The use of robotics in surgery: a review

Hussain, Abid; Malik, Akif; Halim, Mohammed U; Ali, Adam M.

doi:10.1111/ijcp.12492

Cited by 139 publications

(77 citation statements)

References 56 publications

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“…The robot was first introduced to the surgical arena in the 1980s in the form of telesurgery [1]. Through several modifications and advancements since then, robotic surgery has established itself as a valid option for patients undergoing certain surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, RCS may offer an advantage in dissection in the deep pelvis especially in patients who have undergone pre-operative chemotherapy [2,9]. While each surgical method offers some advantages over the other, several studies have demonstrated comparable outcomes between robotic and laparoscopic colorectal surgery for intra-operative morbidity, complication rates, and postoperative recovery [1,9,11,12].…”

Section: Introductionmentioning

confidence: 99%

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A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

et al. 2015

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The goal of this review was to compare long-term oncologic outcomes of robotic versus laparoscopic resection of colorectal cancer. A literature search was performed using PubMed, EMBASE, Cochrane, and Medline (2002-2014). Search terms: laparoscopic, robotic, rectal, colon, surgery, oncologic, and outcomes. Studies comparing overall and disease free survival of robotic versus laparoscopic surgery for colorectal cancer were included. Meta-analysis was performed using OpenMeta[Analyst] for Windows 8. Five studies were identified reporting on overall survival, disease free survival, lymph node extraction, and distal and circumferential resection margin. Three hundred and seventeen patients underwent robotic resection and 368 underwent laparoscopic resection, with similar demographics. Operative times were longer with robotic resections, with no difference in estimated blood loss (EBL) or length of stay. The disease stage was distributed similarly in both groups. Similar numbers underwent neoadjuvant therapy. Laparoscopic resection was associated with 3.2 mm larger distal resection margins (p=0.04) and 2.2 more lymph nodes removed (p=0.001), but with equivalent circumferential resection margin status. Disease-free and overall survival was equivalent. Robotic and laparoscopic surgery for colorectal cancer offer comparable overall and disease free survival. Laparoscopic surgery offered a slight advantage in operative time, distal margin, and lymph node yield. Larger, prospective trials are needed to confirm the equivalence of these approaches.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

et al. 2015

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“…So far, patient benefits of robotic-assisted (DaVinci) surgery have been shown in urology, especially for prostatectomy [3]. Benefits for surgeons in the area of ergonomic operations have recently been more and more the focus of interest.…”

Section: Introductionmentioning

confidence: 99%

First Experiences with the New Senhance® Telerobotic System in Visceral Surgery

Stephan¹,

Sälzer²,

Willeke³

2018

Visc Med

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Until recently, robotic-assisted surgery has exclusively been connected to the name DaVinci®. In 2016, a second robotic system, the Senhance®, became available. To introduce the new robotic system into clinical routine, detailed team training and an integration program were useful. Within the first 6 months, 116 cases were performed with this system. The integration program intended to start with simple and well-standardized clinical cases. We chose inguinal hernia repair using the TAPP (transabdominal preperitoneal) technique as the starting procedure. Subsequently, we added upper gastrointestinal surgery and cholecystectomies, and colorectal procedures have since also been included. Initial experience with the Senhance system as the first installation in Germany shows that it is suitable for surgery in general and for visceral surgery in particular. The application is safe due to the unproblematically quick changeover to normal laparoscopy and easy to integrate due to the very short system integration times (docking times). Since it is a laparoscopic-based system, following an integration program will enable experienced laparoscopic surgeons to very quickly manage more complex procedures. Due to lower costs, introducing robotic surgery starting with simple and standardized procedures is more feasible. After the establishment of this second robotic system, future studies will have to specifically look at differences in surgical results and basic conditions of different robotic-assisted systems. This paper documents the decision-making process of a hospital towards the integration of a robotic system and the selection criteria used while also demonstrating the planning and execution process during the introduction of the system into clinical routine.

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“…Robot-guided interventions (RGI) are used to accurately position or to navigate surgical instruments to specific targets planned by using medical images [1]. Medical images are derived using imaging technologies of computed tomography (CT), magnetic resonance imaging (MRI) or ultrasound; they are used to provide an insight into the interior of a human body.…”

Section: Introductionmentioning

confidence: 99%

Influence of the Localization Strategy on the Accuracy of a Neurosurgical Robot System

Šuligoj

Jerbić

Šekoranja

et al. 2018

TFAMENA

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SummaryPrecise navigation of surgical instruments is one of the most important features of autonomous surgical robots. In this paper, we introduce a concept of robot localization strategy and analyse its influence on the overall application error of a robot system for frameless stereotactic neurosurgery named RONNA. Localization strategies utilize specific angles at which the robot can approach a target point, orientations, and types of movement during the procedure of physical space fiducial marker localization and positioning to the target points. The localization strategies developed in this study are a neutral orientation strategy (NOS), an orientation correction strategy (OCS) and a joint displacement minimization strategy (JDMS). To evaluate the robot positioning performance with the localization strategies applied, we performed laboratory phantom measurements using a different number of fiducial markers in the registration procedure. When three, four, and five fiducial markers were used, the application error for the NOS was 1.571±0.256 mm, 1.397±0.283 mm, and 1.327±0.274 mm, and for the OCS, it was 0.429±0.133 mm, 0.284±0.068mm, and 0.260±0.076 mm, respectively. The application error for the JDMS was 0.493±0.176 mm with four and 0.369±0.160 mm with five fiducial markers used.

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The use of robotics in surgery: a review

Cited by 139 publications

References 56 publications

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

First Experiences with the New Senhance® Telerobotic System in Visceral Surgery

Influence of the Localization Strategy on the Accuracy of a Neurosurgical Robot System

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