Visual clues act as a substitute for haptic feedback in robotic surgery

Hagen, Monika; Meehan, John J.; Inan, İbrahim; Morel, Philippe

doi:10.1007/s00464-007-9683-0

Cited by 93 publications

(56 citation statements)

References 10 publications

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“…A contextual factor that is significant here is the surgeon's experience, with surgeons finding visual information sufficient for informing their decision making as their experience of robotic surgery increases (Du et al 2013). This fits with the findings of experimental studies exploring this issue (Hagen et al 2008), as well as Klein's (2008) RPD model which emphasises the role of experience in enabling the triggering of mental models that guide decision making.…”

Section: How Does Robotic Surgery Impact Decision Making?supporting

confidence: 86%

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

et al. 2016

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While an increasing number of healthcare providers are purchasing surgical robots because of anticipated improvements in patient outcomes, their implementation into practice is highly variable. In robotic surgery, the surgeon is physically separated from the patient and the rest of the team with the potential to impact communication and decision making in the operating theatre and subsequently patient safety. Drawing on the approach of realist evaluation, in this article we review reports of the experience of surgical teams that have introduced robotic surgery to identify how and in what contexts robotic surgery is successfully integrated into practice and how and in what contexts it affects communication and decision making. Our analysis indicates that, while robotic surgery might bring about a number of benefits, it also creates new challenges. Robotic surgery is associated with increased operation duration, which has implications for patient safety, but strategies to reduce it can be effective with appropriate support from hospital administration and nursing management. The separation of the surgeon from the team can compromise communication but may be overcome through use of standardised communication. While surgeon situation awareness may be affected by the separation, the ergonomic benefits of robotic surgery may reduce stress and tiredness and enhance surgeon decision making. Our review adds to the existing literature by revealing strategies to support the introduction of robotic surgery and contextual factors that need to be in place for these to be effective.

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Section: How Does Robotic Surgery Impact Decision Making?supporting

confidence: 86%

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

et al. 2016

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“…An absence of tactile feedback may cause inadvertent needle or suture breakdown during continuous sutures. However, Hagen et al [14] postulated that the perception of haptic feedback can rapidly develop from visual clues that create an artificial tactile sensation in the brain. We feel that experience from microsurgical operations, which are too small to provide tactile sensations, may help to build the perception of haptic feedback.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted renal transplantation in the retroperitoneum

et al. 2014

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SummaryMinimally invasive surgery for renal transplantation is still under development. We employed the robotic surgical system to perform renal transplantation with a minimally invasive wound. The operation was performed with a Gibson incision and two working ports. The space for the transplantation was created by retroperitoneal dissection with the robot lifting the abdominal wall. Vascular reconstruction was performed with two robotic needle drivers. We successfully performed robot-assisted renal transplantation in five female and five male patients with an average wound length of 7.7 AE 1.04 cm. Nine of the renal allografts functioned immediately, but one with prolonged warm ischemia during the live donor nephrectomy had delayed function. The average creatinine level and estimated glomerular filtration rate at discharge were 1.31 AE 0.31 mg/dl and 58.2 AE 8.1 ml/min, respectively. All the transplants are currently functioning at 6.9 AE 3.9 months after operations. In conclusion, with robot assistance, minimal invasive renal transplantation can be performed successfully in the retroperitoneum.

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“…This is of particular importance for removal of tumors in TORS surgery. One study, however, suggests that experienced surgeons develop visual cues to overcome this limitation [36]. The girth of the robot and the articulating arms also poses a challenge, particularly for TORS surgery.…”

Section: Advantages and Limitations Of The Trans Oral Surgical Techniquementioning

confidence: 99%

The Role for Surgical Management of HPV-Related Oropharyngeal Carcinoma

Genden

2012

Head and Neck Pathol

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Human papillomavirus (HPV)-associated oropharyngeal carcinoma has become the predominate cause of oropharyngeal carcinoma in the United States and Europe. Management of this disease is controversial. Traditional open surgical techniques gave way to concurrent chemoradiotherapy following several American and European organ-preservation trials suggesting that both modalities were equally efficacious. More recently, minimally invasive surgical techniques have gained popularity. These techniques provide an opportunity to achieve a complete surgical resection without the treatment-related morbidity associated with open surgery. Proponents of this technique contend that transoral surgical techniques provide a means to analyze the tumor tissue, prognosticate, and personally direct therapy. Skeptics suggest that HPVassociated oropharyngeal carcinoma responds well to chemoradiotherapy and that surgery may not provide a treatment advantage. Both approaches provide a unique perspective and both are currently being studied under trial.

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Visual clues act as a substitute for haptic feedback in robotic surgery

Cited by 93 publications

References 10 publications

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

Robot-assisted renal transplantation in the retroperitoneum

The Role for Surgical Management of HPV-Related Oropharyngeal Carcinoma

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