Robotic surgery update (original) (raw)
Related papers
Annals of Surgery, 2004
Objective: To review the history, development and current applications of robotics in surgery.
Chapter-29: Overview of Robotic Surgery and its Implication
Overview of Robotic Surgery and its Implication, 2021
Many advanced surgical systems are currently used to perform robotic surgery, a unique set of technologies that includes specialized "arms" for holding instruments and a camera, as well as a magnified screen and a console. When a doctor informs a client that surgery is
Archives of Surgery, 2003
Hypothesis: Robotic technology is the most advanced development of minimally invasive surgery, but there are still some unresolved issues concerning its use in a clinical setting.
Robotic technology in surgery: Past, present, and future
The American Journal of Surgery, 2004
It has been nearly 20 years since the first appearance of robotics in the operating room. In that time, much progress has been made in integrating robotic technologies with surgical instrumentation, as evidenced by the many thousands of successful robot-assisted cases. However, to build on past success and to fully leverage the potential of surgical robotics in the future, it is essential to maximize a shared understanding and communication among surgeons, engineers, entrepreneurs, and healthcare administrators. This article provides an introduction to medical robotic technologies, develops a possible taxonomy, reviews the evolution of a surgical robot, and discusses future prospects for innovation. Robotic surgery has demonstrated some clear benefits. It remains to be seen where these benefits will outweigh the associated costs over the long term. In the future, surgical robots should be smaller, less expensive, easier to operate, and should seamlessly integrate emerging technologies from a number of different fields. Such advances will enable continued progress in surgical instrumentation and, ultimately, surgical care.
Surgical and Interventional Robotics Core Concepts, Technology, and Design
2000
Two decades after the first reported robotic surgical procedure , surgical robots are just beginning to be widely used in the operating room or interventional suite. The da Vinci telerobotic system (Intuitive Surgical, Inc.), for example, has recently become more widely employed for minimally invasive surgery . This article, the first in a three-part series, examines the core concepts underlying surgical and interventional robots, including the potential benefits and technical approaches, followed by a summary of the technical challenges in sensing, manipulation, user interfaces, and system design. The article concludes with a review of key design aspects, particularly in the areas of risk analysis and safety design. Note that medical care can be delivered in a surgical suite (operating room) or an interventional suite, but for convenience, we will henceforth use the term surgical to refer to both the surgical and interventional domains.
Current status of robotics in general surgery
Hellenic Journal of Surgery, 2010
Telesurgical systems have met with a great degree of acceptance in urology but indications are not yet that clear in the field of general surgery. The surgical robot overcomes certain limitations of conventional laparoscopy by offering three-dimensional, high definition vision, and seven degrees of freedom to the articulating instruments. Newer robots provide image integration, telestration and the dual-console capability for training purposes. According to our experiencs indications for robotic surgery are: the need for intracorporeal suturing, the expectant narrow surgical field, the expectant difficult dissection and/or adhesiolysis, especially in the upper abdomen, near the hiatus or very low in the pelvis. Although the use of robotic systems for simple laparoscopic cases is generally opposed on the basis of its increased operative time and cost, most teams accept that the beginning of the learning curve in robotic surgery must rely upon simple procedures such as cholecystectomies and Nissen fundoplications. Recent studies show more indications for robotic approach of cholecystectomies, such as in the setting of a reoperative, hostile abdomen following gangrenous cholecystitis, or in completion cholecystectomy. Robotic surgery constitutes a revolutionary stage in the evolution of surgery. Current systems aim to overcome certain limitations of laparoscopy. More advanced forms of robotic assistance are expected in the future, incorporating special software for intraoperational navigation and augmented reality guidance, help with the decision-making process, and smart "robotic-assistants" with artificial intelligence and autonomy. Integration of this technology will determine the definite role of robotics in the operating theater.