First experience in colorectal surgery with a new robotic platform with haptic feedback

Spinelli, Antonino; David, Giulia; Gidaro, Stefano; Carvello, Michele; Sacchi, Matteo; Montorsi, Marco; Montroni, Isacco

doi:10.1111/codi.13882

Cited by 82 publications

(74 citation statements)

References 18 publications

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“…The first preclinical and clinical studies with the new mechatronic support were performed in Rome, Italy in gynecology and in Milano with colorectal cases [4,5,6,7,8]. When working with the new robotic system, 3 or 4 (colorectal surgery) independently usable robotic arms are used (fig.…”

Section: Specifications Of the System - Why Did We Decide For The Senmentioning

confidence: 99%

First Experiences with the New Senhance® Telerobotic System in Visceral Surgery

Stephan¹,

Sälzer²,

Willeke³

2018

Visc Med

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Until recently, robotic-assisted surgery has exclusively been connected to the name DaVinci®. In 2016, a second robotic system, the Senhance®, became available. To introduce the new robotic system into clinical routine, detailed team training and an integration program were useful. Within the first 6 months, 116 cases were performed with this system. The integration program intended to start with simple and well-standardized clinical cases. We chose inguinal hernia repair using the TAPP (transabdominal preperitoneal) technique as the starting procedure. Subsequently, we added upper gastrointestinal surgery and cholecystectomies, and colorectal procedures have since also been included. Initial experience with the Senhance system as the first installation in Germany shows that it is suitable for surgery in general and for visceral surgery in particular. The application is safe due to the unproblematically quick changeover to normal laparoscopy and easy to integrate due to the very short system integration times (docking times). Since it is a laparoscopic-based system, following an integration program will enable experienced laparoscopic surgeons to very quickly manage more complex procedures. Due to lower costs, introducing robotic surgery starting with simple and standardized procedures is more feasible. After the establishment of this second robotic system, future studies will have to specifically look at differences in surgical results and basic conditions of different robotic-assisted systems. This paper documents the decision-making process of a hospital towards the integration of a robotic system and the selection criteria used while also demonstrating the planning and execution process during the introduction of the system into clinical routine.

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Section: Specifications Of the System - Why Did We Decide For The Senmentioning

confidence: 99%

First Experiences with the New Senhance® Telerobotic System in Visceral Surgery

Stephan¹,

Sälzer²,

Willeke³

2018

Visc Med

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“…To conclude, by using the closest open platform to dV, we showed that haptic feedback could effectively improve key surgical outcomes for tasks imposing a cognitive burden for the surgeon, possibly to be paid through longer completion times. Combining our results with the continuous interest in haptics by the research community and with the raising interest by competing commercial systems, the claim that haptic feedback in robotic MIS is unnecessary might be possibly revised, or at least more deeply investigated.…”

Section: Discussionmentioning

confidence: 75%

“…For instance, while in Moody et al, haptics led to a shortening, Demi et al reported significantly increased completion times for robotic MIS (either with or without haptics) compared with manual interventions, yet robotic MIS completion times with haptics did not differ from those without haptics in a statistically significant way (even if without haptics the users were approximately 10% faster). In addition, although several clinical studies supported the introduction of the aforementioned Senhance Surgical System, to the best of our knowledge, there are no publications comparing its performance when operated with and without haptic feedback. As a matter of fact and in spite of the resurgent interest, a conclusive statement on the potential benefits achieved by restoring haptic feedback in robotic MIS platforms seems still to be missing.…”

Section: Introductionmentioning

confidence: 99%

Haptic feedback in the da Vinci Research Kit (dVRK): A user study based on grasping, palpation, and incision tasks

Saracino

Deguet

Staderini

et al. 2019

Robotics Computer Surgery

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Background It was suggested that the lack of haptic feedback, formerly considered a limitation for the da Vinci robotic system, does not affect robotic surgeons because of training and compensation based on visual feedback. However, conclusive studies are still missing, and the interest in force reflection is rising again. Methods We integrated a seven‐DoF master into the da Vinci Research Kit. We designed tissue grasping, palpation, and incision tasks with robotic surgeons, to be performed by three groups of users (expert surgeons, medical residents, and nonsurgeons, five users/group), either with or without haptic feedback. Task‐specific quantitative metrics and a questionnaire were used for assessment. Results Force reflection made a statistically significant difference for both palpation (improved inclusion detection rate) and incision (decreased tissue damage). Conclusions Haptic feedback can improve key surgical outcomes for tasks requiring a pronounced cognitive burden for the surgeon, to be possibly negotiated with longer completion times.

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“…Previous single centre experience studies have demonstrated acceptable early postoperative results using the Senhance robotic system . We conclude that this new system is feasible and safe for colorectal surgery.…”

mentioning

confidence: 58%