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Scientific article
English

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

Contributors

Hagen, Monika; Wagner, Oliver J.; Inan, Ihsan; Morel, Philippe; Fasel, Jean; Jacobsen, Garth; Spivack, Adam; Thompson, Kari; Wong, Brian; Fischer, Lauren; Talamini, Mark; Horgan, Santiago

Published in

The international journal of medical robotics and computer assisted surgery, vol. 6, no. 3, p. 251-255

Publication date

2010

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/ surgery
  • Cadaver
  • Equipment Design
  • Female
  • Humans
  • Laparoscopy/instrumentation/methods
  • Robotics/instrumentation/ methods
  • Surgical Procedures, Minimally Invasive/instrumentation/ methods
  • Vagina/ surgery

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

HAGEN, Monika et al. Robotic single-incision transabdominal and transvaginal surgery: initial experience with intersecting robotic arms. In: The international journal of medical robotics and computer assisted surgery, 2010, vol. 6, n° 3, p. 251–255. doi: 10.1002/rcs.310

Main files (1)

Article

Identifiers

Additional URL for this publication

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1478-596X

Journal ISSN

1478-5951
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Technical informations

Creation

23/05/2012 08:45:52

First validation

23/05/2012 08:45:52

Update

14/03/2023 17:33:27

Status update

14/03/2023 17:33:27

Last indexation

29/10/2024 20:01:39
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