Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses.
Identifieur interne : 005D55 ( Main/Merge ); précédent : 005D54; suivant : 005D56Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses.
Auteurs : Ryan D. Katz [États-Unis] ; Jesse A. Taylor ; Gedge D. Rosson ; Phillip R. Brown ; Navin K. SinghSource :
- Journal of reconstructive microsurgery [ 0743-684X ] ; 2006.
English descriptors
- KwdEn :
- MESH :
- blood supply : Tarsal Bones.
- instrumentation : Anastomosis, Surgical, Microsurgery.
- methods : Anastomosis, Surgical.
- surgery : Femoral Artery, Veins.
- Animals, Dogs, Equipment Design, Feasibility Studies, Robotics, Vascular Patency.
Abstract
Many methods for microvascular anastomoses exist, including use of magnifying loupes (x 2.5, x 3.5, x 4.5, x 6), but the operating microscope remains the gold standard. The authors present the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) as an alternative method for performing microvascular anastomoses. The da Vinci robot has fully articulating microinstruments with six degrees of freedom, the ability to filter tremor, the capability to perform telesurgery, and the advantage of 3-D visualization. It offers full and dynamic control over the operating camera, allowing variable positioning and the ability to scale down movements. Its drawbacks include initial high cost, lack of haptic feedback, decreased participation of the first assistant, and lack of widespread availability. In this feasibility study, multiple microanastomoses were performed in canine tarsal and superficial femoral vessels.
DOI: 10.1055/s-2006-931908
PubMed: 16425123
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pubmed:16425123Le document en format XML
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<author><name sortKey="Katz, Ryan D" sort="Katz, Ryan D" uniqKey="Katz R" first="Ryan D" last="Katz">Ryan D. Katz</name>
<affiliation wicri:level="2"><nlm:affiliation>The Johns Hopkins University School of Medicine, Baltimore, MD 21287-0980, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The Johns Hopkins University School of Medicine, Baltimore, MD 21287-0980</wicri:regionArea>
<placeName><region type="state">Maryland</region>
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<author><name sortKey="Taylor, Jesse A" sort="Taylor, Jesse A" uniqKey="Taylor J" first="Jesse A" last="Taylor">Jesse A. Taylor</name>
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<author><name sortKey="Rosson, Gedge D" sort="Rosson, Gedge D" uniqKey="Rosson G" first="Gedge D" last="Rosson">Gedge D. Rosson</name>
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<author><name sortKey="Brown, Phillip R" sort="Brown, Phillip R" uniqKey="Brown P" first="Phillip R" last="Brown">Phillip R. Brown</name>
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<author><name sortKey="Singh, Navin K" sort="Singh, Navin K" uniqKey="Singh N" first="Navin K" last="Singh">Navin K. Singh</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses.</title>
<author><name sortKey="Katz, Ryan D" sort="Katz, Ryan D" uniqKey="Katz R" first="Ryan D" last="Katz">Ryan D. Katz</name>
<affiliation wicri:level="2"><nlm:affiliation>The Johns Hopkins University School of Medicine, Baltimore, MD 21287-0980, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Taylor, Jesse A" sort="Taylor, Jesse A" uniqKey="Taylor J" first="Jesse A" last="Taylor">Jesse A. Taylor</name>
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<author><name sortKey="Rosson, Gedge D" sort="Rosson, Gedge D" uniqKey="Rosson G" first="Gedge D" last="Rosson">Gedge D. Rosson</name>
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<author><name sortKey="Brown, Phillip R" sort="Brown, Phillip R" uniqKey="Brown P" first="Phillip R" last="Brown">Phillip R. Brown</name>
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<author><name sortKey="Singh, Navin K" sort="Singh, Navin K" uniqKey="Singh N" first="Navin K" last="Singh">Navin K. Singh</name>
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<series><title level="j">Journal of reconstructive microsurgery</title>
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<term>Animals</term>
<term>Dogs</term>
<term>Equipment Design</term>
<term>Feasibility Studies</term>
<term>Femoral Artery (surgery)</term>
<term>Microsurgery (instrumentation)</term>
<term>Robotics</term>
<term>Tarsal Bones (blood supply)</term>
<term>Vascular Patency</term>
<term>Veins (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Tarsal Bones</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Anastomosis, Surgical</term>
<term>Microsurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Artery</term>
<term>Veins</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Dogs</term>
<term>Equipment Design</term>
<term>Feasibility Studies</term>
<term>Robotics</term>
<term>Vascular Patency</term>
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<front><div type="abstract" xml:lang="en">Many methods for microvascular anastomoses exist, including use of magnifying loupes (x 2.5, x 3.5, x 4.5, x 6), but the operating microscope remains the gold standard. The authors present the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) as an alternative method for performing microvascular anastomoses. The da Vinci robot has fully articulating microinstruments with six degrees of freedom, the ability to filter tremor, the capability to perform telesurgery, and the advantage of 3-D visualization. It offers full and dynamic control over the operating camera, allowing variable positioning and the ability to scale down movements. Its drawbacks include initial high cost, lack of haptic feedback, decreased participation of the first assistant, and lack of widespread availability. In this feasibility study, multiple microanastomoses were performed in canine tarsal and superficial femoral vessels.</div>
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