Is Haptic Feedback Necessary to Microsurgical Suturing? Comparative Study of 9/0 and 10/0 Knot Tying Operated by 24 Surgeons

Panchulidze, Irakli; Berner, Stacey H.; Mantovani, Gustavo; Liverneaux, Philippe

doi:10.1142/s0218810411004984

Cited by 33 publications

(20 citation statements)

References 13 publications

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“…18 Finally, when evaluating the value of the remote console and camera, we found that the magnification of the operating field and the quality of the 3D image are good in the Si HD version of the robot and close to those that one can find in modern surgical microscopes. The millimetric precision provided is acceptable for ocular surface surgeries, such as pterygium surgery, but this precision must be increased to the micron level for intraocular anterior or posterior segment surgeries.…”

Section: Discussionmentioning

confidence: 53%

Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model

Bourcier

Nardin

Sauer

et al. 2015

Trans. Vis. Sci. Tech.

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Citation: Bourcier T, Nardin M, Sauer A, et al. Robot-assisted pterygium surgery: feasibility study in a nonliving porcine model. Trans Vis Sci Tech. 2015;4(1):9, http://tvstjournal. org/doi/full/10.1167/tvst.4.1.9, doi: 10.1167/tvst.4.1.9Purpose: This study aims to investigate the feasibility of pterygium surgery using the DaVinci Si HD robotic surgical system, and to describe a porcine model for pterygium surgery and evaluate its usefulness. Methods:The pterygium models were constructed using enucleated pig eyes and cold cuts. Robotically-assisted pterygium surgeries in nonliving biological pterygium models were performed using the DaVinci Si HD robotic surgical system. Twelve models were prepared, and 12 pterygium excision and conjunctival autografts were performed.Results: The DaVinci system provided the necessary dexterity to perform delicate ocular surface surgery and robotic tools were safe for the tissues. The mean duration of the surgical procedures was 36 minutes. There were no intraoperative complications and no unexpected events.Conclusions: Robotic-assisted pterygium surgery is technically feasible for porcine eyes using the DaVinci Si HD robotic surgical system. The pterygium model that we describe could be of interest for surgical training.Translational Relevance: Little research has been done in robotic microsurgery. Animal experimentation will allow the advantages of robotic-assisted microsurgery to be identified, while underlining the improvements and innovations necessary for clinical use.

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Section: Discussionmentioning

confidence: 53%

Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model

Bourcier

Nardin

Sauer

et al. 2015

Trans. Vis. Sci. Tech.

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“…Brachial plexus surgery involves open microsurgical techniques that require extensive incisions of many centimeters extending from the mastoid process to the upper one-third of the arm 13) . This results in unsightly fibrotic scars and perineural fibrosis, which impairs the quality of functional recovery after nerve repair 14) .…”

Section: Discussionmentioning

confidence: 99%

Telemicrosurgery in Brachial Plexus: the Feasibility of Robot-Assisted Microsurgery

Naïto

Liverneaux

2015

Juntendo Medical Journal

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Telemicrosurgery applications have expanded quickly since the 1990s. The development of robotics has allowed a glimpse into new perspectives in nerve microsurgery. Minimally invasive surgery has quickly become the first therapeutic option in many operative indications, reducing postoperative complications and increasing patient comfort. Surgical robotics already proved useful, leading to numerous enhancements of the technique. We will introduce you how to make telemicrosurgery of the brachial plexus surgery with da Vinci robot in this review.In Oberlin technique, our results demonstrate the feasibility of the robot-assisted surgery. The absence of sensory feedback was not a problem. The development of specific retractors should improve the mini-invasive technique.In brachial plexus surgery, mini-invasive robot-assisted brachial plexus surgery has the double advantage of better cosmesis and improved functional outcome by decreased scarring. It was difficult to confirm with absolute certainty without electrical stimulation that the nerve identified and biopsied was the superior trunk of the brachial plexus. We had no other difficulties with this procedure. The workspace was perfectly maintained by low-pressure insufflations of CO2.In telemicrosurgery, we think that there are many requiring ingenuity. More animal research and clinical study will be needed to develop the field of telemicrosurgery. We believe that Juntendo University will be able to do it and have to do it!!

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“…However, it is suggested that the absence of haptic feedback does not influence the results of many kinds of soft-tissue operations. 17 It is also expected that future robots will even be able to present scaled haptic feedback, solving this problem and improving this perception.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Robotic Decompression of the Ulnar Nerve at the Elbow

Garcia

Montero

2014

Arthroscopy Techniques

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Ulnar nerve entrapment can be treated by a number of surgical techniques when necessary. Endoscopic techniques have recently been developed to access the ulnar nerve by use of a minimally invasive approach. However, these techniques have been considered difficult and, many times, dangerous procedures, reserved for experienced elbow arthroscopic surgeons only. We have developed a new endoscopic approach using the da Vinci robot (Intuitive Surgical, Sunnyvale, CA) that may be easier and safer. Standardization of the technique was previously developed in cadaveric models to achieve the required safety, reliability, and organization for this procedure, and the technique was then used in a live patient. In this patient the nerve entrapment symptoms remitted after the surgical procedure. The robotic surgical procedure presented a cosmetic advantage, as well as possibly reduced scar formation. This is the first note on this surgical procedure; the procedure needs to be tested and even evolved until a state-of-the-art standard is reached.

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Is Haptic Feedback Necessary to Microsurgical Suturing? Comparative Study of 9/0 and 10/0 Knot Tying Operated by 24 Surgeons

Cited by 33 publications

References 13 publications

Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model

Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model

Telemicrosurgery in Brachial Plexus: the Feasibility of Robot-Assisted Microsurgery

Endoscopic Robotic Decompression of the Ulnar Nerve at the Elbow

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