Implementation of Robotic Assistance in Pancreatic Surgery: Experiences from the First 101 Consecutive Cases

Timmermann, Lea; Biebl, Matthias; Schmelzle, Moritz; Bahra, Marcus; Malinka, Thomas; Pratschke, Johann

doi:10.3390/jcm10020229

Cited by 11 publications

(18 citation statements)

References 33 publications

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“…The advent and advancement of robotics have enabled the development of tasks that humans cannot perform, or at least not with such precision [66][67][68]. In the field of eHealth, robotics has played a fundamental role in helping and treating people with various neurological conditions such as trauma [69], dementia [33][34][35][36][37], ASD [24][25][26][27][28], cerebral palsy [29][30][31][32] and ADHD [18][19][20][21][22][23].…”

Section: Evolution Of Robotic Application In Adhd Treatmentmentioning

confidence: 99%

Robotic Technologies in ADHD Care: Literature Review

et al. 2022

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Robotics has made it possible to change and improve many support processes for vulnerable people in different settings. In recent years, its use has been oriented toward supporting therapeutic interventions of neurodevelopmental disorders (NDD), including attention deficit hyperactivity disorder (ADHD). This review of the literature highlights how advances in robotics have evolved in different scenarios of ADHD treatment, its collaboration with other emerging technologies, its results, its limitations, and the research challenges for the future development of robotics in the field of supporting children with ADHD. The authors conducted a literature review based on the location of keywords 'robotics' and several NNDs such as 'ADHD', 'Autism Spectrum Disorder (ASD)', 'cerebral palsy', and 'dementia' in titles, abstracts, and introduction of scientific articles in the Scopus and Web of Science (WoS) database. The reviewed literature was classified according to the type of therapy supported by the robots, the type of robot and the associated technologies. From this analysis, we can solve the research question: Which types of robots have the potential for specific applications in ADHD treatment? Furthermore, this article shows that despite favorable technical results, robotic technologies that support ADHD therapies require significant improvements in terms of scalability, human-machine interaction, and treatment and processing of acquired information to be applied effectively in real-world therapies. The most significant research challenges are proposed to drive research efforts to develop new approaches to enable robotic assistants to participate in ADHD therapies.

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Section: Evolution Of Robotic Application In Adhd Treatmentmentioning

confidence: 99%

Robotic Technologies in ADHD Care: Literature Review

et al. 2022

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“…Die robotische Pankreaskopfresektion wird seit rund 10 Jahren weltweit in einzelnen grossen Zentren durchgeführt. Kürzlich hat das Team der Charité in Berlin publiziert, dass die Einführung der robotischen Pankreaschirurgie ohne Zunahme der Morbidität und Mortalität möglich ist [16].…”

Section: Parole Chiaveunclassified

“…Die GABRINOX-Studie, eine Phase-II-Studie, evaluierte eine Therapie mit Gemcitabin und nab-Paclitaxel im 2-wöchentlichen Wechsel mit FOLFIRINOX. Die Gesamtansprechrate lag bei hohen 63,2 % (95 % KI 49,3-75,5 %) und das mediane Gesamtüberleben bei 17,8 Monaten (95 % KI 11,[7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]3), bei akzeptabler Toxizität [34] -ein weiterer interessanter Therapieansatz, der bis anhin aber noch keine Verwendung im klinischen Alltag findet.…”

Section: Palliative Chemotherapieunclassified

Neues zur Therapie des Pankreaskarzinoms: Hoffnung am Horizont?

Wenning

Ryser

Ανδρέου

et al. 2021

Schweiz. Gastroenterol.

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ZusammenfassungDas Pankreaskarzinom stellt sowohl eine therapeutische Herausforderung dar: für den Chirurgen auf Grund der anatomischen Nähe zu vitalen Arterien und Venen, welche eine onkologische Resektion mit weitem Sicherheitsabstand oft nicht zulassen, für den Onkologen aufgrund der im Vergleich zu anderen Malignomen des Gastrointestinaltrakts limitierten Wirksamkeit einer Systemtherapie. Viele klinische Studien, welche interessante therapeutische Ansätze prüften, verliefen bisher frustran. Im Gegensatz zu anderen soliden Tumoren, bei denen Immuncheckpoint-Inhibitoren (ICI) mit Erfolg eingesetzt werden, ist dieser Ansatz bisher lediglich Patienten mit Mikrosatelliten-instabilen Pankreaskarzinomen (< 1 %) vorbehalten. Präliminäre Daten deuten jedoch auf neue Behandlungsansätze mit ICI in Kombination mit Chemotherapeutika hin. Neue Chemotherapie-Ansätze zielen auf die verbesserte Verfügbarkeit der zytotoxischen Substanzen an der Tumorzelle ab. Ermutigende Ansätze zeichnen sich auch bei den treibermutationsgerichteten Behandlungen ab, deren Effektivität zurzeit in laufenden Studien geprüft wird. Für alle mittels Resektion behandelbaren Karzinome gilt, dass die Therapie durch eine Chemotherapie – sei es neoadjuvant oder adjuvant – ergänzt werden soll. Bei metastasierten, respektive nichtresezierbaren, Pankreaskarzinomen sollte bereits früh im diagnostischen Algorithmus ein NGS durchgeführt werden, um in der Subgruppe von KRAS–Wildtyp-Tumoren potenziell medikamentös angehbare Zielstrukturen zu identifizieren.

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“…Robotic assistance, aimed at performing complicated tasks in different fields, has taken off exponentially in the last five years. In healthcare, RAs contribute to support complicated surgical procedures which require precision at challenging levels [1][2][3]. The use of RAs to support people with dementia is discussed, focusing on potential hazards, and outline related factors that influence positive outcomes [4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of a Robotic Assistant for Supporting Homework Activities of Children With ADHD

et al. 2021

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Robotics, Artificial Intelligence (AI), and the Internet of Things (IoT) support various processes in many scenarios of modern life such as e-health and psychological treatments. This article presents the design, development, implementation, and assessment of a Robotic Assistant (RA), named "Atent@", as a support tool in the homework activities of children with Attention Deficit Hyperactivity Disorder (ADHD). Interacting with the children the RA helps them correct their bad habits and misbehavior caused by the disorder. Its features and functionalities were designed by therapists, implementing AI algorithms to process information and make decisions in real-time to help children to be focused on their homework. This RA interacts with smart objects deployed at home, which are associated with the activity under observation (desk and chair). This solution allows therapists to receive more accurate information about the homework sessions inside the home. At the same time, remote interaction with the child is made possible (through the RA) to provide new instructions and support him/her along with the sessions. This RA is a significant evolution of an earlier version. All the improvements brought to the project by the modifications in technical and qualitative features are explained. Furthermore, the experiment and its results are presented to illustrate the clinical potential. This project shows that the RA can not only make observations with a high degree of precision like an expert (teacher/therapist) but also positively influences the homework performance of children with and without ADHD.

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Implementation of Robotic Assistance in Pancreatic Surgery: Experiences from the First 101 Consecutive Cases

Cited by 11 publications

References 33 publications

Robotic Technologies in ADHD Care: Literature Review

Robotic Technologies in ADHD Care: Literature Review

Neues zur Therapie des Pankreaskarzinoms: Hoffnung am Horizont?

Assessment of a Robotic Assistant for Supporting Homework Activities of Children With ADHD

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