Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model
Identifieur interne : 000615 ( Main/Exploration ); précédent : 000614; suivant : 000616Robot-Assisted Pterygium Surgery: Feasibility Study in a Nonliving Porcine Model
Auteurs : Tristan Bourcier [France] ; Mathieu Nardin [France] ; Arnaud Sauer [France] ; David Gaucher [France] ; Claude Speeg [France] ; Didier Mutter [France] ; Jacques Marescaux [France] ; Philippe Liverneaux [France]Source :
- Translational Vision Science & Technology [ 2164-2591 ] ; 2015.
Abstract
This study aims to investigate the feasibility of pterygium surgery using the DaVinci Si HD robotic surgical system, and to describe a porcine model for pterygium surgery and evaluate its usefulness.
The pterygium models were constructed using enucleated pig eyes and cold cuts. Robotically-assisted pterygium surgeries in nonliving biological pterygium models were performed using the DaVinci Si HD robotic surgical system. Twelve models were prepared, and 12 pterygium excision and conjunctival autografts were performed.
The DaVinci system provided the necessary dexterity to perform delicate ocular surface surgery and robotic tools were safe for the tissues. The mean duration of the surgical procedures was 36 minutes. There were no intraoperative complications and no unexpected events.
Robotic-assisted pterygium surgery is technically feasible for porcine eyes using the DaVinci Si HD robotic surgical system. The pterygium model that we describe could be of interest for surgical training.
Little research has been done in robotic microsurgery. Animal experimentation will allow the advantages of robotic-assisted microsurgery to be identified, while underlining the improvements and innovations necessary for clinical use.
Url:
DOI: 10.1167/tvst.4.1.9
PubMed: 25722953
PubMed Central: 4338915
Affiliations:
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University Hospital, FMTS, University of Strasbourg, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Department of Ophthalmology, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Gaucher, David" sort="Gaucher, David" uniqKey="Gaucher D" first="David" last="Gaucher">David Gaucher</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Department of Ophthalmology, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Speeg, Claude" sort="Speeg, Claude" uniqKey="Speeg C" first="Claude" last="Speeg">Claude Speeg</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Department of Ophthalmology, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Mutter, Didier" sort="Mutter, Didier" uniqKey="Mutter D" first="Didier" last="Mutter">Didier Mutter</name><affiliation wicri:level="1"><nlm:aff id="aff2">IRCAD-EITS, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>IRCAD-EITS, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Marescaux, Jacques" sort="Marescaux, Jacques" uniqKey="Marescaux J" first="Jacques" last="Marescaux">Jacques Marescaux</name><affiliation wicri:level="1"><nlm:aff id="aff2">IRCAD-EITS, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>IRCAD-EITS, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Liverneaux, Philippe" sort="Liverneaux, Philippe" uniqKey="Liverneaux P" first="Philippe" last="Liverneaux">Philippe Liverneaux</name><affiliation wicri:level="1"><nlm:aff id="aff2">IRCAD-EITS, Strasbourg, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>IRCAD-EITS, Strasbourg</wicri:regionArea><placeName><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, llkirch, France.</nlm:aff><country xml:lang="fr" wicri:curation="lc">France</country><wicri:regionArea>Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, llkirch</wicri:regionArea><wicri:noRegion>llkirch</wicri:noRegion><wicri:noRegion>llkirch</wicri:noRegion></affiliation></author></analytic><series><title level="j">Translational Vision Science & Technology</title><idno type="eISSN">2164-2591</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose</title><p>This study aims to investigate the feasibility of pterygium surgery using the DaVinci Si HD robotic surgical system, and to describe a porcine model for pterygium surgery and evaluate its usefulness.</p></sec><sec id="st2"><title>Methods</title><p>The pterygium models were constructed using enucleated pig eyes and cold cuts. Robotically-assisted pterygium surgeries in nonliving biological pterygium models were performed using the DaVinci Si HD robotic surgical system. Twelve models were prepared, and 12 pterygium excision and conjunctival autografts were performed.</p></sec><sec id="st3"><title>Results</title><p>The DaVinci system provided the necessary dexterity to perform delicate ocular surface surgery and robotic tools were safe for the tissues. The mean duration of the surgical procedures was 36 minutes. There were no intraoperative complications and no unexpected events.</p></sec><sec id="st4"><title>Conclusions</title><p>Robotic-assisted pterygium surgery is technically feasible for porcine eyes using the DaVinci Si HD robotic surgical system. The pterygium model that we describe could be of interest for surgical training.</p></sec><sec id="st5"><title>Translational Relevance</title><p>Little research has been done in robotic microsurgery. Animal experimentation will allow the advantages of robotic-assisted microsurgery to be identified, while underlining the improvements and innovations necessary for clinical use.</p></sec></div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Strasbourg</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Bourcier, Tristan" sort="Bourcier, Tristan" uniqKey="Bourcier T" first="Tristan" last="Bourcier">Tristan Bourcier</name></noRegion><name sortKey="Bourcier, Tristan" sort="Bourcier, Tristan" uniqKey="Bourcier T" first="Tristan" last="Bourcier">Tristan Bourcier</name><name sortKey="Gaucher, David" sort="Gaucher, David" uniqKey="Gaucher D" first="David" last="Gaucher">David Gaucher</name><name sortKey="Liverneaux, Philippe" sort="Liverneaux, Philippe" uniqKey="Liverneaux P" first="Philippe" last="Liverneaux">Philippe Liverneaux</name><name sortKey="Liverneaux, Philippe" sort="Liverneaux, Philippe" uniqKey="Liverneaux P" first="Philippe" last="Liverneaux">Philippe Liverneaux</name><name sortKey="Marescaux, Jacques" sort="Marescaux, Jacques" uniqKey="Marescaux J" first="Jacques" last="Marescaux">Jacques Marescaux</name><name sortKey="Mutter, Didier" sort="Mutter, Didier" uniqKey="Mutter D" first="Didier" last="Mutter">Didier Mutter</name><name sortKey="Nardin, Mathieu" sort="Nardin, Mathieu" uniqKey="Nardin M" first="Mathieu" last="Nardin">Mathieu Nardin</name><name sortKey="Sauer, Arnaud" sort="Sauer, Arnaud" uniqKey="Sauer A" first="Arnaud" last="Sauer">Arnaud Sauer</name><name sortKey="Speeg, Claude" sort="Speeg, Claude" uniqKey="Speeg C" first="Claude" last="Speeg">Claude Speeg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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