Abstract
Background: Although telerobotic technology has entered clinical application, its value for gastrointestinal surgery is unclear. Our objective was to evaluate the performance characteristics of telerobotically assisted laparoscopic cholecystectomy (TALC). Methods: All TALCs performed using the da Vinci Surgical System between January 2000 and September 2001 at a tertiary academic medical center were analyzed. Results: For this study, 20 patients (80% female) with a mean age of 47 ± 4 years underwent TALC. All had symptomatic cholelithiasis, and all had successful TALC results without complications or need for conversion to conventional laparoscopic cholecystectomy (CLP). The mean procedure time was 152 ± 8 min. The procedures were performed by one of three staff surgeons experienced in laparoscopic surgery who had training in telerobotic surgery. The perceived advantages of TALC over CLP included easier tissue dissection, enhanced dexterity, and stimulated interest in biliary surgery. The disadvantages included increased operating time and lack of tactile feedback. Conclusions: The TALC procedure is effective and safe when performed by appropriately trained surgeons. Telerobotic technology has the potential to reinvigorate gastrointestinal surgery.
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References
I Baca (1997) ArticleTitleRobot arm in laparoscopic surgery. Chirurg 8 837–839 Occurrence Handle10.1007/s001040050282
SF Barrett CH Wright MR Jerath RS Lewis II BC Dillard HG Rylander III AJ Welch (1995) ArticleTitleAutomated retinal robotic laser system. Biomed Sci Instrum 31 89–93 Occurrence Handle1:STN:280:ByqA1czmt1E%3D Occurrence Handle7654990
G Brandt A Zimolong L Carrat P Merloz HW Staudte S Lavallee K Radermacher G Rau (1999) ArticleTitleCRIGOS: a compact robot for image-guided orthopedic surgery. IEEE Trans Inf Technol Biomed 4 252–260 Occurrence Handle10.1109/4233.809169
GF Buess MO Schurr SC Fischer (2000) ArticleTitleRobotics and allied technologies in endoscopic surgery. Arch Surg 2 229–235 Occurrence Handle10.1001/archsurg.135.2.229
GB Cadiere J Himpens M Vertruyen F Favretti (1999) ArticleTitleThe world’s first obesity surgery performed by a surgeon at a distance. Obes Surg 2 206–209 Occurrence Handle10.1381/096089299765553539
WK Cheah B Lee JE Lenzi PM Goh (2000) ArticleTitleTelesurgical laparoscopic cholecystectomy between two countries. Surg Endosc 11 1085
WR Chitwood Jr LW Nifong WH Chapman JE Felger BM Bailey T Ballint KG Mendleson VB Kim JA Young RA Albrecht (2001) ArticleTitleRobotic surgical training in an academic institution. Ann Surg 4 475–484 Occurrence Handle10.1097/00000658-200110000-00007
RJ Damiano Jr HA Tabaie MJ Mack JR Edgerton C Mullangi WP Graper SM Prasad (2001) ArticleTitleInitial prospective multicenter clinical trial of robotically assisted coronary artery bypass grafting. Ann Thorac Surg 4 1263–1268 Occurrence Handle10.1016/S0003-4975(01)02980-0
E Hanisch B Markus C Gutt TC Schmandra A Encke (2001) ArticleTitleRobot-assisted laparoscopic cholecystectomy and fundoplication: initial experiences with the Da Vinci system. Chirurg 3 286–288 Occurrence Handle10.1007/s001040051307
KT Kavanagh (1994) ArticleTitleApplications of image-directed robotics in otolaryngologic surgery. Laryngoscope 3 283–293
J Marescaux MK Smith D Folscher F Jamali B Malassagne J Leroy (2001) ArticleTitleTelerobotic laparoscopic cholecystectomy: initial clinical experience with 25 patients. Ann Surg 1 8–9
H Margossian T Falcone (2001) ArticleTitleRobotically assisted laparoscopic hysterectomy and adnexal surgery. J Laparoendosc Adv Surg Tech A 3 161–165 Occurrence Handle10.1089/10926420152389314
DD Meininger C Byhahn K Heller CN Gutt K Westphal (2001) ArticleTitleTotally endoscopic Nissen fundoplication with a robotic system in a child. Surg Endosc 11 1360A–1360
WS Melvin BJ Needleman KR Krause RK Wolf RE Michler EC Ellison (2001) ArticleTitleComputer-assisted robotic heller myotomy: initial case report. J Laparoendosc Adv Surg Tech A 4 251–253 Occurrence Handle10.1089/109264201750539790
S Okada Y Tanaba H Sugawara H Yamauchi S Ishimori S Satoh (2000) ArticleTitleThoracoscopic major lung resection for primary lung cancer by a single surgeon with a voice-controlled robot and an instrument retraction system. J Thorac Cardiovasc Surg 2 414–415 Occurrence Handle10.1067/mtc.2000.107205
AW Partin JB Adams RG Moore LR Kavoussi (1995) ArticleTitleComplete robot-assisted laparoscopic urologic surgery: a preliminary report. J Am Coll Surg 6 552–557
RM Satava (1999) ArticleTitleEmerging technologies for surgery in the 21st century. Arch Surg 134 1197–1202 Occurrence Handle10.1001/archsurg.134.11.1197 Occurrence Handle1:STN:280:DC%2BD3c%2Fit1Gmuw%3D%3D Occurrence Handle10555633
RM Satava JC Bowersox M Mack TM Krummel (2001) ArticleTitle. Contemp Surg 10 489–499
M Siemionow K Ozer W Siemionow G Lister (2000) ArticleTitleRobotic assistance in microsurgery. J Reconstr Microsurg 8 643–649 Occurrence Handle10.1055/s-2000-9383
RF Young (1987) ArticleTitleApplication of robotics to stereotactic neurosurgery. Neurol Res 2 123–128
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Perez, A., Zinner, M., Ashley, S. et al. What is the value of telerobotic technology in gastrointestinal surgery? . Surg Endosc 17, 811–813 (2003). https://doi.org/10.1007/s00464-002-8561-z
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DOI: https://doi.org/10.1007/s00464-002-8561-z