Medical Robotics - New Achievements最新文献

Ureteropelvic Junction Obstruction: Robot-Assisted Pyeloplasty 输尿管盂连接处阻塞:机器人辅助肾盂成形术

Medical Robotics - New Achievements Pub Date : 2020-03-03 DOI: 10.5772/intechopen.90642

P. Diana, P. Casale, A. Saita, G. Lughezzani, N. Buffi

{"title":"Ureteropelvic Junction Obstruction: Robot-Assisted Pyeloplasty","authors":"P. Diana, P. Casale, A. Saita, G. Lughezzani, N. Buffi","doi":"10.5772/intechopen.90642","DOIUrl":"https://doi.org/10.5772/intechopen.90642","url":null,"abstract":"The standard treatment of ureteropelvic junction obstruction (UPJO) is represented by the Anderson-Hynes dismembered pyeloplasty, even if different approaches, both surgical and endoscopic, have been described. Robot-assisted pyeloplasty (RP) is a feasible and safe approach. The indications for the robotic approach remain the same as those for the laparoscopic or open pyeloplasty. Every patient with symptomatic UPJO, or with decreasing renal function in the presence of UPJO, should undergo RP. The transperitoneal, retroperitoneal, and transmesocolic approaches are described focusing on advantages and disadvan-tages of each approach. Robot-assisted pyeloplasty has excellent success rates for relief of obstruction and very low peri- and post-operative morbidity. The robotic surgical technique maintains the advantages of laparoscopic surgery providing a more precise manipulation and visualization, and a faster learning curve. Comparative studies are reported to confront the different techniques. Secondary minimally invasive pyeloplasty is obviously a more challenging procedure due to the fibrosis and the adhesions formed after the previous surgery. Newer techniques and indications such as the employment of buccal mucosal graft, the single port approach, and indocyanine green injection are described. Tips and tricks to keep in mind during this kind of procedure are listed in order to report our experience in this setting.","PeriodicalId":329470,"journal":{"name":"Medical Robotics - New Achievements","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133753524","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: 2

An Active Exoskeleton Called P.I.G.R.O. Designed for Unloaded Robotic Neurorehabilitation Training 一种被称为P.I.G.R.O.的主动外骨骼，设计用于卸载机器人神经康复训练

Medical Robotics - New Achievements Pub Date : 2019-11-06 DOI: 10.5772/intechopen.90075

G. Belforte, T. Raparelli, G. Eula, S. Sirolli, S. Appendino, G. Geminiani, E. Geda, M. Zettin, Roberta Virgilio, K. Sacco

引用次数: 1

Surgical Planning and Additive Manufacturing of an Anatomical Model: A Case Study of a Spine Surgery 手术计划和增材制造的解剖模型:脊柱手术的案例研究

Medical Robotics - New Achievements Pub Date : 2019-11-05 DOI: 10.5772/INTECHOPEN.89950

L. Aydın, O. Cakir, R. Dilek, Mucahit Ege

{"title":"Surgical Planning and Additive Manufacturing of an Anatomical Model: A Case Study of a Spine Surgery","authors":"L. Aydın, O. Cakir, R. Dilek, Mucahit Ege","doi":"10.5772/INTECHOPEN.89950","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.89950","url":null,"abstract":"3D scanning technologies have promising solutions for medical needs such as anatomical models, biocompatible implants, and orthotic/prosthetic models. Although virtual presurgical planning offers more precise results, it may not be applied in every hospital because of the high costs. The aim of this study is to assess the accuracy of the suggested low-cost and effective surgical planning method by means of additive manufacturing to increase success rate of each surgery. In this study, a full spine model of a scoliosis patient was acquired and reconstructed in MIMICS software using different filters and parameters. Therefore, a comparison in terms of geometrical errors among each model was performed based on a reference model. Subsequently, patient-specific full spine model was manufactured using a three-dimensional printing method (fused deposition modeling) and utilized before the surgery. 3D surgical model reconstruction parameters such as wrap tool, binomial blur, and curvature flow filters produced high geometrical errors, while mean filter produced the lowest geometrical error. Furthermore, similarity results of the curvature flow and discrete Gaussian filters were close to mean filter. Smooth tool and mean filter produced almost the same volume of the reference model. Consequently, an ideal protocol for surgical planning of a spine surgery is defined with measurable accuracy. Thus, success rate of a spine surgery may be increased especially for the severe cases owing to the more accurate preoperative review: operability.","PeriodicalId":329470,"journal":{"name":"Medical Robotics - New Achievements","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126393326","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: 2

Robotic Sacrocolpopexy for Treatment of Prolapse of the Apical Segment of the Vagina 机器人骶阴道固定术治疗阴道根尖段脱垂

Medical Robotics - New Achievements Pub Date : 2019-10-10 DOI: 10.5772/intechopen.89641

K. Ko, Kyu-Sung Lee

引用次数: 0

Robotic-Assisted Inguinal Lymphadenectomy (RAIL) 机器人辅助腹股沟淋巴结切除术(RAIL)

Medical Robotics - New Achievements Pub Date : 2019-10-03 DOI: 10.5772/intechopen.89560

V. Corona-Montes, E. González-Cuenca, M. Tobias-Machado

{"title":"Robotic-Assisted Inguinal Lymphadenectomy (RAIL)","authors":"V. Corona-Montes, E. González-Cuenca, M. Tobias-Machado","doi":"10.5772/intechopen.89560","DOIUrl":"https://doi.org/10.5772/intechopen.89560","url":null,"abstract":"The objective of the following chapter is to describe thoroughly the surgical technique for a robotic-assisted inguinal lymphadenectomy for penile cancer, and the surgery has been through modifications from its creation to “the Robotic Era.” Penile cancer is a rare neoplasm, with an estimated 1570 cases in the United States. The spread is predictable to the inguinal lymph nodes, where 1–2% of patients will present distant metastases. The first draining lymph area is found in the inguinal region and the secondary spread in the pelvic region, main reason for the inguinal part of the treatment of penile cancer under different indications. Radical resection of inguinal metastases of penile cancer is the standard treatment for this technique, which has been adapted to become a minimally invasive surgery compared to an open inguinal lymphadenectomy, which entails a high incidence of morbidity that stands at 50–90%. A robotic-assisted inguinal lymphadenectomy, despite its high cost, is a feasible technique when carried out in specialized centers that can reduce morbidity rates and offer good oncological results, less blood loss, and shorter hospital stay.","PeriodicalId":329470,"journal":{"name":"Medical Robotics - New Achievements","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128743484","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

CFD Analysis of Flow Characteristics in a Jet Laryngoscope and the Different Application Forms of Superimposed Jet Ventilation 射流喉镜内流动特性的CFD分析及叠加式射流通气的不同应用形式

Medical Robotics - New Achievements Pub Date : 2019-04-08 DOI: 10.5772/INTECHOPEN.85535

A. Aloy, Simon Hell, Andreas Nowak, M. Grasl

{"title":"CFD Analysis of Flow Characteristics in a Jet Laryngoscope and the Different Application Forms of Superimposed Jet Ventilation","authors":"A. Aloy, Simon Hell, Andreas Nowak, M. Grasl","doi":"10.5772/INTECHOPEN.85535","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.85535","url":null,"abstract":"The superimposed high-frequency jet ventilation is a jet ventilation technique that allows the surgeon to operate in a system open to the outside endoscopic surgery in the area of the vocal cord level. Although the clinical application is uncomplicated, the possible mechanisms of the gas flow in the jet laryngoscope are largely unknown. In the performed calculations for this work, the CFD software package Fluent is used with the preprocessor GAMBIT. After creating the geometry and networking of the jet laryngoscope in the preprocessor GAMBIT, the boundary conditions and input parameters in the solver are defined. This is followed by iterative calculation using Fluent and the tabulation of results. Ventilation is provided by an electronic respirator specially developed for the endoscope. There is a bidirectional gas flow in the jet laryngoscope. The free jet characteristics of the jet beam can be confirmed. Entrainment depends on pressure and on the gas velocity. The arrangement of the nozzles enables jet ventilation in stenosis. CFD analysis enables the representation of a continuous progress of the pressure as well as the representation of the continuous profile of the velocity in the investigated endoscope. Additionally the practical application for intensive care ventilation is shown.","PeriodicalId":329470,"journal":{"name":"Medical Robotics - New Achievements","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133420684","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: 2

Application of a Robotic Rehabilitation Training System for Recovery of Severe Plegie Hand Motor Function after a Stroke 机器人康复训练系统在严重瘫痪患者中风后手部运动功能恢复中的应用

Medical Robotics - New Achievements Pub Date : 2018-12-08 DOI: 10.5772/INTECHOPEN.82189

H. Tanabe, Munehiro Ikuta, Toshimasa Mikawa, A. Kondo, Y. Morita

引用次数: 2