Pan-European Survey on the Implementation of Robotic and Laparoscopic Minimally Invasive Liver Surgery

Zwart, M.J.W.; Görgec, Burak; Arabiyat, Abdullah; Nota, C.; Poel, Marcel J. van der; Fichtinger, R.; Berrevoet, Frederik; Dam, Ronald M. van; Aldrighetti, L.; Fuks, David; Hoti, Emir; Edwin, Bjørn; Besselink, M.; Hilal, M. Abu; Hagendoorn, Jeroen; Swijnenburg, Rutger-Jan

doi:10.1016/j.hpb.2022.05.468

HPB

2022

DOI: 10.1016/j.hpb.2022.05.468

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Pan-European Survey on the Implementation of Robotic and Laparoscopic Minimally Invasive Liver Surgery

M.J.W. Zwart

Burak Görgec

Abdullah Arabiyat

et al.

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Cited by 2 publications

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“…13,14 Robotic surgery is an evolutionary process and has resulted in a substantial increased attention to surgeons and patients. [15][16][17][18] The robotic platform with excellent minimally invasive surgery capabilities has matured. Due to its flexible characteristics and the ability to quickly reach the desired location, 19,20 the multi-module flexible soft robotic arm provides the surgeon with more room to operate from a remote access point to a specific part of the body.…”

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A multi‐module soft robotic arm with soft actuator for minimally invasive surgery

Zhang

Liao

Chen

et al. 2022

Robotics Computer Surgery

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Background Compared to traditional rigid robotic arms, soft robotic arms are flexible, environmentally adaptable and biocompatible. Recently, most minimally invasive cardiac procedures still rely on traditional rigid surgical tools. However, rigid tools lack sufficient bending angles, which are high‐risk in terms of contact with tissues and organs. Methods A soft robotic arm with multiple degrees of freedom was designed to repair atrial septal defects in cardiac surgery. The developed multi‐module soft robotic arm consists of four different units, including a bending unit, a turning unit, a stretching unit and gripper units. The three movement units can reach the specified position, and the gripper units can hold a surgical tool stably, such as a suture needle in cardiac surgery. Results A cardiac surgery to repair an atrial septal defect has been completed, validating the reliability and functionality of the developed multi‐module soft robotic arm. Conclusions The multi‐module flexible soft robotic arm for minimally invasive surgery proposed in this paper can reach the designated surgical area during surgery to repair Atrial Septal Defects. Meanwhile, the design of the actuator of the robot arm was used a completely soft silicone material replacing the rigid material, which releases the contact trauma of the organs during the surgery.

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confidence: 99%

A multi‐module soft robotic arm with soft actuator for minimally invasive surgery

Zhang

Liao

Chen

et al. 2022

Robotics Computer Surgery

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Robotic-Assisted Surgery for Primary Hepatobiliary Tumors—Possibilities and Limitations

Spiegelberg

Iken

Fichtner‐Feigl

2022

Cancers

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Hepatocellular and cholangiocellular carcinoma are fatal primary hepatic tumors demanding extensive liver resection. Liver surgery is technically challenging due to the complex liver anatomy, with an intensive and variant vascular and biliary system. Therefore, major hepatectomies in particular are often performed by open resection and minor hepatectomies are often performed minimally invasively. More centers have adopted robotic-assisted surgery, intending to improve the laparoscopic surgical limits, as it offers some technical benefits such as seven degrees of freedom and 3D visualization. The da Vinci® Surgical System has dominated the surgical robot market since 2000 and has shown surgical feasibility, but there is still much controversy about its economic benefits and real benefits for the patient over the gold standard. The currently available retrospective case studies are difficult to compare, and larger, prospective studies and randomized trials are still urgently missing. Therefore, here we summarize the technical, surgical, and economic outcomes of robotic versus open and laparoscopic hepatectomies for primary liver tumors found in the latest literature reviews and meta-analyses. We conclude that complex robotic liver resections (RLR) are safe and feasible after the steep learning curve of the surgical team has plateaued. The financial burden is lower in high volume centers and is expected to decrease soon as new surgical systems will enter the market.

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Pan-European Survey on the Implementation of Robotic and Laparoscopic Minimally Invasive Liver Surgery

Cited by 2 publications

References 33 publications

A multi‐module soft robotic arm with soft actuator for minimally invasive surgery

A multi‐module soft robotic arm with soft actuator for minimally invasive surgery

Robotic-Assisted Surgery for Primary Hepatobiliary Tumors—Possibilities and Limitations

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