Robotic surgery


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Robotic surgery

  2. 2. Robotic surgery : Robotic surgery means computerassisted surgery, and roboticallyassisted surgery are terms for technological developments that use robotic systems to aid in surgical procedures. Robotically-assisted surgery was developed to overcome the limitations of minimally-invasive surgery and to enhance the capabilities of surgeons performing open surgery.
  3. 3. History: In 1985, PUMA 560 CT guided brain biopsy In 1988, The PROBOT In 1994, ZEUS Robotic Surgical System In 1992, The ROBODOC In 2000, The da Vinci Surgical System
  4. 4. TYPES OF ROBOTIC SURGERY SYSTEMS: Supervisory controlled robotic surgery system. Tele surgical system. 1.Da Vinci surgical system. 2.ZEUS robotic surgery system. 3.AESOP robotic surgery system. Shared control robotic surgery system.
  5. 5. Supervisory controlled robotic surgery system : Follows specific set of instructions. Surgeon should program the robot. Surgeon should map the body of the patient in 3 different ways i.e., 1.Planning 2.Registration 3.Navigation  Precise in nature and reduces trauma  commonly used in hip and knee replacement procedures.
  6. 6. Tele surgery system : Tele surgery, also called remote surgery, is performed by a surgeon at a site removed from the patient. Surgical tasks are directly performed by a robotic system controlled by the surgeon at the remote site
  7. 7.  Da Vinci robotic surgical system : Provides 7 degree of freedoms in instruments. Surgeon directs motion of robots hence it makes robot very expensive high tech set of tools. Types of instruments used in surgical instruments are : 1.Viewing and controlling console. 2.Surgical arm unit (which includes 4 arms).
  8. 8. Da Vinci system is used in : Abdominal surgical procedures.  Prostrate cancer surgery.  Hysterectomy.  Mitral valve repair.  Cardiac valve repair. Gynecological surgical procedures.  Thoracic Surgical procedures.
  9. 9. ZEUS ROBOTIC SURGICAL SYSTEM: Made up of ergonomic surgical control console and 3 table mounted robotic arms.  Voice control and touch screen interfaces with 2 monitors are used in surgical control console.  Enables surgeons with great capability to perform complex micro surgical tasks.  ZEUS robotic surgical system is used in performing endoscopic surgery's.  User friendly to operate the Instruments.
  10. 10. ZEUS Surgical system
  11. 11. AESOP robotic surgical system : AESOP stands for Automated Endoscopic System For Optical Position. AESOP was the 1st robot to be cleared by FDA (Food and Drug administration) for assisting surgery in operating room. AESOP surgery’s are much similar than Di Vinci and ZEUS surgery systems. It provides surgeon with intensive operating controls. Endowrist instruments are used in these surgical systems.
  12. 12. AESOP Surgical system Endowrist Instrument
  13. 13. Shared control robotic surgery System : Surgeons most of the work. Surgeons must operate surgical instruments themselves. Robot’s does not work unless surgeons give data to robot.
  14. 14. Applications : 1.Cardiac Surgery :Bypass surgery is performed by Da Vinci system. 2. Gastrointestinal surgery : Surgery either the ZEUS or Da Vinci system. 3. Gynecology : Robotic surgery in gynecology is one of the fastest growing field. 4. Neurosurgery: Robotic Surgery is considered as safest surgery for neuron.
  15. 15. 5. Orthopedics: Surgical robotics has been used in many types of orthopedic surgical. 6. Pediatrics : Surgical robotics has been used in many types of pediatric surgical procedures. 7. Radio surgery : The Cyber Knife System uses image-guidance and computer controlled robotics to treat tumors throughout the body by delivering multiple beams of high-energy radiation to the tumor from virtually any direction. 8. Urology : Da Vinci robot is commonly used to remove the prostate gland for cancer.
  16. 16. Advantages : 1.Telesurgery: The use of computer console to perform operations from a distance. 2.Less Pain: The patient would experience less pain, trauma and bleeding, which means a faster recovery. 3.Enhanced precision: Surgery with help of robots will help to remove errors and does surgery with high accuracy. 4.Decreases the fatigue: It helps to decrease the fatigue of the doctors during surgery hours.
  17. 17. Dis-Advantages: 1.Question of safety : If any error is coded to robot it may harm the human during surgery. 2.Time: Robotic assisted heart surgery can take nearly twice the amount of time that a typical heart surgery takes. 3.Cost: At this early stage in the technology, the robotic systems are very expensive.
  18. 18. Conclusion: Although still in its infancy, robotic surgery has already proven itself to be of great value, particularly in areas inaccessible to conventional laparoscopic procedures. It has the potential to expand surgical treatment modalities beyond the limits of human ability. Although feasibility has largely been shown, more prospective randomized trials evaluating efficacy and safety must be undertaken. Further research must evaluate cost effectiveness or a true benefit over conventional therapy for robotic surgery to take full root.