Low-cost disposable endoscope: pros and cons

Ciocîrlan, Mihai

doi:10.1055/a-0959-6003

Cited by 26 publications

(23 citation statements)

References 9 publications

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“…To our knowledge, our meta-analysis is the first meta-analysis focused on the medical cost of LM and AM, which is different from previous related meta-analysis [40,41]. On the one hand, the price of the surgical endoscope itself is relatively high, and the requirements for related auxiliary equipment in the LM process are relatively high [42], so the LM charge is relatively high. On the other hand, LM has higher requirements for surgeons, so the doctors performing LM have higher personal value requirements [43].…”

Section: Discussionmentioning

confidence: 83%

The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis

Chen

Yang

et al. 2020

BMC Surg

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Background: Abdominal myomectomy (AM) and laparoscopic myomectomy (LM) are commonly see surgery for the uterine fibroids, several randomized controlled trials (RCTs) have compared the role of AM and LM, the results remained inconsistent. Therefore, we attempted this meta-analysis to analyze the role of LM versus AM in patients with uterine fibroids. Methods: We searched PubMed et al. databases from inception date to July 31, 2019 for RCTs that compared LM versus AM in patients with uterine fibroids. Two authors independently screened the studies and extracted data from the published articles. Summary odd ratios(OR) or mean differences(MD) with 95% confidence intervals(CI) were calculated for each outcome by means of fixed-or random-effects model. Results: Twelve RCTs with a total of 1783 patients were identified, with 887 patients for and 897 patients for AM. Compared with AM, LM could significantly decrease the blood loss (OR = − 29.78, 95% CI-57.62-− 0.95), shorten the duration of postoperative ileus (OR = − 10.91, 95% CI-18.72-− 3.11), reduce the length of hospital stay (OR = − 1.57, 95% CI-2.05-− 1.08), but LM was associated with longer duration of operation (OR = 16.10, 95% CI 6.52-25.67) and higher medical cost (OR = 17.61, 95% CI 7.34-27.88). Conclusions: LM seems to be a better choice for patients with uterine fibroids, more related studies are needed to identify the role of LM and AM for the treatment of uterine fibroids.

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Section: Discussionmentioning

confidence: 83%

The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis

Chen

Yang

et al. 2020

BMC Surg

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“…Cross contamination and additional hidden costs for reprocessing the instruments are additional issues (Larsen et al, 2019). The replacement of the reusable current colonoscope with a disposable device could help to avoid disease transmission (Ciocîrlan 2019).…”

Section: Limitations In the Current Proceduresmentioning

confidence: 99%

Endorobots for Colonoscopy: Design Challenges and Available Technologies

Manfredi

2021

Front. Robot. AI

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Colorectal cancer (CRC) is the second most common cause of cancer death worldwide, after lung cancer (Sung et al., 2021). Early stage detection is key to increase the survival rate. Colonoscopy remains to be the gold standard procedure due to its dual capability to optically inspect the entire colonic mucosa and to perform interventional procedures at the same time. However, this causes pain and discomfort, whereby it requires sedation or anaesthesia of the patient. It is a difficult procedure to perform that can cause damage to the colonic wall in some cases. Development of new technologies aims to overcome the current limitations on colonoscopy by using advancements in endorobotics research. The design of these advanced medical devices is challenging because of the limited space of the lumen, the contorted shape, and the long tract of the large bowel. The force applied to the colonic wall needs to be controlled to avoid collateral effects such as injuries to the colonic mucosa and pain during the procedure. This article discusses the current challenges in the colonoscopy procedure, the available locomotion technologies for endorobots used in colonoscopy at a prototype level and the commercial products available.

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“…A single-use (sterile) endoscope developed by AMBU A/S (Copenhagen, Denmark) was presented in 2019 during the Digestive Disease Week ® conference in San Diego, California. The primary goal of the prototype, and in general of non-reusable endoscopes, is reducing the contamination risk [43]. However, it is likely that these devices might be not envisaged as eco-friendly, as new and more stringent polices on environmental polluters are being already announced by the EU Parliament.…”

Section: Non-robotic Colonoscopes and Colonoscopy Adjuncts In The CLImentioning

confidence: 99%

Frontiers of Robotic Colonoscopy: A Comprehensive Review of Robotic Colonoscopes and Technologies

Ciuti

Skonieczna-Żydecka

Marlicz

et al. 2020

JCM

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Flexible colonoscopy remains the prime mean of screening for colorectal cancer (CRC) and the gold standard of all population-based screening pathways around the world. Almost 60% of CRC deaths could be prevented with screening. However, colonoscopy attendance rates are affected by discomfort, fear of pain and embarrassment or loss of control during the procedure. Moreover, the emergence and global thread of new communicable diseases might seriously affect the functioning of contemporary centres performing gastrointestinal endoscopy. Innovative solutions are needed: artificial intelligence (AI) and physical robotics will drastically contribute for the future of the healthcare services. The translation of robotic technologies from traditional surgery to minimally invasive endoscopic interventions is an emerging field, mainly challenged by the tough requirements for miniaturization. Pioneering approaches for robotic colonoscopy have been reported in the nineties, with the appearance of inchworm-like devices. Since then, robotic colonoscopes with assistive functionalities have become commercially available. Research prototypes promise enhanced accessibility and flexibility for future therapeutic interventions, even via autonomous or robotic-assisted agents, such as robotic capsules. Furthermore, the pairing of such endoscopic systems with AI-enabled image analysis and recognition methods promises enhanced diagnostic yield. By assembling a multidisciplinary team of engineers and endoscopists, the paper aims to provide a contemporary and highly-pictorial critical review for robotic colonoscopes, hence providing clinicians and researchers with a glimpse of the major changes and challenges that lie ahead.

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Low-cost disposable endoscope: pros and cons

Cited by 26 publications

References 9 publications

The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis

The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis

Endorobots for Colonoscopy: Design Challenges and Available Technologies

Frontiers of Robotic Colonoscopy: A Comprehensive Review of Robotic Colonoscopes and Technologies

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