Journal ArticleDOI
Future of robotic surgery in urology.
Jens Rassweiler,Riccardo Autorino,Jan Klein,Alex Mottrie,Ali S. Goezen,Jens-Uwe Stolzenburg,Koon Ho Rha,Marc O. Schurr,Jihad H. Kaouk,Vipul R. Patel,Prokar Dasgupta,Evangelos Liatsikos +11 more
TLDR
To provide a comprehensive overview of the current status of the field of robotic systems for urological surgery, scientists and experts discuss future perspectives.Abstract:
Objectives
To provide a comprehensive overview of the current status of the field of robotic systems for urological surgery and discuss future perspectives.
Materials and Methods
A non-systematic literature review was performed using PubMed/Medline search electronic engines. Existing patents for robotic devices were researched using the Google search engine. Findings were also critically analysed taking into account the personal experience of the authors.
Results
The relevant patents for the first generation of the da Vinci platform will expire in 2019. New robotic systems are coming onto the stage. These can be classified according to type of console, arrangement of robotic arms, handles and instruments, and other specific features (haptic feedback, eye-tracking). The Telelap ALF-X robot uses an open console with eye-tracking, laparoscopy-like handles with haptic feedback, and arms mounted on separate carts; first clinical trials with this system were reported in 2016. The Medtronic robot provides an open console using three-dimensional high-definition video technology and three arms. The Avatera robot features a closed console with microscope-like oculars, four arms arranged on one cart, and 5-mm instruments with six degrees of freedom. The REVO-I consists of an open console and a four-arm arrangement on one cart; the first experiments with this system were published in 2016. Medicaroid uses a semi-open console and three robot arms attached to the operating table. Clinical trials of the SP 1098-platform using the da Vinci Xi for console-based single-port surgery were reported in 2015. The SPORT robot has been tested in animal experiments for single-port surgery. The SurgiBot represents a bedside solution for single-port surgery providing flexible tube-guided instruments. The Avicenna Roboflex has been developed for robotic flexible ureteroscopy, with promising early clinical results.
Conclusions
Several console-based robots for laparoscopic multi- and single-port surgery are expected to come to market within the next 5 years. Future developments in the field of robotic surgery are likely to focus on the specific features of robotic arms, instruments, console, and video technology. The high technical standards of four da Vinci generations have set a high bar for upcoming devices. Ultimately, the implementation of these upcoming systems will depend on their clinical applicability and costs. How these technical developments will facilitate surgery and whether their use will translate into better outcomes for our patients remains to be determined.read more
Citations
More filters
Journal ArticleDOI
Review of emerging surgical robotic technology
TL;DR: The use and demand for robotic medical and surgical platforms is increasing and new technologies are continually being developed to improve on the capabilities of previously established systems.
Journal ArticleDOI
Miniature Soft Electromagnetic Actuators for Robotic Applications
Journal ArticleDOI
Magnetic Actuation Methods in Bio/Soft Robotics
Journal ArticleDOI
Robotic surgery: new robots and finally some real competition!
TL;DR: This article aims to discuss the two new robotic devices for laparoscopic surgery which have received regulatory approval for human use in different parts of the world.
Journal ArticleDOI
Considering the role of radical prostatectomy in 21st century prostate cancer care.
TL;DR: The history of the technique and changing indications for its use are described, from an operation once considered useless, to one offered to almost all patients with low-risk disease, to a procedure that now has a role in advanced disease as part of a multimodal approach.
References
More filters
Journal ArticleDOI
Transatlantic robot-assisted telesurgery
Jacques Marescaux,Joel Leroy,Michel Gagner,Francesco Rubino,Didier Mutter,Michel Vix,Steven E. Butner,Michelle Smith +7 more
TL;DR: It is shown that robot-assisted remote telesurgery can be safely carried out across transoceanic distances and will eliminate geographical constraints and make surgical expertise available throughout the world, improving patient treatment and surgical training.
Journal ArticleDOI
Robotically‐assisted laparoscopic radical prostatectomy
Jochen Binder,W. Kramer +1 more
TL;DR: The objective of the present report was to determine whether the da Vinci system could be used to facilitate laparoscopic procedures in urology, because this operation requires perfect endoscopic vision and meticulous suturing within a limited space below the symphysis on the pelvic floor.
Journal ArticleDOI
Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes.
Mani Menon,Alok Shrivastava,Ashutosh Tewari,Richard Sarle,Ashok K. Hemal,James O. Peabody,Guy Vallancien +6 more
TL;DR: A structured approach to establishing a laparoscopic radical prostatectomy program would diminish complications during the learning process and that robotic technology would be useful in learning the operation.
Journal ArticleDOI
Supervised autonomous robotic soft tissue surgery.
TL;DR: The outcome of supervised autonomous procedures is superior to surgery performed by expert surgeons and RAS techniques in ex vivo porcine tissues and in living pigs, demonstrating the potential for autonomous robots to improve the efficacy, consistency, functional outcome, and accessibility of surgical techniques.
Journal ArticleDOI
Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients.
Sang-Wook Kang,Seung-Chul Lee,So Hee Lee,Kang Young Lee,Jong Ju Jeong,Yong Sang Lee,Kee-Hyun Nam,Hang Seok Chang,Woong Youn Chung,Cheong Soo Park +9 more
TL;DR: The technique of robotic thyroid surgery using a gasless, transaxillary approach is feasible and safe in selected patients with a benign or malignant thyroid tumor and its utility for the operative management of thyroid tumors is described.