What robot for tomorrow and what improvement can we expect?

Namdarian, Benjamin

doi:10.1097/mou.0000000000000474

Cited by 10 publications

(11 citation statements)

References 17 publications

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“…The robot's “hands” have a high degree of dexterity, allowing surgeons the ability to operate in very tight spaces in the body that would otherwise only be accessible through open (long incision) surgery. Robotic assisted surgery has offered some major advantages for surgeons as well, such as greater visualization, enhanced dexterity, and greater precision [1, 2, 9–11].…”

Section: Discussionmentioning

confidence: 99%

“…Robotic, computer-assisted, or robot-assisted surgery are similar terms for the use of robotic systems aiding in various surgical procedures. Robotic surgery has been developed in order to overcome limitations of minimally invasive surgery and to increase the capabilities of open surgery [1, 2].…”

Section: Introductionmentioning

confidence: 99%

“…Since its introduction, robotic surgery rapidly expanded in a plethora of surgical subspecialties, as well as operations. It has been estimated that over 3 million patients have been operated since the early 2000s with the introduction of the da Vinci® device [1].…”

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy

Koutserimpas

Ioannidis

Konstantinidis

et al. 2019

Case Reports in Surgery

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The risk of a broken scalpel blade during discectomy is considered extremely rare, while no guidelines exist regarding this complication. We report a case of a robotic broken blade removal following lumbar discectomy. A 52-year-old female was subjected to L4-L5 discectomy. During the annulus resection, the scalpel blade broke and was retained within the disc space. The broken blade migrated towards the abdominal cavity and viscera. Emergency CT angiography scan revealed that the main vessels were intact, while the broken surgical knife was located anterior to the lumbar spine at the L4/L5 level, to the left of the aorta and superiorly of the left common iliac artery. At that point, robot-assisted laparoscopy was performed. The broken instrument was located and carefully removed. It seems more proper that such foreign bodies should be removed, while robotic surgery may play a significant role in cases that the foreign body is near major vessels.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy

Koutserimpas

Ioannidis

Konstantinidis

et al. 2019

Case Reports in Surgery

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show abstract

“…It should also be noted that new research directions are starting to emerge within these surgical practices. Auxiliary technological devices and instrumentation, such as robotic-assisted surgeries with enhanced image-processing systems [85][86][87], as well as the development of new biomaterials based on nanotechnology [88,89], show a great potential for driving the future evolution of reconstructive vascular and nervous laser welding.…”

Section: Appl Sci 2019 9 X For Peer Review 9 Of 15mentioning

confidence: 99%

Overview on the Evolution of Laser Welding of Vascular and Nervous Tissues

2019

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Laser welding presents a core position in the health sector. This process has had an outstanding impact on the surgical procedures from many medical areas, such as on vascular and nervous surgeries. The aim of the present research is to present an overview on the evolution of laser welding of vascular and nervous tissues. These surgeries present many advantages, such as an absence of foreign-body reactions and aneurysms and good tensile strengths. However, despite the sutureless nature of the process, complementary sutures have been applied to support the procedure success. An important concern in vascular and nervous laser welding is the thermal damage. The development of temperature-controlled feedback systems has reduced this concern with a very precise control of the laser parameters. The bonding strength of vascular and nerve laser welds can be enhanced with the application of solder solutions, bonding materials, and laser-activated dyes. Alternative techniques to laser welding, such as photochemical tissue bonding and electrosurgical high-frequency technologies, have also been tested for vascular and nervous repairs.

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“…Due to these poor ergonomics and the resulting steep learning curve, single-port laparoscopic surgery has never been widely accepted by the surgical community in spite of cosmetic benefits to patients. Robotic surgery has the potential to correct the disadvantages of SILS and offer the ergonomic and performance advantages of multiport robotic systems [2, 3]. Intensive and continuous training is necessary for proficiency in minimally invasive surgery.…”

mentioning

confidence: 99%

Enabling single-site laparoscopy: the SPORT platform

et al. 2019

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BackgroundThe Single Port Orifice Robotic Technology (SPORT) Surgical System by Titan Medical Inc. is designed to overcome the inherent challenges of minimally invasive single-access procedures. The aim of this preclinical study was to evaluate the feasibility of various digestive surgery procedures using this novel surgical robotic platform.MethodsA total of 12 minimally invasive procedures were performed on six pigs (5 cholecystectomies, 3 Nissen fundoplications, 1 splenectomy and 1 hepatic pedicle dissection) and on one human cadaver (1 cholecystectomy and 1 Nissen fundoplication), by four laparoscopic surgeons. The usability of the device was assessed by means of the modified objective structured assessment of technical skills (OSATS) score that was calculated and analyzed by two independent observers on the recorded videos. Surgeon feedback and recommendations were systematically recorded.ResultsAll procedures were successfully completed with the SPORT system. In general, surgeons reported to appreciate the intuitive interface and controls, the high-resolution 3D imaging, the dexterity of the end-effectors, and the ergonomic open control platform. Some features requiring optimization were also identified. The modified OSATS score demonstrated a learning curve effect for all device-related tasks.ConclusionsA variety of abdominal procedures could be safely completed with the current SPORT prototype, in the preclinical setting. This preliminary feasibility experience is promising and encourages further development of single-port robotically assisted surgery.Electronic supplementary materialThe online version of this article (10.1007/s00464-018-06658-x) contains supplementary material, which is available to authorized users.

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What robot for tomorrow and what improvement can we expect?

Cited by 10 publications

References 17 publications

Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy

Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy

Overview on the Evolution of Laser Welding of Vascular and Nervous Tissues

Enabling single-site laparoscopy: the SPORT platform

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