Intelligent Surgery最新文献_第7页

3D printed models and Artificial Intelligence: A review of their impact in robotic surgery training 3D打印模型和人工智能:回顾它们对机器人手术培训的影响

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-08-26 DOI: 10.1016/j.isurg.2023.08.002

Sidney Moses Amadi , Jinlei Mao , Zhihao Zhu , Xin Wang , Xiaodong Xu , Liang Ma , Zhifei Wang

{"title":"3D printed models and Artificial Intelligence: A review of their impact in robotic surgery training","authors":"Sidney Moses Amadi , Jinlei Mao , Zhihao Zhu , Xin Wang , Xiaodong Xu , Liang Ma , Zhifei Wang","doi":"10.1016/j.isurg.2023.08.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.08.002","url":null,"abstract":"<div><p>In the contemporary era, technological advancements have emerged as a highly valuable asset. One area that has experienced a significant surge in utilization within the field of surgical practice is robotic surgery. However, despite the rapid and widespread adoption of robotic surgical systems, there exists a notable deficiency in the development of a comprehensive framework for training. To address this gap, an extensive literature review was conducted focusing on training and benchmarks in the domain of robotic surgery. The objective of this research endeavor is to furnish a roadmap for the cultivation of robotic surgical skills among novice surgeons with the novel technology of 3D printed hydrogel bio-models. We aim to elucidate examples of efficacious educational tools and techniques, underscore the utmost importance of simulation, and explore expert perspectives regarding the potential of 3D-printed hydrogel bio-printed models and artificial intelligence in facilitating advancements in the realm of robotic surgery training.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 54-60"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pancreatic duct surgery: From innovation to implementation 胰管手术:从创新到实施

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2022-11-12 DOI: 10.1016/j.isurg.2022.11.001

Rong Liu , Qu Liu

引用次数: 1

Application of posture-aware surgical tool assisted screw placement in orthopedic surgery of adolescent idiopathic scoliosis 体位感知手术工具辅助螺钉置入在青少年特发性脊柱侧凸骨科手术中的应用

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-02-21 DOI: 10.1016/j.isurg.2023.02.003

Xiaonan Wu , Xinge Shi , Weiran Hu , Haohao Ma , Wensheng Liao , Yanzheng Gao

{"title":"Application of posture-aware surgical tool assisted screw placement in orthopedic surgery of adolescent idiopathic scoliosis","authors":"Xiaonan Wu , Xinge Shi , Weiran Hu , Haohao Ma , Wensheng Liao , Yanzheng Gao","doi":"10.1016/j.isurg.2023.02.003","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>This study summarized and analyzed the clinical data, preoperative preparation, surgical process and postoperative recovery of patients, to explore the clinical effect of posture-aware surgical tool in adolescent idiopathic scoliosis orthopedic surgery.</p></div><div><h3>Methods</h3><p>This study demonstrated the whole process of using posture-aware surgical tools to assist the placement of screws in orthopedic surgery of adolescent idiopathic scoliosis. A 14-year-old and 8-month-old male with height 166 cm and weight 60 kg was diagnosed as Lenke type 1A adolescent idiopathic scoliosis. The preoperative X-ray films of the patients showed that the Cobb angle was 66°, CSVL-C7PL (Central Sacral Vertical Line -C7 plumb line) was 4 mm, SVA (sagittal vertical axis) was 5 mm. The operative fixed segment was T5∼L3 vertebral body. Renaissance and other three-dimensional software were utilized for screw placement angle, entry point and other related information before operation. The use of posture-aware surgical tools during surgery can accurately select screw length, type and screw placement angle, as planned by using three-dimensional software before operation.</p></div><div><h3>Results</h3><p>The entire operation process was smooth. The intraoperative blood loss was about 600 ml, and the operation time was about 445 min. A total of 18 screws were placed during the whole operation.The patient's Cobb Angle was 8.94°, CSVL-C7PL was 2 mm, and SVA was 3 mm on postoperative radiographs.</p></div><div><h3>Conclusion</h3><p>The implantation of pedicle screw assisted by posture-aware surgical tool is safe and effective with a smooth operation process and favorable patient outcomes.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Initial experience of robotic-assisted laparoendoscopic single site intraligamental myomectomy ambulatory surgery—report of two cases 机器人辅助腹腔镜单部位韧带内肌瘤切除术的初步经验-附2例报告

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-07-17 DOI: 10.1016/j.isurg.2023.07.002

Xueli Hu , Mengjia Ruan , Shuangwei Zou , Min Huang , Lili Lin , Wenwen Zheng , Xueqing Bao , Lifang Qi , Lizhi Wang , Ping Duan

{"title":"Initial experience of robotic-assisted laparoendoscopic single site intraligamental myomectomy ambulatory surgery—report of two cases","authors":"Xueli Hu , Mengjia Ruan , Shuangwei Zou , Min Huang , Lili Lin , Wenwen Zheng , Xueqing Bao , Lifang Qi , Lizhi Wang , Ping Duan","doi":"10.1016/j.isurg.2023.07.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze and summarize the experience of single-port robotic-assisted laparoscopic ambulatory surgery (AS) for intraligamental myomectomy.</p></div><div><h3>Methods</h3><p>We analyzed the basic conditions, preoperative myoma assessment, surgical operation, and perioperative management of two patients undergoing robotic-assisted laparoendoscopic single site (R-LESS) intraligamental myomectomy and reviewed in the literature to summarize the initial clinical experience of the robotic AS model.</p></div><div><h3>Results</h3><p>Two cases of R-LESS intraligamental myomectomy were successfully discharged after 29.82 h and 25.95 h of hospitalization, respectively, with no complications.</p></div><div><h3>Conclusion</h3><p>R-LESS intraligamental myomectomy to achieve AS is safe and feasible. Adequate preoperative myoma evaluation, staging and strict access criteria, combined with current advanced single-port robotic technology and meticulous intraoperative management, and a scientific perioperative Enhanced Recovery After Surgery (ERAS) management process are vital factors to enable AS for intraligamental myomectomy.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 42-49"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Initial experience in the treatment of lower extremity arterial occlusive disease using a universal vascular interventional surgery robotic system 使用通用血管介入手术机器人系统治疗下肢动脉闭塞性疾病的初步经验

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-11-21 DOI: 10.1016/j.isurg.2023.11.001

Huanyu Dai , Zhichao Lai , Shiqi Liu , Jiang Shao , Kang Li , Chaonan Wang , Deqiang Kong , Xiaoliang Xie , Xiaohu Zhou , Zhenqiu Feng , Xiyao Ma , Bao Liu , Zengguang Hou

{"title":"Initial experience in the treatment of lower extremity arterial occlusive disease using a universal vascular interventional surgery robotic system","authors":"Huanyu Dai , Zhichao Lai , Shiqi Liu , Jiang Shao , Kang Li , Chaonan Wang , Deqiang Kong , Xiaoliang Xie , Xiaohu Zhou , Zhenqiu Feng , Xiyao Ma , Bao Liu , Zengguang Hou","doi":"10.1016/j.isurg.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p>This study aims to report the treatment process and results of the first officially published robotic peripheral vascular interventional surgery for lower extremity arterial occlusion in China. After a literature search, no domestic or foreign research reports have been found that share the same research content and innovation points.</p></div><div><h3>Methods</h3><p>A 77-year-old female patient with intermittent claudication received drug balloon dilatation using a universal vascular interventional surgery robotic system on June 17, 2023, at Peking Union Medical College Hospital (PUMCH).</p></div><div><h3>Results</h3><p>With the help of the vascular interventional robot, the operation successfully re-opened the patient's nearly occluded blood vessel, and the patient's discomfort symptoms were relieved. The total operation lasted 60 min, which time was similar to surgeries without robots. The postoperative hospital stay was 2 days.</p></div><div><h3>Conclusion</h3><p>This case has preliminarily verified the effectiveness and safety of vascular interventional robotic surgery. The initial study fills in the gaps in related fields and lays a solid foundation for the future development of universal vascular interventional robots. Larger scale trials and more clinical trials are needed to test and support the clinical application of universal vascular interventional robots.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 78-81"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000170/pdfft?md5=079c0a8d829b41624faba4a2c08037f6&pid=1-s2.0-S2666676623000170-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The application of robotic surgery in gynecology in the age of artificial intelligence 人工智能时代机器人手术在妇科的应用

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-09-22 DOI: 10.1016/j.isurg.2023.09.002

Wen Yang, Yuanguang Meng

引用次数: 0

The prospects of localization of surgical robots 手术机器人的国产化前景

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-10-14 DOI: 10.1016/j.isurg.2023.10.001

Sanyuan Hu

引用次数: 0

Da Vinci robotic-assisted Taj Mahal for hilar cholangiocarcinoma 达芬奇机器人辅助泰姬陵治疗肝门胆管癌

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-03-06 DOI: 10.1016/j.isurg.2023.02.002

Bin Zhang , Mengna Zhang , Ying'an Zhao , Xuanlei Ren , Jianbo Zheng , Jiyun Zhu , Jianshuai Jiang , Siming Zheng

{"title":"Da Vinci robotic-assisted Taj Mahal for hilar cholangiocarcinoma","authors":"Bin Zhang , Mengna Zhang , Ying'an Zhao , Xuanlei Ren , Jianbo Zheng , Jiyun Zhu , Jianshuai Jiang , Siming Zheng","doi":"10.1016/j.isurg.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case of da Vinci robotic-assisted radical resection of hilar cholangiocarcinoma. This case is shared to discuss the techniques, methods and ideas for the treatment of hilar cholangiocarcinoma.</p></div><div><h3>Methods</h3><p>The patient was diagnosed with hilar cholangiocarcinoma type II through preoperative examination, and surgical planning was performed after 3D reconstruction. After adequate preoperative preparation, a robotic-assisted Taj Mahal procedure was performed to radically resect the hilar cholangiocarcinoma, and then perihilar resection, hilar cholangioplasty and digestive tract reconstruction were completed (Informed consent was obtained from the patient).</p></div><div><h3>Results</h3><p>The surgical procedure went smoothly and the postoperative recovery was good, with no tumor recurrence at 6 months of follow-up.</p></div><div><h3>Conclusion</h3><p>The da Vinci robotic-assisted Taj Mahal for hilar cholangiocarcinoma was performed safely and effectively on patients with common hepatic duct nodule and dilatation of the intrahepatic bile ducts. Meanwhile, robotic-assisted systems have a broad application prospect and are bound to give a great impetus to surgical treatment in the future.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 16-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of single port robotic sacrocolpopexy compared with multi-port approaches 单孔机器人骶髋固定术与多孔入路的疗效比较

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2022-12-02 DOI: 10.1016/j.isurg.2022.12.001

Nicole Whitmyre , Lauren Griebel , Skye Buckner-Petty , Kenneth H. Kim , Johnny Yi

{"title":"Outcomes of single port robotic sacrocolpopexy compared with multi-port approaches","authors":"Nicole Whitmyre , Lauren Griebel , Skye Buckner-Petty , Kenneth H. Kim , Johnny Yi","doi":"10.1016/j.isurg.2022.12.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2022.12.001","url":null,"abstract":"<div><h3>Importance</h3><p>Scientific literature currently lacks data on surgical outcomes of single-port robotic sacrocolpopexy compared with traditional multi-port approaches.</p></div><div><h3>Objectives</h3><p>To evaluate feasibility and surgical outcomes for the single-port robotic approach to sacrocolpopexy when compared with traditional multi-port approaches.</p></div><div><h3>Study design</h3><p>Retrospective chart review of fifty patients who underwent minimally invasive sacrocolpopexy with a single urogynecologist between 2018 and 2021 at an academic tertiary care hospital. Patients were divided into three cohorts: laparoscopic multi-port (LMP), robotic multi-port (RMP), and robotic single-port (RSP). Outcome measures were operative time, number of adverse events, and severity of adverse events by Clavien-Dindo.</p></div><div><h3>Results</h3><p>All patients underwent at least one concomitant procedure; however, LMP had more concomitant procedures compared to RMP and RSP (p < 0.001). RMP had higher incidence of prior hysterectomy (p < 0.001) and prior vaginal surgery (p = 0.002) compared to LMP and RSP. There were no significant differences in age, BMI, ethnicity/race, pre-operative POPQ stage, number of prior laparoscopies/laparotomies, or prior hernia repair. Linear and Poisson regression models were used to assess between-group differences in the outcome measures while adjusting for confounders. LMP had significantly higher adverse event severity than RSP (RR = 2.23, p = 0.044). 62.5% of the RSP group had no adverse events. No other statistically significant differences were observed.</p></div><div><h3>Conclusion</h3><p>This retrospective study demonstrates feasibility and safety of the single-port robotic approach for sacrocolpopexy when compared with traditional multi-port approaches. Larger, prospective studies are indicated to better understand post-operative outcomes.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 21-24"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Surgical procedures and experience sharing of robotic pancreaticoduodenectomy 机器人胰十二指肠切除术的手术方法及经验分享

Intelligent Surgery Pub Date : 2023-01-01 Epub Date: 2023-07-07 DOI: 10.1016/j.isurg.2023.06.001

Qiuya Wei , Yong Fan , Chen Wang

引用次数: 0