Robotic Assisted Minimally Invasive Surgery

Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.

Advances in research have led to the use of robotics in a range of surgical applications. Medical robotics: Minimally invasive surgery provides authoritative coverage of the core principles, applications and future potential of this enabling technology. Beginning with an introduction to robot-assisted minimally invasive surgery (MIS), the core technologies of the field are discussed, including localization and tracking technologies for medical robotics. Key applications of robotics in laparoscopy, neurology, cardiovascular interventions, urology and orthopaedics are considered, as well as applications for ear, nose and throat (ENT) surgery, vitreoretinal surgery and natural orifice transluminal endoscopic surgery (NOTES). Microscale mobile robots for the circulatory system and mesoscale robots for the gastrointestinal tract are investigated, as is MRI-based navigation for in vivo magnetic microrobots. Finally, the book concludes with a discussion of ethical issues related to the use of robotics in surgery. With its distinguished editor and international team of expert contributors, Medical robotics: Minimally invasive surgery is a comprehensive guide for all those working in the research, design, development and application of medical robotics for surgery. It also provides an authoritative introduction for academics and medical practitioners working in this field. Provides authoritative coverage of the core principles, applications and future potential of medical robotics Introduces robot-assisted minimally invasive surgery (MIS), including the core technologies of the field and localization and tracking technologies for medical robotics Considers key applications of robotics in laparoscopy, neurology, cardiovascular interventions, urology and orthopaedics

Handbook of Robotic and Image-Guided Surgery provides state-of-the-art systems and methods for robotic and computer-assisted surgeries. In this masterpiece, contributions of 169 researchers from 19 countries have been gathered to provide 38 chapters. This handbook is 744 pages, includes 659 figures and 61 videos. It also provides basic medical knowledge for engineers and basic engineering principles for surgeons. A key strength of this text is the fusion of engineering, radiology, and surgical principles into one book. A thorough and in-depth handbook on surgical robotics and image-guided surgery which includes both fundamentals and advances in the field A comprehensive reference on robot-assisted laparoscopic, orthopedic, and head-and-neck surgeries Chapters are contributed by worldwide experts from both engineering and surgical backgrounds

Operative urology has evolved in recent years to include laparoscopic and robot-assisted surgical procedures, which have resulted in significant improvements in quality of life-related outcome. Nevertheless, training methods in urologic laparoscopy and robot-assisted surgery vary considerably, and a structured training scheme is required to enable the modern urologist to adapt to and make optimal use of these techniques. Accordingly, the main goal of this surgical atlas is to guide the urologist carefully through all the standard laparoscopic and robot-assisted procedures. Each procedure is presented in detail with numerous supporting endoscopic images and diagrams. The reader is thereby acquainted with the different surgical steps and will acquire the knowledge necessary for reliable reproduction of the techniques in clinical practice.

This thesis lays the groundwork for the automatic supervision of the laser incision process, which aims to complement surgeons’ perception of the state of tissues and enhance their control over laser incisions. The research problem is formulated as the estimation of variables that are representative of the state of tissues during laser cutting. Prior research in this area leveraged numerical computation methods that bear a high computational cost and are not straightforward to use in a surgical setting. This book proposes a novel solution to this problem, using models inspired by the ability of experienced surgeons to perform precise and clean laser cutting. It shows that these new models, which were extracted from experimental data using statistical learning techniques, are straightforward to use in a surgical setup, allowing greater precision in laser-based surgical procedures.

This book provides a data-driven analysis of robotic assisted, laparoscopic, and endoscopic urological procedures in children, including renal surgery, ureteral surgery, oncology, and bladder surgery. Introductory chapters outline and describe the logistics of establishing a dedicated minimally invasive program at your institution, as well as the basics of anatomy, instrumentation, access, and trocar placement. Subsequent chapters are organized by anatomic compartment (upper tract and lower tract) and organ system. Each chapter also addresses advanced techniques and future directions, as well as common complications and case-based challenges. The final chapters review oncology and special considerations in infants. Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology provides a comprehensive, evidence-based text on pediatric urology robotic and minimally invasive surgery, allowing readers to implement the material presented for the improvement of their own practices and patient outcomes.

Robotics began as a science fiction creation which has become quite real, first in assembly line operations such as automobile manufacturing, airplane construction etc. They have now reached such areas as the ever-multiplying - medical field. Robotic surgery is now becoming highly practised in open heart, lung, and other forms of surgery. This book covers the developing stages of robotic surgery and its expectations in the medical field.

Paediatric robotic surgery has been rapidly developed in recent years. This book presents comprehensive and advanced knowledge of different types of paediatric robotic surgery including thoracic, oncologic, abdominal and urologic surgeries. Each chapter is with the same layout as the introduction, indications and contraindications, preoperative preparation, detailed surgical approaches, and post-operative complication management as well as comparison with conventional surgery together with case presentations and video recordings in the end. It is a key reference book for paediatric surgeons and residents who would like to learn and to perform paediatric robotic surgery, and also for hospital general managers for how to establish paediatric robotic surgery settings.