J. M. Ochoa-López, P. Wisz, P. Dell’Oglio, A. Mottrie
{"title":"Robot-Assisted Partial Nephrectomy","authors":"J. M. Ochoa-López, P. Wisz, P. Dell’Oglio, A. Mottrie","doi":"10.1007/978-3-030-53594-0_99","DOIUrl":"https://doi.org/10.1007/978-3-030-53594-0_99","url":null,"abstract":"","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75258295","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}
{"title":"Improving Outcomes for Early Return of Potency","authors":"M. Orvieto, V. Patel","doi":"10.1007/978-1-84882-800-1_18","DOIUrl":"https://doi.org/10.1007/978-1-84882-800-1_18","url":null,"abstract":"","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84441225","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}
{"title":"Novel Energy Devices in Head and Neck Robotic Surgery - A Narrative Review.","authors":"Talisa Ross, Neil S Tolley, Zaid Awad","doi":"10.2147/RSRR.S247455","DOIUrl":"https://doi.org/10.2147/RSRR.S247455","url":null,"abstract":"<p><p>The advent of trans-oral robotic surgery (TORS) has facilitated removal of tumors previously deemed unresectable, by providing access to the deep structures of the head and neck. Despite this, the wider dissemination of TORS has been restricted due to issues with line of access, as the da Vinci robot was never designed with head and neck surgery in mind. Flexible instruments and novel energy delivery devices offer great potential in overcoming some of the existing challenges surrounding TORS. This review aimed to summarize the existing literature surrounding energy delivery in TORS and highlight areas of future innovation. MEDLINE was searched for studies relating to energy delivery in TORS in November 2019. The existing literature surrounding monopolar and bipolar electrocautery, LASER (CO<sub>2</sub>, Tm:YAG and blue LASER), Ligasure and Harmonic was reviewed. Additionally, the latest iteration of the da Vinci; the SP, and the FLEX robot were evaluated as novel methods of energy delivery in TORS. Overall, these novel energy devices and robotic systems are predicted to further improve energy delivery to the head and neck. The use of flexible LASER in particular is well substantiated in the literature. This has the potential to achieve treatment de-escalation, based on the excellent outcomes demonstrated for disease-free margins and post-operative morbidity.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"7 ","pages":"25-39"},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S247455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37950563","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}
Michel A Audette, Stéphane P A Bordas, Jason E Blatt
{"title":"Robotically Steered Needles: A Survey of Neurosurgical Applications and Technical Innovations.","authors":"Michel A Audette, Stéphane P A Bordas, Jason E Blatt","doi":"10.2147/RSRR.S224446","DOIUrl":"https://doi.org/10.2147/RSRR.S224446","url":null,"abstract":"<p><p>This paper surveys both the clinical applications and main technical innovations related to steered needles, with an emphasis on neurosurgery. Technical innovations generally center on curvilinear robots that can adopt a complex path that circumvents critical structures and eloquent brain tissue. These advances include several needle-steering approaches, which consist of tip-based, lengthwise, base motion-driven, and tissue-centered steering strategies. This paper also describes foundational mathematical models for steering, where potential fields, nonholonomic bicycle-like models, spring models, and stochastic approaches are cited. In addition, practical path planning systems are also addressed, where we cite uncertainty modeling in path planning, intraoperative soft tissue shift estimation through imaging scans acquired during the procedure, and simulation-based prediction. Neurosurgical scenarios tend to emphasize straight needles so far, and span deep-brain stimulation (DBS), stereoelectroencephalography (SEEG), intracerebral drug delivery (IDD), stereotactic brain biopsy (SBB), stereotactic needle aspiration for hematoma, cysts and abscesses, and brachytherapy as well as thermal ablation of brain tumors and seizure-generating regions. We emphasize therapeutic considerations and complications that have been documented in conjunction with these applications.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"7 ","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2020-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S224446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37810819","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}
{"title":"Robotic Selective Thoracic Sympathectomy for Hyperhidrosis","authors":"F. Gharagozloo","doi":"10.20517/2574-1225.2019.55","DOIUrl":"https://doi.org/10.20517/2574-1225.2019.55","url":null,"abstract":"Aim: Thoracic sympathectomy is indicated in patients with upper extremity hyperhidrosis. The success of dorsal thoracic sympathectomy is judged by the rates of relief of hyperhidrosis, recurrence, and compensatory hyperhidrosis. We studied robotic selective sympathectomy (RSS) directed at the division of the preganglionic and postganglionic rami without interruption of the sympathetic chain. Methods: During RSS, the preganglionic and postganglionic sympathetic fibers and communicating rami to intercostal nerves 2, 3, and 4 are divided. The sympathetic chain is left intact. Results: Forty-seven patients underwent RSS. RSS was performed in a staged fashion with the more symptomatic side first, followed by the contralateral side after at least four weeks. Mean operative time was 67 ± 13 min for unilateral RSS. There was no conversion to thoracotomy. The mean increase in ipsilateral palmar temperature was 1.2 ± 0.3 °C. Median hospital stay was three days (range 1-4 days). Complications included transient heart block after sympathectomy on the second side in 1/47 (2%) and transient partial Horner’s syndrome which resolved in two weeks in 1/47 (2%). There was no permanent Horner’s syndrome. Relief of hyperhidrosis was seen in 98% of patients. At a mean follow up of 28 ± 6 months, 46/47 (98%) patients were free of sustained compensatory","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87096060","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}
Yasser Al Omran, Ali Abdall-Razak, Nader Ghassemi, Samar Alomran, Ding Yang, Ali M Ghanem
{"title":"Robotics in Cleft Surgery: Origins, Current Status and Future Directions.","authors":"Yasser Al Omran, Ali Abdall-Razak, Nader Ghassemi, Samar Alomran, Ding Yang, Ali M Ghanem","doi":"10.2147/RSRR.S222675","DOIUrl":"https://doi.org/10.2147/RSRR.S222675","url":null,"abstract":"<p><p>The field of robotic surgery is an exciting and growing field that has bolstered its way to become a mainstream application in a number of surgical disciplines. The application of robotic surgery in cleft surgery is novel and has captivated many with the benefit it provides: the slender and small arms with wrist articulation at the instrument tip; motion scaling; tremor elimination; and high fidelity, three-dimensional visualization make the robot a very attractive platform for use in confined spaces with small surgical targets. The story of the origin of robotic surgery in cleft surgery is an interesting one, and one that has arisen from other allied surgical specialities to render robotic cleft surgery as its own specialised field. A field that has coined its own terms and has demonstrated a number of applications for its use. This review details the origins of robotic cleft surgery, its evolution and its current status and elaborates on future directions to enhance its application.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"6 ","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2019-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S222675","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37529725","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}