Transanal endoscopic microsurgical platform for natural orifice surgery

Denk, Peter M.; Swanström, Lee L.; Whiteford, Mark H.

doi:10.1016/j.gie.2008.03.1115

Cited by 66 publications

(36 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…135,136 Nonetheless, as TEM instruments were developed for intralumin al resection, technical difficulties, such as inadequate length of instruments to reach the midand upper abdominal structures, inability to effectively mobilize intra-abdominal organs and safely fashion anastomoses, are the barriers to clinical implementation of transanal NOTES procedures using TEM. To address these technical issues, in an experimental bovine model Bhattacharjee and colleagues 137 demonstrated a redesigned TEM instrument that is longer and more manoeuvrable.…”

Section: Future Directions Of Temmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

View full text Add to dashboard Cite

Section: Future Directions Of Temmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

View full text Add to dashboard Cite

“…Robotic platforms, such as Da Vinci Surgical System (Intuitive Surgical, CA, USA, -www.intuitivesurgical.com), have been proposed for transanal procedures [12][13][14][15][16][17]; despite the possible advantages of providing greater dexterity and better ergonomics to the surgeon, such platforms are quite expensive and their true potential, in the management of rectal tumours, still needs to be verified [17].…”

Section: Introductionmentioning

confidence: 99%

A Novel Device for Measuring Forces in Endoluminal Procedures

Ranzani¹,

Ciuti

Tortora

et al. 2015

International Journal of Advanced Robotic Systems

View full text Add to dashboard Cite

In this paper a simple but effective measuring system for endoluminal procedures is presented. The device allows measuring forces during the endoluminal manipulation of tissues with a standard surgical instrument for laparoscopic procedures. The force measurement is performed by recording both the forces applied directly by the surgeon at the instrument handle and the reaction forces on the access port. The measuring system was used to measure the forces necessary for appropriate surgical manipulation of tissues during transanal endoscopic microsurgery (TEM). Ex-vivo and in-vivo measurements were performed, reported and discussed. The obtained data can be used for developing and appropriately dimensioning novel dedicated instrumentation for TEM procedures.Keywords Force measuring device for surgery, sensorized medical instrumentation, transanal endoscopic microsurgery (TEM), natural orifice translumenal endoscopic surgery (NOTES)

show abstract

“…The anatomical differences between humans and pigs can be a major problem when investigating transrectal robotic NOTES [28]. The Tuebinger MIC-trainer allows surgeons to perform basic experimental surgery under anatomical conditions similar to that of the human body and the MIC trainer is currently used in every training course for basic and advanced laparoscopic surgery at the Tuebingen University.…”

Section: Discussionmentioning

confidence: 99%

“…However, in typical transrectal NOTES, sealing the bottom of the TEM scope and insufflating with air from the side hole of the TEM scope can promote pneumoperitoneum [28]. Establishing pneumoperitoneum is possible using a similar method in transrectal robotic NOTES.…”

Section: Discussionmentioning

confidence: 99%