A surgeon robot prostatectomy—a laboratory evaluation

Davies, B.L.; Hibberd, R.D.; Coptcoat, M. J.; Wickham, J. E. A.

doi:10.3109/03091908909016201

Cited by 150 publications

(57 citation statements)

References 2 publications

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“…The earliest application of robotics to urologic surgery began in 1989 with the group at the Imperial College in London. 4,5 This group demonstrated the ability of robots to perform a precise, repetitive, and controlled task in accomplishing transurethral resection of the prostate.…”

Section: Introductionmentioning

confidence: 99%

Robotic Percutaneous Access to the Kidney: Comparison with Standard Manual Access

Stoianovici

Jarrett

et al. 2002

Journal of Endourology

131

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Purpose: To evaluate the efficiency, accuracy, and safety of robotic percutaneous access to the kidney (PAKY) for percutaneous nephrolithotomy in comparison with conventional manual techniques. Materials and Methods:We compared the intraoperative access variables (number of access attempts, time to successful access, estimated blood loss, complications) of 23 patients who underwent robotic PAKY with the remote center of motion device (PAKY-RCM) with the same data from a contemporaneous series of 23 patients who underwent conventional manual percutaneous access to the kidney. The PAKY-RCM incorporates a robotic arm and a friction transmission with axial loading system to accurately position and insert a standard 18-gauge needle percutaneously into the kidney. The blood loss during percutaneous access was estimated on a four-point scale (1 5 minimal to 4 5 large). The color of effluent urine was graded on a fourpoint scale (1 5 clear to 4 5 red).Results: The mean target calix width was 13.5 6 9.2 mm in the robotic group and 12.2 6 4.5 mm in the manual group (P 5 0.57). When comparing PAKY-RCM with standard manual techniques, the mean number of attempts was 2.2 6 1.6 v 3.2 6 2.5 (P 5 0.14), time to access was 10.4 6 6.5 minutes v 15.1 6 8.8 minutes (P 5 0.06), estimated blood loss score was 1.3 6 0.49 v 1.7 6 0.66 (P 5 0.14), and color of effluent urine following access was 2.0 6 0.90 v 2.1 6 0.7 (P 5 0.82). The PAKY-RCM was successful in obtaining access in 87% (20 of 23) of cases. The other three patients (13%) required conversion to manual techniques. There were no major intraoperative complications in either group.Conclusions: Robotic PAKY is a feasible, safe, and efficacious method of obtaining renal access for nephrolithotomy. The number of attempts and time to access were comparable to those of standard manual percutaneous access techniques. These findings provide the groundwork for the development of a completely automated robot-assisted percutaneous renal access device.

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Section: Introductionmentioning

confidence: 99%

Robotic Percutaneous Access to the Kidney: Comparison with Standard Manual Access

Stoianovici

Jarrett

et al. 2002

Journal of Endourology

131

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“…1 It was developed for neurosurgical stereotactic maneuvers under computed tomography guidance. Soon thereafter, the PROBOT was developed for the field of urology to guide transurethral resection of the prostate through three-dimensional images created preoperatively 2 and the ROBODOC was used in Orthopedics to aid in total hip replacement. 3 The sophistication of robotic technology increased significantly with the concept of robotic telepresence technology, born from a collaboration of the Stanford Research Institute, the Department of Defense and the National Aeronautics and Space Administration.…”

Section: Historymentioning

confidence: 99%

Robotic surgery: applications and cost effectiveness

Leddy¹,

Lendvay²,

Satava³

2010

OAS

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Robotic surgery has been embraced by many surgical specialties and is being incorporated into an ever growing number of surgical procedures within those specialties. The outcomes and cost data that are available varies greatly between fields. This review examines the history of robotic surgery, the advantages and disadvantages of this technology followed by the applications of robotic surgery in the fields of: urology, gynecology, pediatric surgery and general surgery. Finally, the cost data from the fields of urology and pediatric surgery are reviewed and used to create a model to evaluate the financial impact of a surgical robot on a hospital.

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“…During this period, robotic platforms, which were used in transurethral prostate resection and percutaneous renal entry in the beginning, could not find a distinctive place in urology practice due to being offline systems and working outside the surgeon's guidance and skills (2,3). Online robotic systems on the other hand, have the ability to mimic the surgeon's movements in real time during surgery.…”

Section: Introductionmentioning

confidence: 99%

Does Prior Laparoscopic and Open Surgery Experience Have Any Impact on Learning Curve in Transition to Robotic Surgery?

Adayener¹,

Okutucu²,

Uygur³

2016

jus

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ÖZIt has been 15 years since the Food And Drug Administration approved the Da Vinci® robotic surgery system. Robotic applications are being used extensively in urology, particularly in radical prostatectomy. Like all hightech products, this system also has a high cost and a steep learning curve, therefore, preventing it from becoming widespread. There are various studies on the effect of open surgery or laparoscopy experience on the learning curve of robotic surgery. Analyzing these interactions well will provide valuable information on making the training period of robotic system more efficient.

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A surgeon robot prostatectomy—a laboratory evaluation

Cited by 150 publications

References 2 publications

Robotic Percutaneous Access to the Kidney: Comparison with Standard Manual Access

Robotic Percutaneous Access to the Kidney: Comparison with Standard Manual Access

Robotic surgery: applications and cost effectiveness

Does Prior Laparoscopic and Open Surgery Experience Have Any Impact on Learning Curve in Transition to Robotic Surgery?

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