Robots in operating theatres

Buckingham, Rob

doi:10.1136/bmj.311.7018.1479

Cited by 109 publications

(41 citation statements)

References 18 publications

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“…In neurosurgery, three broad types of devices have been developed to improve spatial accuracy and surgical precision: neuronavigators, stereotactic localizers, and robotic assistants. [1][2][3] In orthopedic surgery, robots that cut or ream bone provide similar advantages. 1 The success of robots in neurosurgery and orthopedic surgery has encouraged the investigation of robots in other surgical specialties, including urology.…”

Section: Introduction Wmentioning

confidence: 99%

“…[1][2][3] In orthopedic surgery, robots that cut or ream bone provide similar advantages. 1 The success of robots in neurosurgery and orthopedic surgery has encouraged the investigation of robots in other surgical specialties, including urology. Within urologic surgery, efforts have been focused on three main applications: transurethral prostatectomy, percutaneous renal access, and general laparoscopic robotic assistance.…”

Section: Introduction Wmentioning

confidence: 99%

“…The third is that robots can achieve a precision greater than that achievable by humans. 1 The utilization of robots in the operating room has been the most challenging application investigated in the health care field. Beginning in the 1980s, the concept that robots were potentially more precise than humans was first investigated in the fields of neurosurgery and orthopedic surgery.…”

Section: Introduction Wmentioning

confidence: 99%

See 2 more Smart Citations

Is Telesurgery a New Reality? Our Experience with Laparoscopic and Percutaneous Procedures

Bove

Stoianovici²,

Micali

et al. 2003

Journal of Endourology

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Background: Minimally invasive surgery offers many advantages, but its correct practice is associated with a steep learning curve. Telesurgery allows a surgeon at a remote site to guide and teach surgeons at a primary site by utilizing robotic devices, telecommunications, and video technology, thereby reducing complications.Patients and Methods: From September 1998 to July 2000, 17 procedures were telementored between two sites 9230 km apart: a primary operating room at the Policlinico Casilino "Tor Vergata" University of Rome and a remote site at the Johns Hopkins Medical Institutions in Baltimore. Of these procedures, 14 were laparoscopic cases: 8 spermatic vein ligations, 2 retroperitoneal renal biopsies, 3 simple nephrectomies, and 1 pyeloplasty. Three procedures were carried out to obtain percutaneous renal access. All procedures were performed with the help of two robots: the first robot, AESOP, for the orientation of the laparoscope, and the second one, PAKY, to perform the percutaneous renal access. In addition to the robotic device, the system provided four ISDN lines, a PC with dedicated software to manage the connection, audio and video connections, an external video camera with a panoramic view of the operating room, and remote control of the electrocautery and the Telestrator.Results: All the procedures were accomplished with an uneventful postoperative course. Ten operative cases were telementored successfully. In five cases, it was not possible to establish a connection to the remote site, and two procedures were converted to open surgery because of intraoperative complications. The time delay of the image transmission was ,1 second. Conclusion:This preliminary experience has demonstrated the feasibility of international telementoring. It could provide education to surgeons and decrease the likelihood of complications attributable to inexperience with new techniques.

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Section: Introduction Wmentioning

confidence: 99%

Section: Introduction Wmentioning

confidence: 99%

Section: Introduction Wmentioning

confidence: 99%

See 1 more Smart Citation

Is Telesurgery a New Reality? Our Experience with Laparoscopic and Percutaneous Procedures

Bove

Stoianovici²,

Micali

et al. 2003

Journal of Endourology

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“…These include: increased three-dimensional accuracy, increased precision of movements, reproducibility of repeated procedures, and the ability to perform surgery from a distance [3,5]. Technological advancements and an increased demand for telerobotic surgery systems may soon result in decreased cost.…”

Section: Discussionmentioning

confidence: 99%

An Ergonomic and Human Factors Comparison Between Manual and Telerobotic Simulated Endoscopic Surgery

Lee¹,

Rafiq²,

Merrell³

et al. 2004

PsycEXTRA Dataset

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Conclusions: Telerobotic endoscopic surgery is ergonomically more favorable, equally intuitive, and no more mentally stressful than manual endoscopic surgery.

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“…The utilization of robots in surgery was pioneered in the 1980s in the fields of neurosurgery and orthopedic surgery. [1][2][3] Surgical robotics has since expanded to other surgical applications, including urology. 4,5 Robotic devices to assist urologists with transurethral resection of the prostate, percutaneous renal access, laparoscopy, and brachytherapy are currently under development or already in clinical use.…”

Section: Introductionmentioning

confidence: 99%

URobotics?Urology Robotics at Johns Hopkins

Stoianovici

2001

Comput. Aided Surg.

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URobotics (Urology Robotics) is a program of the Urology Department at the Johns Hopkins Medical Institutions dedicated to the development of new technology for urologic surgery (http://urology.jhu.edu/urobotics). The program is unique in that it is the only academic engineering program exclusively applied to urology. The program combines efforts and expertise from the medical and engineering fields through a close partnership of clinical and technical personnel. Since its creation in 1996, the URobotics lab has created several devices, instruments, and robotic systems, several of which have been successfully used in the operating room. This article reviews the technology developed in our laboratory and its surgical applications, and highlights our future directions.

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Robots in operating theatres

Cited by 109 publications

References 18 publications

Is Telesurgery a New Reality? Our Experience with Laparoscopic and Percutaneous Procedures

Is Telesurgery a New Reality? Our Experience with Laparoscopic and Percutaneous Procedures

An Ergonomic and Human Factors Comparison Between Manual and Telerobotic Simulated Endoscopic Surgery

URobotics?Urology Robotics at Johns Hopkins

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