Robotic applications in abdominal surgery: their limitations and future developments

Taylor, Gregory; Jayne, David

doi:10.1002/rcs.115

Cited by 42 publications

(31 citation statements)

References 28 publications

(20 reference statements)

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“…In general surgery, it is used in urological endoscopy [7], digestive [8], and gynecological [9]. The most used are the da Vinci® robot and Free-Hand®.…”

Section: Discussionmentioning

confidence: 99%

Interest of a free hand camera in Wrist Arthroscopy: about 3 cases

Honecker¹,

Lazarus²,

Ichihara³

et al. 2016

IJARA

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Research Articleof wrist arthroscopy to resect synovial cysts [4]. Secondly, the procedure was performed by a robot-assisted installation of wrist arthroscopy to check the loss of synovial cysts Figure 1.A Free Hand® device (OR Productivity™, London, UK) has been connected to an arthroscopic 2D camera 2.4mm. An IR radiation emitting device was placed on the operator's head. An IR receiver was placed above the monitor to the arthroscopy column. Some movements of the operator's head were programming commands. The arm guided by IR sensor (top, bottom, right, left, and zoom) for example, to move the camera to the ulnar side, the surgeon should move his head towards right meanwhile his head is being tracked by an infra-red camera that translates this movement into a lighting arrow. Once the arrow turned on towards the desired direction, the surgeon validates the action with a foot pedal. The surgeon has to push the pedal again to activate the movement and hold it as long he wants to AbstractThe purpose of this study was to test the use of an arm guided by an infrared sensor to move the endoscopic camera in wrist arthroscopy. Three synovial cysts resections were performed arthroscopically using the "hands-free camera" technique using the Free Hand® device (OR Productivity ™, London, UK). In 3 cases, the advantage was to free the 2 hands of the operator. Among the disadvantages, the time of surgery was longer, the operator had to make mental images rotations to orient the camera in space, and the steric bulk of the device caused friction with the instruments in the positions extremes. Overall, our results show that if the "hands-free camera" is not used in the state in wrist arthroscopy, its adaptation would have the advantage of freeing the two hands of the operator.

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“…In general surgery, it is used in urological endoscopy [7], digestive [8], and gynecological [9]. The most used are the da Vinci® robot and Free-Hand®.…”

Section: Discussionmentioning

confidence: 99%

Interest of a free hand camera in Wrist Arthroscopy: about 3 cases

Honecker¹,

Lazarus²,

Ichihara³

et al. 2016

IJARA

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“…The robotic system allows the surgeon to perform more sophisticated procedures, whereas classical gastrointestinal procedures can be performed safely. The development of mini robots and augmented reality techniques will boost robotic surgery in the future [9,16]. We have found that colon and rectum resections, anti-reXux surgery, and obesity surgery were safe and eYcacious for the patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic robotic-assisted gastrointestinal surgery: a Geneva experience

et al. 2008

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The continuing development of robotic surgery supports its use in laparoscopic gastrointestinal surgery. Our study retrospectively reviewed the surgical outcome and patient's satisfaction of gastrointestinal laparoscopic robotic procedures. From January 2003 to September 2007, 94 patients (27 women, 67 men) with a mean age of 53 years (range 19-84 years) underwent laparoscopic surgery with a da Vinci robotic system. There were 40 colorectal cases (43%), 31 anti-reXux surgery cases (33%) and 14 obesity surgery cases (15%); the remaining cases consisted of gastric and gallbladder surgery, intra-abdominal tumour excisions, and hepatic cyst resections. The majority of the cases (88, 94%) were performed for benign disease.The mean operative time was 153 min (range 60-330 min). One patient needed a blood transfusion. The mean body mass index was 25 (range 16-47). No death occurred. Five cases (5.3%) were converted to conventional laparoscopic surgery (n = 3) or to laparotomy (n = 2). Morbidity consisted of one Nissen redo surgery to loosen a tight anti-reXux valve 6 days after robotic surgery, a robotic left ureter repair and pelvic haemorrhage following proctectomy requiring re-operation to control haemostasis and to remove pelvic haematoma. Mean follow-up time was 11 months (range 15 days to 34 months). One case of incisional trocar hernia needed re-operation. Overall patient's satisfaction was high: few scars were cheloïd, while functional surgical outcome was rated high by most of the patients. Our preliminary experience was encouraging, with minimal morbidity and very high acceptance by patients.

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“…Das stabile Kamerabild und die hohe Präzision in der Nachführung werden nicht nur mit den erwähnten hohen Investitionskosten bei den Geräten der ersten Generation, sondern auch mit einer deutlich verlängerten Operationszeit und aufwendigen Steuerungsmanövern erkauft [12,13]. Als weitere Aspekte, die gegen den Einsatz von Telemanipulatoren sprechen, werden der große Platzbedarf, die eingeschränkte Ausbildungsmöglich-keit des chirurgischen Nachwuchses und die mangelnde Flexibilität genannt [12,13,14,15].…”

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