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Open AccessJournal ArticleDOI

Robotic Surgery: A Current Perspective

TLDR
Robotic surgery is still in its infancy and its niche has not yet been well defined, so its current practical uses are mostly confined to smaller surgical procedures.
Abstract
Robotic surgery is a new and exciting emerging technology that is taking the surgical profession by storm. Up to this point, however, the race to acquire and incorporate this emerging technology has primarily been driven by the market. In addition, surgical robots have become the entry fee for centers wanting to be known for excellence in minimally invasive surgery despite the current lack of practical applications. Therefore, robotic devices seem to have more of a marketing role than a practical role. Whether or not robotic devices will grow into a more practical role remains to be seen. Our goal in writing this review is to provide an objective evaluation of this technology and to touch on some of the subjects that manufacturers of robots do not readily disclose. In this article we discuss the development and evolution of robotic surgery, review current robotic systems, review the current data, discuss the current role of robotics in surgery, and finally we discuss the possible roles of robotic surgery in the future. It is our hope that by the end of this article the reader will be able to make a more informed decision about robotic surgery before “chasing the market.”

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Citations
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End-to-end training of deep visuomotor policies

TL;DR: In this article, a guided policy search method is used to map raw image observations directly to torques at the robot's motors, with supervision provided by a simple trajectory-centric reinforcement learning method.
Journal ArticleDOI

Micro/Nanorobots for Biomedicine: Delivery, Surgery, Sensing, and Detoxification.

TL;DR: This article reviews recent progress and future perspectives of micro/nanorobots in biomedicine, with a special focus on their potential advantages and applications for directed drug delivery, precision surgery, medical diagnosis, and detoxification.
Posted Content

End-to-End Training of Deep Visuomotor Policies

TL;DR: In this paper, a guided policy search method is used to map raw image observations directly to torques at the robot's motors for manipulation tasks such as screwing a cap onto a bottle.
Journal ArticleDOI

Robotic technology in surgery: Past, present, and future

TL;DR: An introduction to medical robotic technologies is provided, a possible taxonomy is developed, the evolution of a surgical robot is reviewed, and future prospects for innovation are discussed.
Journal ArticleDOI

The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review

TL;DR: Results indicate that haptic feedback is important during the early phase of psychomotor skill acquisition in virtual reality training, but results seem promising in the area of robot-assisted endoscopic surgical training.
References
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Journal ArticleDOI

A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery

TL;DR: The use of a Unimation Puma 200 robot, properly interfaced with a computerized tomographic (CT) scanner and with a probe guide mounted at its end effector for CT-guided brain tumor biopsis is discussed, resulting in a procedure faster than one using a manually adjustable frame.
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Feasibility of robotic laparoscopic surgery: 146 cases.

TL;DR: This study has demonstrated the feasibility of several laparoscopic robotic procedures using the Da Vinci system and seems most beneficial in intra-abdominal microsurgery or for manipulations in a very small space.
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Transcontinental robot-assisted remote telesurgery: feasibility and potential applications.

TL;DR: Future developments of computer technology and their surgical applications, particularly in the field of virtual reality three-dimensional reconstructions of patient’s specific anatomy and pathology, are the possible solutions to overcome the lack of direct patient-surgeon contact.
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Computer-enhanced "robotic" cardiac surgery: experience in 148 patients

TL;DR: Computer-enhanced endoscopic cardiac surgery can be performed safely in selected patients and internal thoracic artery takedown is now routinely performed with good results, according to a steep learning curve.
Journal ArticleDOI

A review of robotics in surgery.

TL;DR: A classification of the various types of robot system currently being investigated internationally, together with a number of examples of different applications in both soft-tissue and orthopaedic surgery, are given.
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