The role of technology in minimally invasive surgery: state of the art, recent developments and future directions

Tonutti, Michele; Elson, Daniel S.; Yang, Guang‐Zhong; Darzi, Ara; Sodergren, Mikael H.

doi:10.1136/postgradmedj-2016-134311

Cited by 80 publications

(52 citation statements)

References 95 publications

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“…It is hence a challenge for the surgeon to judge the right amount of force to apply and to make decisions based on tactile palpation. Another major challenge is the cost with economic analyses demonstrating cost-effectiveness only for high-volume centers [28,29] . In other words, robotics is far from being used in TMJ.…”

Section: Simplifying Surgical Techniquementioning

confidence: 99%

Future of minimally invasive surgery in temporomandibular joint pathology

Monje¹

2020

SDS

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Minimally invasive surgery (MIS) has experienced a surge in popularity over the past few decades. The main reason for this is the significant reduction of surgical trauma with the minimisation or even elimination of incisions. Temporomandibular joint pathology remains poorly understood and treatment is controversial. For this reason, application of MIS to temporomandibular joints (TMJ-MIS) could be an option for patients with failure of conservative management and where open treatment could be considered aggressive although TMJ-MIS itself is also considered controversial. In this paper, we will examine the different aspects of developing TMJ-MIS in the future: biology and diagnosis, diagnostic arthroscopy, surgical technique, knowledge and training, and different treatments.

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Section: Simplifying Surgical Techniquementioning

confidence: 99%

Future of minimally invasive surgery in temporomandibular joint pathology

Monje¹

2020

SDS

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“…Although not currently achieved at a miniature level to allow for in vivo deployment, a large number of prototype flexible robots are being developed, utilising different techniques to achieve flexibility, including tendon/cable driven designs as seen in MASTER, Flex Robotics Systems and I 2 -Snake, as well as research stage concentric tube designs, pneumatic or hydraulic control, linkage-based systems, as well as continuum arms. Other novel soft robotic platforms include STIFF-FLOP, with tuneable flexibility, the Cardioscope, as designed specifically for thoracic surgery, Anubiscope, EndoSAMURAI, and many more (12)(13)(14)(15)(16).…”

Section: Natural Orifice Access and Soft Robotsmentioning

confidence: 99%

Latest technology in minimally invasive thoracic surgery

Siu

2019

Ann. Transl. Med

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From the introduction of video-assisted thoracoscopic surgery (VATS) in the 1990s, to performing major lung resections using a uniportal VATS approach, technology has paved the way for the development of minimally invasive thoracic surgery. Natural orifice access to achieve a 'no port' approach, is also on the rise, with advancements in bronchoscopic techniques for diagnosis and therapy, as well as development of soft robotics to achieve desired flexibility, dexterity and stability in future platforms, which may involve in vivo deployment to bring the surgeon totally inside the body. Development of haptic feedback in robotic platforms to enhance the surgical experience is also a major goal, with vibrotactile and mechanical feedback generation, to replicate the traditional touch. In addition, the aid of technology in the form of procedural guidance mechanisms, like augmented reality, will further improve the safety and accuracy of future operations.

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“…Robots have high accuracy and precision and can work with stability without continuous tremor effect. It is controlled remotely and provides minimally invasive access [17][18][19][20]. It works as a navigational aid and is unaffected by radiation.…”

Section: Introductionmentioning

confidence: 99%

Observer based dynamic control model for bilaterally controlled MU-lapa robot: Surgical tool force limiting

Pillai¹,

Wilasrusmee²,

Suthakorn³

2020

IJECE

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During laparoscopic surgeries, primary surgical tool insertion is the demanding and strenuous task. As the surgeon is unaware of the type of the tissue and associated parameters to conduct the insertion, therefore, to ease the procedure, the movement of the surgical tool needs to be controlled. It's the operational capabilities that are to be manipulated to perform a smooth surgery even from a distant location. In this study, a robot system is being introduced for laparoscopic primary surgical tool insertion. It will incorporate a novel observer based dynamic control along with robot assisted bilateral control. Moreover, a virtual spring damper force lock system is introduced through which the slave system will notify the master regarding the target achieved and excessive force. The validation of the proposed control system is experimented with bilaterally controlled MU-LapaRobot. The experiment is comprising 3 cases of bilateral control criteria which are non-contact motion, contact motion, and limit force locking. The results defined the same value for contact and non-contact motion by 0.3N. The results depicted a force error of 3.6% and a position error of 5.8% which validated the proposed algorithm.

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The role of technology in minimally invasive surgery: state of the art, recent developments and future directions

Cited by 80 publications

References 95 publications

Future of minimally invasive surgery in temporomandibular joint pathology

Future of minimally invasive surgery in temporomandibular joint pathology

Latest technology in minimally invasive thoracic surgery

Observer based dynamic control model for bilaterally controlled MU-lapa robot: Surgical tool force limiting

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