Robotic Camera Assistance: The Future of Laparoscopic and Thoracoscopic Surgery?

Ali, Jason M.; Lam, Kyle; Coonar, Aman S.

doi:10.1177/1553350618784224

Cited by 19 publications

(15 citation statements)

References 17 publications

(21 reference statements)

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“…To aid with this, rather than look towards robotic assistance [6], we have developed an instructional video on the use of a 30 camera which can be applied to all angled lens laparoscopes and which we wish to make openly available for surgical training. In the video, the principles are demonstrated with the aid of a laparoscopic box (with a 0 camera shown too as comparison), and a nomenclature system based on a clock face representing the position of the light source is proposed.…”

Section: Supporting Informationmentioning

confidence: 99%

Training pathway for a novel smart surgical system (FlexDex™) – a video vignette

Khan

Murphy

2019

Colorectal Disease

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The interpretation of the scales is done in accordance with the EORTC-QLQ-C30 guidelines. The result shows a moderate clinically relevant difference with a difference of more than 10 points, 5-10 points indicates a small difference and fewer than 5 points no clinically relevant difference. To the third point, as we wrote in our introduction a stoma is shown to have a negative effect on body image and sexual function. Recently published data on female sexuality found sexual problems after treatment for colorectal cancer correlated with a permanent stoma and radiotherapy [1]. The current study only covers quality of life from the EORTC-QLQ-C30 questionnaire and an anchor question regarding the impact on QoL of bowel function/stoma. Finally, to the fourth point, in multivariate analysis LAR patients showed lower global health status, and higher occurrence of constipation and diarrhoea, when adjusted for gender and neoadjuvant therapy. In spite of a significantly larger proportion of APE patients receiving neoadjuvant radiotherapy, this did not affect QoL in these patients. In addition, 51 (10 %) of our LAR patients with tumours less than 10 cm from the anal verge were taken out of this analysis because they ended up with a permanent stoma. We certainly agree with our colleagues that our findings in this cross-sectional study should be interpreted with caution. We encourage colleagues to inform patients with low rectal cancers about life with a stoma and the risk of LAR syndrome in order to enable patients to make an informed decision.

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Section: Supporting Informationmentioning

confidence: 99%

Training pathway for a novel smart surgical system (FlexDex™) – a video vignette

Khan

Murphy

2019

Colorectal Disease

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“…A shortage of good surgical assistants is being addressed by low cost and highly effective robotic telescope holders such as the Freehand system which is now being used for uniportal and more standard video-assisted thoracoscopic surgery. 11 A few units are also using more sophisticated and complex robotic systems.…”

Section: Human Resourcesmentioning

confidence: 99%

Thoracic surgery for lung cancer: current practice and future directions

et al. 2019

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“…As such, some of the disadvantages of laparoscopic surgery e.g. operation duration, complication, and mortality still exist and may be improved upon by addressing the challenges of the learning curve (LC) [2][3][4][5][6][7].…”

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confidence: 99%

“…Laparoscopy's difficult LC is attributed to the increased workload when compared to open surgery as maintaining challenging physical positions increases stress, physical demand, and reduces performance [8][9][10]. Furthermore, errors made by human camera assistants (HCAs) due to inexperience, miscommunication, tremor, involuntary rotation of the camera's axis, erroneous movements, and fatigue contribute to an unsteady camera image which can also reduce surgical performance [5,9,[11][12][13][14][15][16][17].…”

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confidence: 99%

Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

et al. 2020

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Background Unsteady camera movement and poor visualization contribute to a difficult learning curve for laparoscopic surgery. Remote-controlled camera holders (RCHs) aim to mitigate these factors and may be used to overcome barriers to learning. Our aim was to evaluate performance benefits to laparoscopic skill acquisition in novices using a RCH. Methods Novices were randomized into groups using a human camera assistant (HCA) or the FreeHand v1.0 RCH and trained in the (E-BLUS) curriculum. After completing training, a surgical workload questionnaire (SURG-TLX) was issued to participants. Results Forty volunteers naïve in laparoscopic skill were randomized into control and intervention groups (n = 20) with intention-to-treat analysis. Each participant received up to 10 training sessions using the E-BLUS curriculum. Competency was reached in the peg transfer task in 5.5 and 7.6 sessions for the ACH and HCA groups, respectively (P = 0.015), and 3.6 and 6.8 sessions for the laparoscopic suturing task (P = 0.0004). No significance differences were achieved in the circle cutting (P = 0.18) or needle guidance tasks (P = 0.32). The RCH group experienced significantly lower workload (P = 0.014) due to lower levels of distraction (P = 0.047). Conclusions Remote-controlled camera holders have demonstrated the potential to significantly benefit intra-operative performance and surgical experience where camera movement is minimal. Future high-quality studies are needed to evaluate RCHs in clinical practice. Trial registration ISRCTN 83733979

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Robotic Camera Assistance: The Future of Laparoscopic and Thoracoscopic Surgery?

Cited by 19 publications

References 17 publications

Training pathway for a novel smart surgical system (FlexDex™) – a video vignette

Training pathway for a novel smart surgical system (FlexDex™) – a video vignette

Thoracic surgery for lung cancer: current practice and future directions

Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

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