The International Journal of Medical Robotics and Computer Assisted Surgery
The technique of kidney transplantation has been well established. The operation is typically performed through a lower quadrant muscle cutting incision. With advances in robotic technology, many procedures are now being performed using the robot. This article describes a simple model of ex‐vivo kidney transplantation using the robotic technique. This is a good training model and could be applied...
BackgroundProstate cancer is the most common non‐cutaneous cancer in men. Radical prostatectomy (RP) is a mainstay of treatment for organ‐confined prostate cancer. Preoperatively, the process of planning RP is based on local stage and precisely defines the location and size of disease within the prostate. Nowadays, there is no technology that can accurately map prostate cancer within the gland. Hence,...
BackgroundExisting methods used to perform laparoendoscopic single‐site surgery (LESS) require multiple laparoscopic tools that are inserted into the peritoneal cavity through a single, specialized port. These methods are inherently limited in visualization and dextrous capabilities by working through a single access point. A miniature in vivo robotic platform that is completely inserted into the...
BackgroundRobotic‐assisted excision of a pelvic schwannoma is presented.
MethodsA 27 year‐old female presented with occasional numbness of the right thigh. Imaging studies revealed a large mass adjacent to the right ovary. Robotic surgery with adjunctive electrophysiological monitoring was performed. The mass was adhered to the L4, L5 roots and was displacing the iliac vessels and the ureter. The...
BackgroundAdjacent segment degeneration (ASD) following lumbar fusion has been well documented in recent years. However, the pathogenesis of ASD is not clear. To investigate this issue, we established a finite element model of segments L2–L5, simulated a single‐segment posterior fixation in L3–L4 and investigated the stress variation and the effects of the instrumented lumbar posterior fixation on...
BackgroundThe purpose of this study was to evaluate the benefits and morbidity associated with a novel technique for a hysterectomy designed specifically for a robotic‐assisted laparoscopic procedure. Recent studies have compared robotic‐assisted laparoscopic hysterectomy vs. open hysterectomy. We have developed a surgical technique that has enabled us to efficiently decrease the standard operative...
IntroductionNeurosurgery has been driven forward by the latest breakthroughs in technology that combine science and engineering. Neurosurgical robotic systems are a good example of such a breakthrough that has several potential advantages over existing techniques. This study sought to evaluate the Pathfinder robotic system in order to establish whether it is capable of carrying out burr hole procedures...
BackgroundNowadays, there is a trend towards computer‐aided oral and maxillofacial surgery. However, due to complicated preoperative planning, traditional neurosurgery‐orientated navigation systems are not suitable and have to be adapted.
MethodsA surgical navigation system is presented for oral and maxillofacial surgery, named AccuNavi, which integrates 3D medical modelling, preoperative surgical...
BackgroundThe surgical treatment of liver tumours relies on precise localization of the lesions and detailed knowledge of the patient‐specific vascular and biliary anatomy. Detailed three‐dimensional (3D) anatomical information facilitates complete tumour removal while preserving a sufficient amount of functional liver tissue.
MethodsWe present an easy to use, clinically applicable navigation system...
BackgroundThe photoelastic effect is used for stress measurement during endovascular surgery simulation for quantitative evaluation of catheter trajectory in in vitro environments. By extending the capabilities of this sensing technology, its potential for intravascular tools evaluation will increase.
MethodsIn this research the error introduced by stress direction on magnitude measurements was studied,...
BackgroundThe robotic approach is an interesting option for overcoming the limitations of laparoscopic adrenalectomy. We aimed to report our technique and outcomes of robot‐assisted adrenalectomy (RAA).
MethodsFrom November 2000 to February 2010, all consecutive patients who underwent a RAA by the same surgeon were prospectively entered into a dedicated database. The data were reviewed retrospectively...
Jose Luis Ortiz Simon,
Arturo Minor Martinez,
Daniel Lorias Espinoza,
Jose Guadalupe Romero Velazquez
BackgroundHolding a dental tool for many hours of work is reflected in fatigue and manual tremor, which causes bad handling of rotatory instruments and consequently injuries within the buccal cavity. At present there exists no system to help the medical dentist in the support and handling of the dental drill. We propose the use of a mechatronic system to help the odontologist in handling the dental...
BackgroundThe majority of previous experience with the robotic‐sssisted laparoscopic technique for gynaecological procedures has utilized a method in which the robot is centrally located (CD) between the patient's legs.
MethodsTwelve consecutive patients undergoing robotic‐assisted procedures for gynaecological malignancies were positioned in a side‐docking (SD) fashion, in which the robot is positioned...
BackgroundPort wine stains (PWS) are a kind of skin disease for which photodynamic therapy (PDT) has already achieved good results. With manual operation of clinical PDT, the laser density is uneven and laser irradiation of the lesion is arbitrary and non‐uniform. In addition, lengthy manual operation tires doctors; thus a robot system has been developed to assist them.
MethodsFirst, a novel medical...
BackgroundDuodenal sporadic adenomatous polyps are rare findings during upper endoscopy. Resection is indicated due to their malignant potential.
MethodsA 55 year‐old male patient was diagnosed with a 3 cm duodenal adenomatous polyp with low‐grade dysplasia, which could not be safely resected by endoscopy. A transduodenal submucosal robotic‐assisted polypectomy was performed.
ResultsThe operative...
BackgroundBone deformities are typically identified through standard radiograms. Since X‐ray examinations are easily applied and offer high quality imaging, noninvasive techniques are not commonly used in bone diagnostics. Nevertheless, nonradiological techniques are considered necessary because of the harmful effects of X‐ray radiation.
MethodsThe paper presents a new noninvasive system for bone...
BackgroundOptimizing quality of life is a major goal for patients with unresectable pancreatic cancer and distal cholangiocarcinoma. The aim of this study was to assess the value of robotic surgery for palliation in these patients.
MethodsBetween May 2007 and January 2010, nine patients who presented with unresectable pancreatic cancer or distal cholangiocarcinoma at exploratory laparoscopy were...