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Title

Robotic single-incision transabdominal and transvaginal surgery: initial experience with intersecting robotic arms

Authors
Wagner, Oliver J.
Jacobsen, Garth
Spivack, Adam
Thompson, Kari
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Published in International Journal of Medical Robotics and Computer Assisted Surgery. 2010, vol. 6, no. 3, p. 251-255
Abstract BACKGROUND: Single-incision laparoscopic and natural orifice translumenal endoscopic surgery (NOTES) are technically challenging methods. Robotics might have the potential to overcome such hurdles with computer technology. METHODS: The da Vinci Standard and S System (Intuitive, Sunnyvale, USA) were used in human cadavers and pigs to perform single-incision transabdominal and transvaginal surgery. Robotic arms were crossed and control-switched to achieve intuitive control. RESULTS: It was possible to perform robotic single-incision laparoscopy in the typical, intuitive fashion. Transvaginal set-up, including docking of the system and introduction of instruments into the abdominal cavity, was possible but no useful manipulation could be performed. CONCLUSIONS: While robotic NOTES with the da Vinci surgical system was not successful, robotic single-incision surgery is feasible using the above set-up. This new approach seems to offer the advantages of single-incision surgery while maintaining the intuitive control of robotic surgery. Clinical application appears justified.
Keywords Abdomen/ surgeryCadaverEquipment DesignFemaleHumansLaparoscopy/instrumentation/methodsRobotics/instrumentation/ methodsSurgical Procedures, Minimally Invasive/instrumentation/ methodsVagina/ surgery
Identifiers
PMID: 20812266
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Research groups Chirurgie viscérale (104)
Anatomie clinique (134)
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HAGEN, Monika et al. Robotic single-incision transabdominal and transvaginal surgery: initial experience with intersecting robotic arms. In: International Journal of Medical Robotics and Computer Assisted Surgery, 2010, vol. 6, n° 3, p. 251-255. https://archive-ouverte.unige.ch/unige:20993

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Deposited on : 2012-05-23

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