical procedure, a laparoscopic cholecystectomy on a French patient in Strasbourg, while the surgeon was located in New York 5 . Another breakthrough was the Da Vinci robotic system by Intuitive Surgery, which is used across different surgical specialties for a variety of surgical procedures and is capable of performing technically challenging procedures 6,7 . Several other robotic systems have now been developed and are commercially available for various surgical procedures across different disciplines (for a review see ref.…”

mentioning

confidence: 99%

“…Several other robotic systems have now been developed and are commercially available for various surgical procedures across different disciplines (for a review see ref. 7 ).…”

mentioning

confidence: 99%

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The rise of robots in surgical environments during COVID-19

2020

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Section: The Rise Of Robots In Surgical Environments During Covid-19mentioning

confidence: 99%

mentioning

confidence: 99%

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The rise of robots in surgical environments during COVID-19

2020

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“…New developments (robotic; virtual methods; 3D MIS; SILS, single-incision laparoscopic surgery; NOTES, natural orifice transluminal endoscopic surgery) will definitively widen the possibilities of pediatric oncological surgery in the future (50,51). So far robot-assisted solid tumor resections have been used in abdominal, pelvic, thoracic, and neck localization with comparable, to other MIS techniques, rate of conversion to open surgery and tumor spillage (50).…”

Section: Future Perspectivesmentioning

confidence: 99%

Minimally Invasive Surgery in Pediatric Oncology: Proposal of Guidelines

et al. 2019

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Background/Aim: The objective of the study was to propose clinical guidelines for the use of minimally invasive surgery (MIS) in pediatric oncology. Patients and Methods: Two groups of experts, including pediatric surgeons and pediatric oncologists were created in order to establish strategies of diagnostic and therapeutic surgical management in pediatric oncology. Results: On the basis of the analysis of the existing literature, we elaborated guidelines that were graded according to the simple practical clinical system: yes/no. This project was dedicated to the following topics: adrenal tumors including neuroblastoma, renal tumors including Wilms tumor (nephroblastoma), ovarian tumors and pulmonary nodules and metastases (osteosarcoma). Conclusion: Although existing data do not allow the recommendation of the use of MIS for all indications, this technique should currently be regarded as a standard of care in several areas of pediatric oncology. Minimally invasive surgery (MIS), in contrast to open surgery, is a technique that limits the size of incisions that allow access to peritoneal or thoracic cavities, followed by the use of laparoscope or thoracoscope for visualization and precise dissection. The same target operation should be performed via an open technique or a minimally invasive approach (1-3). The concept of MIS in children with cancer was used for the first time by Holocomb et al. (4), who showed laparoscopy and thoracoscopy to be highly accurate with minimal morbidity for the patient. Both modalities were useful for biopsies, assessment of resectability, staging, evaluation of metastatic or recurrent disease, assessing the potential benefit of second-look procedures, and for diagnosis of infectious complications. The development of this technology has been possible with improved visualization of anatomical structures (5). Subsequent studies and analyses confirmed that MIS procedures in pediatric oncology are safe and effective, resulting in earlier administration of adjuvant therapy. MIS is a developing concept, however in contrast to many areas in adults (6-8), there are no clear guidelines or recommendations in pediatric oncology, mainly due to heterogeneity of clinical diagnoses and small numbers of patients included in the studies. Thus, the aim of this study was to propose clinical guidelines for the use of MIS in pediatric oncology. Guideline Development Overview Two initial groups of experts, including pediatric surgeons and pediatric oncologists were created in order to establish strategies of diagnostic and therapeutic surgical management in pediatric oncology. According to our own experience the relevant issues of MIS utilization in pediatric oncology were defined as follow: adrenal tumors including neuroblastoma (NBL), renal tumors including Wilms tumor (WT), ovarian tumors, pulmonary nodules and metastases. The main desired outcome was evidence of a reduction in open surgery, and secondary outcomes included efficacy and safety, expressed as rate of complications. We performed Pub Med sea...

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“…The tendon-sheath concept has been widely used in medical and other types of robots [10][11][12][13] because of its high transmission precision, light weight, smooth transmission, flexibility, and small size. Kaneko et al 14,15 studied the transmission characteristics of a simple tendon-sheath model for finger joint control.…”

Section: Introductionmentioning

confidence: 99%

Design and analysis of a novel long-distance double tendon-sheath transmission device for breast intervention robots under MRI field

Jia

Zhang

Jiang

et al. 2020

Advances in Mechanical Engineering

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Cancer represents a major threat to human health. Magnetic resonance imaging (MRI) provides superior performance to other imaging-based examination methods in the detection of tumors and offers distinct advantages in biopsy and seed implantation. However, because of the MRI environment, the material requirements for actuating devices for the medical robots used in MRI are incredibly demanding. This paper describes a novel double tendon-sheath transmission device for use in MRI applications. LeBus grooves are used in the original transmission wheels, thus enabling the system to realize long-distance and large-stroke transmission with improved accuracy. The friction model of the transmission system and the transmission characteristics model of the novel tendon-sheath structure are then established. To address the problem that tension sensors cannot be installed in large-stroke transmission systems, a three-point force measurement method is used to measure and set an appropriate preload in the novel tendon-sheath transmission system. Additionally, experiments are conducted to verify the accuracy of the theoretical model and multiple groups of tests are performed to explore the transmission characteristics. Finally, the novel tendon-sheath transmission system is compensated to improve its accuracy and the experimental results acquired after compensation show that the system satisfies the design requirements.

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Frontiers of Medical Robotics: From Concept to Systems to Clinical Translation

Cited by 127 publications

References 137 publications

The rise of robots in surgical environments during COVID-19

The rise of robots in surgical environments during COVID-19

Minimally Invasive Surgery in Pediatric Oncology: Proposal of Guidelines

Design and analysis of a novel long-distance double tendon-sheath transmission device for breast intervention robots under MRI field

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