Review of surgical robotic systems for keyhole and endoscopic procedures: state of the art and perspectives

Chen, Yuyang; Zhang, Shu’an; Wu, Zhonghao; Yang, Bo; Luo, Qingquan; Xu, Kai

doi:10.1007/s11684-020-0781-x

Cited by 54 publications

(28 citation statements)

References 225 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is of interest to explore future applications of RARN to more challenging renal tumors based on our experience. Various distinct features of robotic platforms may be beneficial in tackling demanding surgical procedures, 3 which are usually handled with open surgery, such as the management of tumors involving large vessels. In fact, there have been some reports describing promising findings on RARN and inferior vena cava thrombectomy, 20,21 suggesting the usefulness of a robotic approach for this type of surgery by facilitating easier vessel reconstruction and minimizing caval manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, robotic surgery has been rapidly accepted for a wide variety of surgical procedures due to its definite benefits, including three‐dimensional (3D) clear vision, suppression of physiological tremor and fine manipulations of forceps with a wide range of motion 3 . In the field of kidney surgery as well, utilization of robot‐assisted PN (RAPN) has markedly increased as the standard of care for clinical T1 tumors 4–6 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Initial experience of robot‐assisted radical nephrectomy in Japan: Single institutional study of 12 cases

Motoyama

Kawakami

Sato

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction To evaluate the initial experience of robot‐assisted radical nephrectomy (RARN) in a single institution in Japan. Methods This study included a total of 12 patients with renal tumors who were not preoperatively regarded as optimal candidates for robot‐assisted partial nephrectomy (RAPN) and subsequently treated with RARN between April 2019 and June 2021 at our institution. Comprehensive perioperative outcomes in these patients were retrospectively analyzed. Results Of the 12 included patients, 10 and two were male and female, respectively, and the median age was 66 years. The median tumor diameter was 44 mm, and four, four and four patients were classified into cT1a, cT1b and cT3a, respectively. There was no patient requiring open conversion, and the median operative and console times were 167 and 79 minutes, respectively. The median estimated blood loss was 42 cc, and no patient required blood transfusion. During the perioperative period, no major complication corresponding to Clavien‐Dindo grade ≥3 occurred. Nine, two and one patient were pathologically diagnosed with clear cell carcinoma (CCC), non‐CCC and benign cyst, respectively, and there was no patient who developed recurrent diseases. Conclusions Considering complicated tumor characteristics not amenable to RAPN in this series, such as an intravenous tumor thrombus or previous history of open partial nephrectomy, perioperative outcomes of initial experience with RARN in Japan could be considered favorable. Collectively, these findings suggest that RARN may be a promising alternative to laparoscopic radical nephrectomy for patients with complicated renal tumors, contraindicated for RAPN.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Initial experience of robot‐assisted radical nephrectomy in Japan: Single institutional study of 12 cases

Motoyama

Kawakami

Sato

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…11 For a long time, in order to overcome the difficulties of traditional tremor, instrument operation limitations, unintuitive hand-eye coordination and non-ergonomics, surgical robotics technology has been continuously developed in conformity with the development of technological innovation. 12 The number of surgical robotic equipment is also growing rapidly in surgical applications. As a new type of medical equipment, surgical robot is not to completely replace surgeons, but better integrated to assist surgeons to improve the quality of surgery and better complete the operation.…”

Section: Research Status Of Surgical Robot Systemmentioning

confidence: 99%

Research progress and development trend of surgical robot and surgical instrument arm

Zhang

Haiyuan

Cui

et al. 2021

Robotics Computer Surgery

View full text Add to dashboard Cite

Background: In recent years, surgical robots have become an indispensable part of the medical field. Surgical robots are increasingly being used in the areas of gynaecological surgery, urological surgery, orthopaedic surgery, general surgery and so forth. In this paper, the development of surgical robots in different operations is reviewed and analysed. In the type of master-slave surgical robotic system, the robotic surgical instrument arms were located in the execution terminal of a surgical robot system, as one of the core components, and directly contact with the patient during the operation, which plays an important role in the efficiency and safety of the operation. In clinical, the arm function and design in different systems varies.Furtherly, the current research progress of robotic surgical instrument arms used in different operations is analysed and summarised. Finally, the challenge and trend are concluded.Methods: According to the classification of surgical types, the development of surgical robots for laparoscopic surgery, neurosurgery, orthopaedics and microsurgery are analysed and summarised. Then, focusing on the research of robotic surgical instrument arms, according to structure type, the research and application of straight-rod surgical instrument arm, joint surgical instrument arm and continuous surgical instrument arm are analysed respectively.Results: According to the discussion and summary of the characteristics of the existing surgical robots and instrument arms, it is concluded that they still have a lot of room for development in the future. Therefore, the development trends of the surgical robot and instrument arm are discussed and analysed in the five aspects of structural materials, modularisation, telemedicine, intelligence and human-machine collaboration. Conclusion:Surgical robots have shown the development trend of miniaturisation, intelligence, autonomy and dexterity. Thereby, in the field of science and technology, the research on the next generation of minimally invasive surgical robots will usher in a peak period of development.

show abstract

“…To further reduce the damage to the human body caused by minimally invasive surgical processes, a variety of single-hole surgical robot systems have been proposed [3,4]. This kind of surgical robot system only needs to cut one 25∼40 mm incision on the patient's body [5,6]. Among these systems, the da Vinci SP Single-hole surgical robot system [7] has more mature technologies, and has been approved by the US Food and Drug Administration (FDA).…”

Section: Introductionmentioning

confidence: 99%

Design of a Magnetically Anchored Laparoscope Using Miniature Ultrasonic Motors

Sun

et al. 2022

Micromachines

View full text Add to dashboard Cite

Images taken by an endoscope in single-port-access surgery are the most important information for directing surgeons to operate, so acquiring images taken at better position and a more desired perspective has profound significance for improving the efficiency and safety of surgery. The magnetically anchored laparoscope can help to realize this goal compared with the traditional laparoscope used in single-port-access surgery. In this paper, we propose the concept of applying ultrasonic motors in the magnetically anchored laparoscope. Two types of ultrasonic motors used for driving the laparoscope, namely a miniature traveling wave-rotating ultrasonic motor and a miniature traveling wave-tilt ultrasonic motor, are designed. The prototype of the magnetically anchored laparoscope using these two types of ultrasonic motors is fabricated and evaluated by experiments. The results show that the maximum output torque of the miniature traveling wave-rotating ultrasonic motor is 1.2 mN·m, and that of the miniature traveling wave-tilt ultrasonic motor is 1.4 mN·m, which is enough to actuate the magnetically anchored laparoscope. Additionally, it is proven that the two designed ultrasonic motors can be applied successfully in the laparoscope.

show abstract

Review of surgical robotic systems for keyhole and endoscopic procedures: state of the art and perspectives

Cited by 54 publications

References 225 publications

Initial experience of robot‐assisted radical nephrectomy in Japan: Single institutional study of 12 cases

Initial experience of robot‐assisted radical nephrectomy in Japan: Single institutional study of 12 cases

Research progress and development trend of surgical robot and surgical instrument arm

Design of a Magnetically Anchored Laparoscope Using Miniature Ultrasonic Motors

Contact Info

Product

Resources

About