Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities
Standard
Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities. / Bergholz, Robert; Botden, Sanne; Verweij, Johannes; Tytgat, Stefaan; Van Gemert, Wim; Boettcher, Michael; Ehlert, Heiko; Reinshagen, Konrad; Gidaro, Stefano.
in: J ROBOT SURG, Jahrgang 14, Nr. 1, 02.2020, S. 191-197.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities
AU - Bergholz, Robert
AU - Botden, Sanne
AU - Verweij, Johannes
AU - Tytgat, Stefaan
AU - Van Gemert, Wim
AU - Boettcher, Michael
AU - Ehlert, Heiko
AU - Reinshagen, Konrad
AU - Gidaro, Stefano
PY - 2020/2
Y1 - 2020/2
N2 - No data exists concerning the application of a new robotic system with 3-mm instruments (Senhance™, Transenterix, Milano, Italy) in small cavities. Therefore, the aim of this study was to test the system for its performance of intracorporal suturing in small boxes simulating small body cavities. Translucent plastic boxes of decreasing volumes (2519-90 ml) were used. The procedures (two single stitches, each with two consecutive surgical square knots) were performed by a system-experienced and three system-inexperienced surgeons in each box, starting within the largest box, consecutively exchanging the boxes into smaller ones. With this approach, the total amount of procedures performed by each surgeon increased with decreasing volume of boxes being operated in. Outcomes included port placement, time, task completion, internal and external instrument/instrument collisions and instrument/box collisions. The procedures could be performed in all boxes. The operating time decreased gradually in the first three boxes (2519-853 ml), demonstrating a learning curve. The increase of operating time from boxes of 599 ml and lower may be attributed to the increased complexity of the procedure in small cavities as in the smallest box with the dimensions of 2.9 × 6.3 × 4.9 cm. This is also reflected by the parallel increase of internal instrument-instrument collisions. With the introduction of 3-mm instruments in a new robotic surgical system, we were able to perform intracorporal suturing and knot tying in cavities as small as 90 ml. Whether this system is comparable to conventional three-port 3-mm laparoscopic surgery in small cavities-such as in pediatric surgery-has to be evaluated in further studies.
AB - No data exists concerning the application of a new robotic system with 3-mm instruments (Senhance™, Transenterix, Milano, Italy) in small cavities. Therefore, the aim of this study was to test the system for its performance of intracorporal suturing in small boxes simulating small body cavities. Translucent plastic boxes of decreasing volumes (2519-90 ml) were used. The procedures (two single stitches, each with two consecutive surgical square knots) were performed by a system-experienced and three system-inexperienced surgeons in each box, starting within the largest box, consecutively exchanging the boxes into smaller ones. With this approach, the total amount of procedures performed by each surgeon increased with decreasing volume of boxes being operated in. Outcomes included port placement, time, task completion, internal and external instrument/instrument collisions and instrument/box collisions. The procedures could be performed in all boxes. The operating time decreased gradually in the first three boxes (2519-853 ml), demonstrating a learning curve. The increase of operating time from boxes of 599 ml and lower may be attributed to the increased complexity of the procedure in small cavities as in the smallest box with the dimensions of 2.9 × 6.3 × 4.9 cm. This is also reflected by the parallel increase of internal instrument-instrument collisions. With the introduction of 3-mm instruments in a new robotic surgical system, we were able to perform intracorporal suturing and knot tying in cavities as small as 90 ml. Whether this system is comparable to conventional three-port 3-mm laparoscopic surgery in small cavities-such as in pediatric surgery-has to be evaluated in further studies.
U2 - 10.1007/s11701-019-00961-y
DO - 10.1007/s11701-019-00961-y
M3 - SCORING: Journal article
C2 - 30993523
VL - 14
SP - 191
EP - 197
JO - J ROBOT SURG
JF - J ROBOT SURG
SN - 1863-2483
IS - 1
ER -