Ergonomic analysis of robot-assisted and traditional laparoscopic procedures

Zihni, Ahmed M.; Ohu, Ikechukwu; Cavallo, Jaime A.; Cho, Sohyung; Awad, Michael M.

doi:10.1007/s00464-014-3604-9

Cited by 76 publications

(43 citation statements)

References 16 publications

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“…A robotic approach is a particularly useful technique in the restricted space of the pelvis due to enhanced visibility from greater field magnification and three-dimensional imaging, as well as improved dexterity from the use of multiarticulated instruments, elimination of physiologic tremor and an improved eye-hand-target axis [17,18]. In addition, there is evidence to suggest that compared to laparoscopic surgery, robotic surgery may provide ergonomic benefits for the surgeon [19,20]. Most reports of robotic ventral mesh rectopexy (RVMR) come from singleinstitution reviews in Europe and typically include a combined analysis of RVMR along with other types of laparoscopic and/or robotic surgery for rectal prolapse [4][5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Robotic ventral mesh rectopexy for rectal prolapse: a single-institution experience

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Robotic ventral mesh rectopexy for rectal prolapse: a single-institution experience

et al. 2017

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“…This has led to the implementation of robot‐assisted donor nephrectomy (RADN) in several transplant centers . This technique allows the surgeon to operate in a seated and thus more ergonomic position with improved imaging techniques and enhanced rotation angle of the robotic instruments.…”

Section: Introductionmentioning

confidence: 99%

Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation

Janki

Klop

Hagen

et al. 2016

Robotics Computer Surgery

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“…Another important point is the ergonomics of the surgeon, which is much better with robots since surgeons perform surgeries sitting comfortably at the console, reducing operational fatigue, thus increasing the possibility of performing more operations 6 .…”

Section: Editorialmentioning

confidence: 99%

Advanced Robotic Technology Is the Future of Surgery

Sebastian¹

2017

RFMH

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EDITORIALCurrently, we live in a new era of minimally invasive surgery. Operations are more like video games than traditional open surgeries. The old-fashioned expression that "a good surgery requires a large incision" has been completely abandoned in countries where medical technology and research are well structured. Within the modern minimally invasive surgeries over the last 30 years, laparoscopic surgery is the most well established and recognized approach. However, with development of advanced technologies and intense research, robotic surgery has emerged in the last decade as an attractive alternative to laparoscopic surgery.Nowadays, robotic technology plays an important role in our daily life beginning with its use in industries until its adaptation for the medical field. The history of robots begins in science fiction books and movies, where sometimes the robots were seen as an independent and even with some complicities with humans, as in the movie of George Lucas, "Star Wars" where robots were friends with humans, but in other cases with conflict, as in movie "Terminator" that robots were enemies against the human race. Furthermore, in today's industry there are many applications of robots. On the other hand, in medicine, this technology has been introduced successfully even though it is still difficult to think that a robot can perform surgery independently without human monitoring.Robotic technology in surgery initially was introduced in areas where a high level of precision and fine movements are required such as in Neurosurgery or when repeated actions are needed as in Urology. Currently, robotic surgery is performed in different surgical specialties including gynecological 1 , pancreatic 2 , bariatric 3 , colon surgery 4 , etc. Essentially, robots can replicate the movements of a surgeon with high precision, reducing any type of errors. Robotic surgery has many advantages over the wellestablished laparoscopic surgery. One of the major disadvantages of laparoscopic surgery includes the mismatch between the vision space and instruments, vision is usually 2D in laparoscopic surgery causing the surgeon to lose the prospect of depth, as well as the limitation of rotational movements and imperfect coordination of the eye and hand since the camera is controlled by an assistant.However, in robotic surgery, these limitations have been exceeded. First, there is a 3D high resolution visualization. Second, hand movements are coordinated perfectly by the camera; essentially, visual fields follow simultaneously to the hand movements without need of an assistant to manipulate the camera as in laparoscopic surgery. Third, robots reduce the tremor of the human hand, improving precision and operational dexterity and with new endo-wrist technology, surgeons using the robot can suture with more rotational degrees. Finally, haptic feedback which is touch feedback (kinesthetic (force) and cutaneous (tactile) feedback) has improved significantly with new technology systems with multimodal haptic feedback programs 5 .

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Ergonomic analysis of robot-assisted and traditional laparoscopic procedures

Abstract: We have quantitatively examined the ergonomics of TLS and RALS and shown that in a single surgeon, TLS procedures are associated with significantly elevated biceps, triceps, and deltoid activation bilaterally when compared to RALS procedures.

Cited by 76 publications

References 16 publications

Robotic ventral mesh rectopexy for rectal prolapse: a single-institution experience

Robotic ventral mesh rectopexy for rectal prolapse: a single-institution experience

Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation

Advanced Robotic Technology Is the Future of Surgery

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