The International Journal of Medical Robotics and Computer Assisted Surgery
BackgroundRobotic‐assisted laparoscopic surgery is an emerging technology that may prove advantageous for complex colorectal procedures involving the irradiated pelvis, such as abdominoperineal resection for recurrent anal cancer. The authors' initial experience is presented, with assessment of feasibility, safety, and oncologic principles.
MethodsOver a 6 month period, five abdominoperineal resections...
BackgroundObesity is often associated with endometrial cancer and has posed a challenge in surgical management. Complications such as wound breakdown, respiratory challenges, cardiac complications and difficult intubations are associated with obesity. For the patient with uterine cancer, surgery is necessary for staging, control of symptoms and cure. With the advent of the da Vinci™ intuitive robot,...
BackgroundBased on their experience of 150 robot‐assisted vascular reconstructions, the authors not only reflect on the current uses of the da Vinci robotic system in vascular surgery, but also discuss options for the further expansion of this cutting‐edge technology in their area of expertise.
MethodsTo date there has not been the same level of development in laparoscopy in vascular surgery as in...
BackgroundBone‐mounted robots for orthopaedic surgery are small, cost‐effective and could reduce invasiveness. Preoperative planning requires imaging (e.g. X‐ray, CT, MRI) and a registration procedure, which introduces error. Accuracy might be improved by building an intraoperative anatomical model in the robot's own coordinate system, utilizing the rigid bone–robot connection.
MethodsHaptic capabilities...
BackgroundThe purpose of this study was to review the use of robotic‐assisted general surgery at our institution. We evaluated the 8 year experience of one minimally invasive surgery (MIS) fellowship‐trained surgeon in Peoria, IL, performing 240 cases of foregut, colon, solid organ and biliary surgery using the da Vinci system, with resident assistance. Foregut and colon procedures are the fifth and...
BackgroundPercutaneous pedicle screws are commonly used in minimally invasive spinal procedures. Traditional techniques of percutaneous pedicle screw placement have employed the use of multiplanar fluoroscopy and Kirschner wires (K‐wires). The use of multiplanar fluoroscopy for the placement of percutaneous pedicle screws likely increases radiation exposure to the surgeon when compared to open techniques...
BackgroundTo evaluate the perceptions of the importance and utility of robot assisted surgery in gynecologic oncology.
MethodsA 39 question web‐based survey was sent to members of the Society of Gynecologic Oncologists.
ResultsThe survey response rate was 28%, with 277 surveys completed. Nearly 40% of respondents felt robotic surgical training was required as a part of their career goals, and 73%...
BackgroundPerforming cardiac surgery on HIV positive patients represents a significant risk of occupational exposure to surgeons and their support staff. In addition, the immunocompromized state of these patients may be a factor which could adversely influence the results. Totally endoscopic coronary artery bypass grafting (TECAB) in HIV patients has not been reported.
MethodsA male patient with...
BackgroundThe traditional way of acquiring the dental arch curve form is based on manual operation, which will randomly bring numerous errors caused by human factors. The purpose of this paper is to automatically acquire the dental arch curve and implement the coordinated control of the dental arch generator of the multi‐manipulator tooth‐arrangement robot, which can be used in full denture manufacturing...
BackgroundCutting bony tissue using short‐pulsed laser ablation enables contact‐free processing in arbitrary shapes and with considerably smaller incision widths compared with mechanical tools. This precise method necessitates assistance by robotic surgery.
MethodsUsing a prototype system for robot assisted laser bone ablation, the complete workflow was evaluated. Planning of cutting incisions was...
BackgroundRobotic end‐effectors for single port endoscopic surgery (SPS) require a manual change of vision field that slows surgery and increases the degrees of freedom (DOFs) of the manipulator.
MethodsA new surgical prototype robot has dynamic vision field control and a master controller to manipulate the endoscopic view. It uses positioning (4 DOF) and sheath (2 DOF) manipulators for vision field...
BackgroundRecent advances in diagnostic imaging and associated software have enabled the transformation of anatomical structures into finite element (FE) models facilitating computerized facial modelling. The work presented employs personalized imaging data of facial anatomical structures for use in planning and predicting the outcome of maxillofacial surgery. The current process relies on either...
BackgroundThis paper presents a novel robot designed for reduction of lower limb fractures, with the additional features of automatic controlled flexion of the knee joint, individual traction of thigh and leg, and foot rotation. The aim of this design is to assist the orthopaedic surgeon to perform better fracture reduction through motor control, in contrast to current manual control, and the results...
BackgroundIn order to understand how robotic surgery impacts gynecologic oncology fellowship training and surgical practices, a survey of fellows and fellowship directors was conducted.
MethodsQuestionnaires designed to determine the prevalence, application, and acceptance of robotics were sent to fellows and fellowship directors in approved U.S. programs.
ResultsOf the respondents, 95% have a robot...
BackgroundIn actual surgery, smoke and bleeding due to cauterization processes provide important visual cues to the surgeon, which have been proposed as factors in surgical skill assessment. While several virtual reality (VR)‐based surgical simulators have incorporated the effects of bleeding and smoke generation, they are not realistic due to the requirement of real‐time performance. To be interactive,...
BackgroundModern surgical practice often requires multitasking in operating rooms, generally full of distractions. The purpose of this research was to investigate the effect of distraction on robot‐assisted surgical skill performance in medical students and residents.
MethodsFourteen subjects performed a suture‐tying task with the da Vinci™ surgical system with distractive secondary tasks simultaneously...