The international journal of medical robotics + computer assisted surgery : MRCAS最新文献_第5页

Robotic transanal total mesorectal excision for rectal cancer: experience with a first case. 机器人经肛门直肠癌全肠系膜切除术:第一例的经验。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-12-01 Epub Date: 2014-05-08 DOI: 10.1002/rcs.1594

P M Verheijen, E C J Consten, I A M J Broeders

{"title":"Robotic transanal total mesorectal excision for rectal cancer: experience with a first case.","authors":"P M Verheijen, E C J Consten, I A M J Broeders","doi":"10.1002/rcs.1594","DOIUrl":"https://doi.org/10.1002/rcs.1594","url":null,"abstract":"Background: A transanal approach for total mesorectal excision (TME) using a single incision port is feasible. The disadvantages are technical difficulties associated with limited manoeuvrability.Methods: We present our first experience with robotic-assisted transanal total mesorectal excision. A 48 year-old woman with a tumour 8 cm from the anal verge was successfully operated using a transanal approach. A complete mesorectal excision was performed through a single incision port, using two robot arms.Results: TME was performed successfully and the patient recovered quickly without any complications. The histological report showed a complete mesorectal excision with free distal and circumferential margins. A sigmoidoscopy showed an intact anastomosis and the patient was planned for reversal of her ileostomy.Conclusions: Transanal total mesorectal excision using the robot is feasible. Robotics may help to overcome technical difficulties associated with the single incision port.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 4","pages":"423-6"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1594","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32323375","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: 52

Robot-assisted level II-IV neck dissection through a modified facelift incision: initial North American experience. 机器人辅助II-IV级颈部清扫术通过改良的整容切口:初步的北美经验。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-12-01 Epub Date: 2014-04-23 DOI: 10.1002/rcs.1585

W Greer Albergotti, J Kenneth Byrd, John R De Almeida, Seungwon Kim, Umamaheswar Duvvuri

{"title":"Robot-assisted level II-IV neck dissection through a modified facelift incision: initial North American experience.","authors":"W Greer Albergotti, J Kenneth Byrd, John R De Almeida, Seungwon Kim, Umamaheswar Duvvuri","doi":"10.1002/rcs.1585","DOIUrl":"https://doi.org/10.1002/rcs.1585","url":null,"abstract":"Background: Cosmesis is of increasing importance to the otolaryngology patient population. This is the first report of clinical outcomes of robot-assisted neck dissection by North American groups.Methods: This is a retrospective case-control study. Cases included three patients who underwent isolated, ipsilateral robot-assisted neck dissection. Operative time, estimated blood loss, lymph node retrieval, total drainage, hospital stay and complications from this group were compared against the outcomes of six consecutive patients who underwent conventional neck dissection.Results: Operative times were longer in robot-assisted neck dissection (mean 234 min) compared with the conventional neck dissection (mean 110 min). There were no significant differences between the two groups in other outcomes.Conclusions: Robot-assisted selective neck dissection of levels II-IV is feasible through a modified facelift incision. Our initial data suggest that this procedure is surgically sound. It should be applied by experienced surgeons who wish to avoid a cervical incision.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 4","pages":"391-6"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32286485","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: 25

A shape memory alloy-actuated surgical instrument with compact volume. 一种体积小巧的形状记忆合金驱动手术器械。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-12-01 Epub Date: 2013-12-02 DOI: 10.1002/rcs.1558

Zhen Yun Shi, Da Liu, Tian Miao Wang

{"title":"A shape memory alloy-actuated surgical instrument with compact volume.","authors":"Zhen Yun Shi, Da Liu, Tian Miao Wang","doi":"10.1002/rcs.1558","DOIUrl":"https://doi.org/10.1002/rcs.1558","url":null,"abstract":"Background: Surgical robotic systems have been proven to be accurate and dexterous during minimally invasive surgery (MIS). However, single incision laparoscopic surgery (SILS) requires more compact robotic arms with sufficient dexterity and output.Methods: A shape memory alloy (SMA)-actuated instrument was adopted to assist operations. The instrument fixed at the slave site had three degrees of freedom (DOFs) and was driven by SMA wires, pitch, yaw, and grip, with an 8 mm diameter; a passive hydraulic support mechanism was placed in vitro.Results: In vitro, the maximum force, velocity and accuracy were proven to be sufficient for medical application. In an animal study, the system was inserted into the abdomen; three more generic constraints were tested: medical gesture, safety, and implementation.Conclusions: The robot was feasible and safe for multi-angle monitoring, grasping, and holding an organ. The SMA-actuated system was accurate and dexterous with minimal system volume.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 4","pages":"474-81"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1558","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31988401","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: 19

Console-integrated real-time three-dimensional image overlay navigation for robot-assisted partial nephrectomy with selective arterial clamping: early single-centre experience with 17 cases. 机器人辅助肾部分切除术选择性动脉夹闭的控制台集成实时三维图像叠加导航:早期单中心17例经验

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-12-01 Epub Date: 2014-02-26 DOI: 10.1002/rcs.1574

Junya Furukawa, Hideaki Miyake, Kazushi Tanaka, Maki Sugimoto, Masato Fujisawa

{"title":"Console-integrated real-time three-dimensional image overlay navigation for robot-assisted partial nephrectomy with selective arterial clamping: early single-centre experience with 17 cases.","authors":"Junya Furukawa, Hideaki Miyake, Kazushi Tanaka, Maki Sugimoto, Masato Fujisawa","doi":"10.1002/rcs.1574","DOIUrl":"https://doi.org/10.1002/rcs.1574","url":null,"abstract":"Background: The objective of this study was to describe our early experience with robot-assisted partial nephrectomy (RAPN) incorporating selective arterial clamping, using an image overlay navigation system.Methods: Three-dimensional images were reconstructed from computed tomography using open source processing software, OsiriX, and were directly visualized on the screen of a da Vinci surgeon's console with TilePro multi-input display functions. Using this imaging system, RAPN with selective arterial clamping was performed in 17 patients with renal tumours.Results: The intraoperative image overlay navigation system made it possible to clearly show the tumour position and vascular supply within the console's field of view, and facilitate selective arterial clamping during RAPN, resulting in a mean decrease in estimated glomerular filtration rates at both 1 and 4 weeks after RAPN < 10 ml/min/1.73 m(2) .Conclusions: RAPN with selective arterial clamping using this innovative imaging system could be a useful alternative to conventional RAPN.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":" ","pages":"385-90"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40298229","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: 39

Robot-assisted laparoscopic (RAL) surgery for gastric cancer. 机器人辅助腹腔镜手术治疗胃癌。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2013-12-23 DOI: 10.1002/rcs.1566

Orhan Alimoglu, Ibrahim Atak, Tunc Eren

{"title":"Robot-assisted laparoscopic (RAL) surgery for gastric cancer.","authors":"Orhan Alimoglu, Ibrahim Atak, Tunc Eren","doi":"10.1002/rcs.1566","DOIUrl":"https://doi.org/10.1002/rcs.1566","url":null,"abstract":"Background: This literature review focuses on the potential benefits and eventual limitations of robotic surgery with respect to the traditional minimally invasive laparoscopic surgical technique for gastric cancer.Methods: A literature survey was performed using specific search phrases in PubMed. Series including < 10 cases and series including only an 'open group' of patients in comparison with the 'robotic group' were excluded. Characteristics such as patient demographics, perioperative outcomes and oncological results were analysed.Results: According to the analysis of 12 series, robotic gastric surgery has been shown to be a safe and feasible method. However, a considerable number of studies are composed of early-stage gastric cancer cases and there seems to be a lack of randomized controlled studies.Conclusions: Large prospective randomized studies are still required in order to demonstrate the exact benefits of robotic surgery and its effects on survival in gastric cancer.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 3","pages":"257-62"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31986765","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: 14

Evolution of robotic nephrectomy for living donation: from hand-assisted to totally robotic technique. 活体捐献机器人肾切除术的发展:从手辅助到完全机器人技术。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2014-03-06 DOI: 10.1002/rcs.1576

Alessandro Giacomoni, Stefano Di Sandro, Andrea Lauterio, Giacomo Concone, Iacopo Mangoni, Plamen Mihaylov, Matteo Tripepi, Luciano De Carlis

{"title":"Evolution of robotic nephrectomy for living donation: from hand-assisted to totally robotic technique.","authors":"Alessandro Giacomoni, Stefano Di Sandro, Andrea Lauterio, Giacomo Concone, Iacopo Mangoni, Plamen Mihaylov, Matteo Tripepi, Luciano De Carlis","doi":"10.1002/rcs.1576","DOIUrl":"https://doi.org/10.1002/rcs.1576","url":null,"abstract":"Background: The application of robotic-assisted surgery offers EndoWrist instruments and 3-D visualization of the operative field, which are improvements over traditional laparoscopy. The results of the few studies published so far have shown that living donor nephrectomy using the robot-assisted technique is safe, feasible, and offers advantages to patients.Materials and methods: Since November 2009, 16 patients have undergone robotic-assisted living donor nephrectomy at our Institute. Patients were divided into two groups according to the surgical technique adopted for the procedure: Group A, hand-assisted robotic nephrectomy (eight patients); Group B, totally robotic nephrectomy (eight patients).Results: Intra-operative bleeding was similar in the two groups (90 vs 100 mL for Group A and B, respectively). Median warm ischemia time was significantly shorter in Group A (2.3 vs 5.1 min for Group A and B, respectively, P-value = 0.05). Switching to the open procedure was never required. Median operative time was not significantly longer in Group A than Group B (275 min vs 250 min, respectively).Conclusion: Robotic assisted living kidney recovery is a safe and effective procedure. Considering the overall technical, clinical, and feasibility aspects of living kidney donation, we believe that the robotic assisted technique is the method of choice for surgeon's comfort and donors' safety.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":" ","pages":"286-93"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40287344","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: 17

Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center. 机器人远端胰腺切除术是否提供与腹腔镜和开放手术相似的结果?来自单一医疗中心的比较研究。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2014-01-16 DOI: 10.1002/rcs.1569

Hipolito Duran, Benedetto Ielpo, Riccardo Caruso, Valentina Ferri, Yolanda Quijano, Eduardo Diaz, Isabel Fabra, Catalina Oliva, Sergio Olivares, Emilio Vicente

{"title":"Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.","authors":"Hipolito Duran, Benedetto Ielpo, Riccardo Caruso, Valentina Ferri, Yolanda Quijano, Eduardo Diaz, Isabel Fabra, Catalina Oliva, Sergio Olivares, Emilio Vicente","doi":"10.1002/rcs.1569","DOIUrl":"https://doi.org/10.1002/rcs.1569","url":null,"abstract":"Introduction: In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.Methods: Retrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and 2013 with three different approaches: 16 robotic, 18 laparoscopic and 13 open surgeries.Results: A significant difference was observed in blood loss in the open group (mean 3.44 units) compared with the robotic (mean 0.5 units) and laparoscopic (0 units) technique (P = 0.046). A shorter hospital stay was observed for the robotic group (8.87 days) compared with the laparoscopic (19.16 days) and open groups (20.44 days) (P = 0.035). Morbidity was lower in the robotic group (0%) compared with the Laparoscopic (44%) and Open groups (46%) (P = 0.014).Conclusions: These findings support the proposition that robotic distal pancreatectomy is as safe as the laparoscopic approach.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 3","pages":"280-5"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32033952","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: 61

Visual servoing in medical robotics: a survey. Part I: endoscopic and direct vision imaging - techniques and applications. 视觉伺服在医疗机器人中的应用综述。第1部分:内窥镜和直接视觉成像技术和应用。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2013-09-18 DOI: 10.1002/rcs.1531

Mahdi Azizian, Mahta Khoshnam, Nima Najmaei, Rajni V Patel

{"title":"Visual servoing in medical robotics: a survey. Part I: endoscopic and direct vision imaging - techniques and applications.","authors":"Mahdi Azizian, Mahta Khoshnam, Nima Najmaei, Rajni V Patel","doi":"10.1002/rcs.1531","DOIUrl":"https://doi.org/10.1002/rcs.1531","url":null,"abstract":"Background: Intra-operative imaging is widely used to provide visual feedback to a clinician when he/she performs a procedure. In visual servoing, surgical instruments and parts of tissue/body are tracked by processing the acquired images. This information is then used within a control loop to manoeuvre a robotic manipulator during a procedure.Methods: A comprehensive search of electronic databases was completed for the period 2000-2013 to provide a survey of the visual servoing applications in medical robotics. The focus is on medical applications where image-based tracking is used for closed-loop control of a robotic system.Results: Detailed classification and comparative study of various contributions in visual servoing using endoscopic or direct visual images are presented and summarized in tables and diagrams.Conclusion: The main challenges in using visual servoing for medical robotic applications are identified and potential future directions are suggested. 'Supervised automation of medical robotics' is found to be a major trend in this field.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 3","pages":"263-74"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31790909","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: 70

Analysis of the learning curve for robotic hysterectomy for benign gynaecological disease. 妇科良性疾病机器人子宫切除术的学习曲线分析。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2013-12-27 DOI: 10.1002/rcs.1567

Fatih Sendag, Burak Zeybek, Ali Akdemir, Banu Ozgurel, Kemal Oztekin

{"title":"Analysis of the learning curve for robotic hysterectomy for benign gynaecological disease.","authors":"Fatih Sendag, Burak Zeybek, Ali Akdemir, Banu Ozgurel, Kemal Oztekin","doi":"10.1002/rcs.1567","DOIUrl":"https://doi.org/10.1002/rcs.1567","url":null,"abstract":"Background: The objective was to evaluate the learning curve for performing a robotic hysterectomy to treat benign gynaecological disease.Methods: Thirty-six patients underwent robotic hysterectomy for benign indications. A systematic chart review of consecutive cases was conducted. The collected data included age, BMI, operating time, set-up time, docking time, uterine weight, blood loss, intraoperative complications, postoperative complications, conversions to laparotomy and length of hospital stay.Results: The mean operating, set-up and docking times were 169 ± 54.5, 52.9 ± 12.4 and 7.8 ± 7.6 min, respectively. The learning curve analysis revealed a decrease in both docking and operating times, with both curves plateauing after case 9.Conclusions: The learning curve analysis revealed a decrease in docking time and operating time after case 9, suggesting that there might be a fast, learning curve for experienced laparoscopic surgeons to master robotic hysterectomy, and that the docking process does not have a significant negative influence on the overall operating time.","PeriodicalId":75029,"journal":{"name":"The international journal of medical robotics + computer assisted surgery : MRCAS","volume":"10 3","pages":"275-9"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rcs.1567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31988408","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: 13

Abstracts of the 6th International MIRA (Minimally Invasive Robotic Association) Congress. Athens, Greece. May 11-13, 2011. 第六届国际微创机器人协会大会摘要。希腊雅典。2011年5月11日至13日。

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2011-11-01

引用次数: 0