Robotic surgery is a type of minimally invasive surgery. “Minimally invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions.
2. Contents
History
Introduction
Why robots?
Surgical Robot – “Da Vinci”
“Da vinci” system
“Da vinci” Components
“Da vinci” cart
The Endoscope
The speciality of “Da vinci”
Applications
Advantages
Disadvantages
Conclusion
References
3. History
In 1985 a robot, the PUMA 560, was used to place a
needle for brain biopsy using CT guidance.
In 1988 the PROBOT, developed at imperial College
London.
The ROBODOC from integrated surgical systems was
introduced in 1992 for hip replacement.
The first unmanned robotic surgery took place in may
2006 in Italy.
4. Introduction
Using robots in the operating room to assist
the surgeon in performing surgery.
Robotic surgery is a type of “minimally
invasive” surgery. It’s mean instead of
operating on patients through large incisions.
The main object of such smart instrument is to
reduce or eliminate the tissue trauma
traditionally associated with open surgery
without requiring more than a few minutes
training on the part of surgery.
These system have the potential to improve
the safety and effectiveness of surgeries.
5. Why robots?
A robot is not Machine :-
- It is an information system with
arms.
- The robot are actually a more
accrete then human beings.
-
6. Surgical Robot – “Da Vinci”
“Da vinci” is one of the most advanced
surgical bot in the world.
It miniaturized instruments are mounted on
three separate robotic arms allowing the
surgeon maximum range of motion and
precision.
“Da vinci’s” fourth arm contains a magnified
high definition 3D camera that guides the
surgeon during the procedure.
9. “Da vinci” cart
Endowrist instruments
3-4 robotic arms they
are interchangeable and
effectors.
10. The Endoscope
Fiber optic instrument
Inserted trough a small
incision
has a very tiny video
camera
Shows the surgeon a 3-
dimensional magnified
view
Project to a television
screen
11. The speciality of “Da vinci”
The surgeon controls this instruments and the
camera from a console located in the
operating room placing his finger into the
master controls.
He is able to operate all four arms of da vinci
simultaneously while looking though a high
definition monitor place inside the patient
giving him a better more detailed 3D view of
the operating site than the human eye can
provide
12. Applications
Cardiac surgery
Gastrointestinal surgery
Gynaecology
Neurosurgery
Orthopedics
Pediatrics
Radio surgery
Urology
13. Advantages
Less scarring
Faster recovery time
Reduce loss of healthy tissue
Greater surgical precision
Less blood loss and transfusion
Less anesthesia required
Smaller risk of infection
In turn cheaper for hospitals
14. Disadvantages
Time lag between surgeons commands and action of Robot
could harm the patient.
Loss of power in an electrical failure
The question of safety
The cost
15. Conclusion
The Robotic surgery is build one
example of such technology that may
reduce operative morbidity , Hospital
stay, recovery, while potentially
improving , clinical outcome.
16. References
"robot", Merian-Webster Online Dictionary. 2007)
Unger, S.W., H.M. Unger, and R.T. Bass, AESOP robotic arm. Surg
Endosc, 1994.
Sackier, J.M. and Y. Wang, Robotically assisted laparoscopic
surgery. From concept to development. Surg Endosc, 1994.
Allaf, M.E., et al., Laparoscopic visual field. Voice vs foot pedal
interfaces for control of the AESOP robot. Surg Endosc, 1998.
Omote, K., et al., Self-guided robotic camera control for
laparoscopic surgery compared with human camera control. Am J
Surg, 1999.
Merola, S., et al., Comparison of laparoscopic colectomy with and
without the aid of a robotic camera holder. Surg Laparosc Endosc
Percutan Tech, 2002.
Aiono, S., et al., Controlled trial of the introduction of a robotic
camera assistant (EndoAssist) for laparoscopic cholecystectomy.
Surg Endosc, 2002. 16(9): p. 1267-70.