Telesurgery is promising but still need proof through prospective comparative studies
Identifieur interne : 000D61 ( Pmc/Curation ); précédent : 000D60; suivant : 000D62Telesurgery is promising but still need proof through prospective comparative studies
Auteurs : Michael Stark [Allemagne] ; Emilio Ruiz Morales [Italie] ; Stefano Gidaro [Italie]Source :
- Journal of Gynecologic Oncology [ 2005-0380 ] ; 2012.
Url:
DOI: 10.3802/jgo.2012.23.2.134
PubMed: 22523633
PubMed Central: 3325350
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000D61
Links to Exploration step
PMC:3325350Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Telesurgery is promising but still need proof through prospective comparative studies</title><author><name sortKey="Stark, Michael" sort="Stark, Michael" uniqKey="Stark M" first="Michael" last="Stark">Michael Stark</name><affiliation wicri:level="1"><nlm:aff id="A1">The New European Surgical Academy, Berlin, Germany.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Allemagne</country><wicri:regionArea>The New European Surgical Academy, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Morales, Emilio Ruiz" sort="Morales, Emilio Ruiz" uniqKey="Morales E" first="Emilio Ruiz" last="Morales">Emilio Ruiz Morales</name><affiliation wicri:level="1"><nlm:aff id="A2">ALF-X Surgical Robotics Department, SOFAR S.p.A., Milan, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>ALF-X Surgical Robotics Department, SOFAR S.p.A., Milan</wicri:regionArea></affiliation></author><author><name sortKey="Gidaro, Stefano" sort="Gidaro, Stefano" uniqKey="Gidaro S" first="Stefano" last="Gidaro">Stefano Gidaro</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Surgical Science, University G. d'Annunzio, Chieti - Pescara, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Department of Surgical Science, University G. d'Annunzio, Chieti - Pescara</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22523633</idno><idno type="pmc">3325350</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325350</idno><idno type="RBID">PMC:3325350</idno><idno type="doi">10.3802/jgo.2012.23.2.134</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000D61</idno><idno type="wicri:Area/Pmc/Curation">000D61</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Telesurgery is promising but still need proof through prospective comparative studies</title><author><name sortKey="Stark, Michael" sort="Stark, Michael" uniqKey="Stark M" first="Michael" last="Stark">Michael Stark</name><affiliation wicri:level="1"><nlm:aff id="A1">The New European Surgical Academy, Berlin, Germany.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Allemagne</country><wicri:regionArea>The New European Surgical Academy, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Morales, Emilio Ruiz" sort="Morales, Emilio Ruiz" uniqKey="Morales E" first="Emilio Ruiz" last="Morales">Emilio Ruiz Morales</name><affiliation wicri:level="1"><nlm:aff id="A2">ALF-X Surgical Robotics Department, SOFAR S.p.A., Milan, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>ALF-X Surgical Robotics Department, SOFAR S.p.A., Milan</wicri:regionArea></affiliation></author><author><name sortKey="Gidaro, Stefano" sort="Gidaro, Stefano" uniqKey="Gidaro S" first="Stefano" last="Gidaro">Stefano Gidaro</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Surgical Science, University G. d'Annunzio, Chieti - Pescara, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Department of Surgical Science, University G. d'Annunzio, Chieti - Pescara</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Gynecologic Oncology</title><idno type="ISSN">2005-0380</idno><idno type="eISSN">2005-0399</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Soto, E" uniqKey="Soto E">E Soto</name></author><author><name sortKey="Lo, Y" uniqKey="Lo Y">Y Lo</name></author><author><name sortKey="Friedman, K" uniqKey="Friedman K">K Friedman</name></author><author><name sortKey="Soto, C" uniqKey="Soto C">C Soto</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Chuang, L" uniqKey="Chuang L">L Chuang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reiley, Ce" uniqKey="Reiley C">CE Reiley</name></author><author><name sortKey="Akinbiyi, T" uniqKey="Akinbiyi T">T Akinbiyi</name></author><author><name sortKey="Burschka, D" uniqKey="Burschka D">D Burschka</name></author><author><name sortKey="Chang, Dc" uniqKey="Chang D">DC Chang</name></author><author><name sortKey="Okamura, Am" uniqKey="Okamura A">AM Okamura</name></author><author><name sortKey="Yuh, Dd" uniqKey="Yuh D">DD Yuh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jayaraman, S" uniqKey="Jayaraman S">S Jayaraman</name></author><author><name sortKey="Davies, W" uniqKey="Davies W">W Davies</name></author><author><name sortKey="Schlachta, Cm" uniqKey="Schlachta C">CM Schlachta</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Gynecol Oncol</journal-id><journal-id journal-id-type="iso-abbrev">J Gynecol Oncol</journal-id><journal-id journal-id-type="publisher-id">JGO</journal-id><journal-title-group><journal-title>Journal of Gynecologic Oncology</journal-title></journal-title-group><issn pub-type="ppub">2005-0380</issn><issn pub-type="epub">2005-0399</issn><publisher><publisher-name>Korean Society of Gynecologic Oncology and Colposcopy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22523633</article-id><article-id pub-id-type="pmc">3325350</article-id><article-id pub-id-type="doi">10.3802/jgo.2012.23.2.134</article-id><article-categories><subj-group subj-group-type="heading"><subject>Correspondence</subject></subj-group></article-categories><title-group><article-title>Telesurgery is promising but still need proof through prospective comparative studies</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Stark</surname><given-names>Michael</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Morales</surname><given-names>Emilio Ruiz</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Gidaro</surname><given-names>Stefano</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>The New European Surgical Academy, Berlin, Germany.</aff><aff id="A2"><label>2</label>ALF-X Surgical Robotics Department, SOFAR S.p.A., Milan, Italy.</aff><aff id="A3"><label>3</label>Department of Surgical Science, University G. d'Annunzio, Chieti - Pescara, Italy.</aff><author-notes><corresp>Correspondence to Michael Stark. The New European Surgical Academy, Unter den Linden 21, 10117 Berlin, Germany. Tel: 49-30-2092-4158, Fax: 49-30-2092-4200, <email>mstark@nesacademy.org</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>03</day><month>4</month><year>2012</year></pub-date><volume>23</volume><issue>2</issue><fpage>134</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright © 2012. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions></article-meta></front><body><p>To the editor:</p><p>With great interest we read the article "Total laparoscopic hysterectomy versus da Vinci robotic hysterectomy: is using the robot beneficial?" by Soto et al. [<xref ref-type="bibr" rid="B1">1</xref>], which was published in your journal. The introduction of any new surgical system is expected to provide added value for existing ones, and we absolutely accept the conclusion of this excellent article that with experience a totally endoscopic hysterectomy still is superior to robotic surgery. Despite extensive work, telesurgery is probably still in its infancy. In our opinion, the main reason for the long operative time is the lack of haptic sensation and the reliance on visual force feedback.</p><p>There have been claims that the results of visual force feedback and haptic feedback are comparable [<xref ref-type="bibr" rid="B2">2</xref>]. In a novel European telesurgical system, the Telelap Alf-x, the lack of tactile feedback has been overcome, and the surgeon can accurately feel the tensility of the knots she/he ties, which makes the telesurgical endoscopic procedure as similar as possible to open surgery. In experimental surgeries that were performed to find out whether haptic sensation will influence the operation time, the average time for cholecystectomy using the Telelap Alf-x was 31.75 minutes as compared to 91 minutes using a conventional telesurgical system [<xref ref-type="bibr" rid="B3">3</xref>]. Haptic sensation probably contributed to the self-confidence of the surgeon, who was not dependent on visual force feedback only.</p><p>The Telelap Alf-x system is composed of 1 or 2 consoles and 3 or 4 long arms which enable abdominal or transdouglas access and to move freely around the patient during the surgery. The console supplies open 3D sight and is equipped with an eye-tracking system which moves any point that is looked at to the centre of the screen and instruments are activated by looking at the respective icon. The system stops movement when the surgeon's eyes are not fixed at the screen. All instruments are quickly attached to the arms by magnets and detect the pivot point on the fascia automatically to avoid extension of the incision. The instruments are reusable, and 1:1 haptic feedback is transmitted from the tip of the instrument to the surgeon's fingers when pushing or pulling, enabling to feel tissue consistency and the tension when knotting sutures.</p><p>Despite the promising data resulting from our preliminary studies, we insist that telesurgery should have defined indications and should not be used unless prospective comparative studies have proven its superiority over conventional endoscopy.</p></body><back><fn-group><fn fn-type="conflict"><p>M. Stark is a scientific director of the EU-SOFAR telesurgical project. E. R. Morales is a director of robotic department of SOFAR. S. Gidaro is a surgical consultant of robotic department of SOFAR.</p></fn></fn-group><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soto</surname><given-names>E</given-names></name><name><surname>Lo</surname><given-names>Y</given-names></name><name><surname>Friedman</surname><given-names>K</given-names></name><name><surname>Soto</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Chuang</surname><given-names>L</given-names></name><etal></etal></person-group><article-title>Total laparoscopic hysterectomy versus da Vinci robotic hysterectomy: is using the robot beneficial?</article-title><source>J Gynecol Oncol</source><year>2011</year><volume>22</volume><fpage>253</fpage><lpage>259</lpage><pub-id pub-id-type="pmid">22247802</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reiley</surname><given-names>CE</given-names></name><name><surname>Akinbiyi</surname><given-names>T</given-names></name><name><surname>Burschka</surname><given-names>D</given-names></name><name><surname>Chang</surname><given-names>DC</given-names></name><name><surname>Okamura</surname><given-names>AM</given-names></name><name><surname>Yuh</surname><given-names>DD</given-names></name></person-group><article-title>Effects of visual force feedback on robot-assisted surgical task performance</article-title><source>J Thorac Cardiovasc Surg</source><year>2008</year><volume>135</volume><fpage>196</fpage><lpage>202</lpage><pub-id pub-id-type="pmid">18179942</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jayaraman</surname><given-names>S</given-names></name><name><surname>Davies</surname><given-names>W</given-names></name><name><surname>Schlachta</surname><given-names>CM</given-names></name></person-group><article-title>Getting started with robotics in general surgery with cholecystectomy: the Canadian experience</article-title><source>Can J Surg</source><year>2009</year><volume>52</volume><fpage>374</fpage><lpage>378</lpage><pub-id pub-id-type="pmid">19865571</pub-id></element-citation></ref></ref-list></back><sub-article id="SA1" article-type="reply"><front><journal-meta><journal-id journal-id-type="nlm-ta">J Gynecol Oncol</journal-id><journal-title-group><journal-title>Journal of Gynecologic Oncology</journal-title></journal-title-group><issn pub-type="ppub">2005-0380</issn><issn pub-type="epub">2005-0399</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.3802/jgo.2012.23.2.135</article-id><contrib-group><contrib contrib-type="author"><name><surname>Soto</surname><given-names>Enrique</given-names></name><xref ref-type="aff" rid="AB1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Gretz</surname><given-names>Herbert</given-names></name><xref ref-type="aff" rid="AB1"></xref></contrib></contrib-group><aff id="AB1">Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, New York, USA.</aff><author-notes><corresp>Correspondence to Herbert Gretz. Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, 1176 5th Avenue, New York, NY 10029, USA. Tel: 1-212-241-5032, Fax: 1-212-241-1776, <email>herb.gretz@mssm.edu</email></corresp></author-notes></article-meta></front><body><p>In reply:</p><p>In their Letter to the Editor regarding our paper "Total laparoscopic hysterectomy versus da Vinci robotic hysterectomy: is using the robot beneficial?" by Soto et al. [<xref ref-type="bibr" rid="BC1">1</xref>], the authors Michael Stark, Emilio Ruiz Morales, and Stefano Gidaro agree with our conclusion that the outcomes obtained with a totally laparoscopic hysterectomy are superior than those obtained with robotic surgery in the hands of skilled surgeons.</p><p>It is important to state that the findings obtained in our paper are applicable to the specific robotic surgical system used in the study and when surgeries are performed by skilled surgeons in both traditional laparoscopy and robotic surgery. As the authors of the Letter to the Editor correctly state, extensive research is currently being conducted to improve the robotic technology to further narrow the gap between the experience and capabilities of performing robotic-assisted in comparison to traditional surgery. We agree that direct haptic feedback, or sensory substitution (visual and/or auditory) when not available in the robotic platform [<xref ref-type="bibr" rid="BC2">2</xref>,<xref ref-type="bibr" rid="BC3">3</xref>], is a key component to narrowing this gap.</p><p>Whether surgical outcomes will actually be improved with new robotic platforms (as the one described in the Letter to the Editor) or by complimenting the existing robotic system with direct haptic feedback is yet to be determined. Well designed clinical trials will have to be conducted at the appropriate time to answer this important question.</p></body><back><fn-group><fn fn-type="conflict"><p>No potential conflict of interest about this article was reported.</p></fn></fn-group><ref-list><ref id="BC1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soto</surname><given-names>E</given-names></name><name><surname>Lo</surname><given-names>Y</given-names></name><name><surname>Friedman</surname><given-names>K</given-names></name><name><surname>Soto</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Chuang</surname><given-names>L</given-names></name><etal></etal></person-group><article-title>Total laparoscopic hysterectomy versus da Vinci robotic hysterectomy: is using the robot beneficial?</article-title><source>J Gynecol Oncol</source><year>2011</year><volume>22</volume><fpage>253</fpage><lpage>259</lpage><pub-id pub-id-type="pmid">22247802</pub-id></element-citation></ref><ref id="BC2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kitagawa</surname><given-names>M</given-names></name><name><surname>Dokko</surname><given-names>D</given-names></name><name><surname>Okamura</surname><given-names>AM</given-names></name><name><surname>Yuh</surname><given-names>DD</given-names></name></person-group><article-title>Effect of sensory substitution on suture-manipulation forces for robotic surgical systems</article-title><source>J Thorac Cardiovasc Surg</source><year>2005</year><volume>129</volume><fpage>151</fpage><lpage>158</lpage><pub-id pub-id-type="pmid">15632837</pub-id></element-citation></ref><ref id="BC3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reiley</surname><given-names>CE</given-names></name><name><surname>Akinbiyi</surname><given-names>T</given-names></name><name><surname>Burschka</surname><given-names>D</given-names></name><name><surname>Chang</surname><given-names>DC</given-names></name><name><surname>Okamura</surname><given-names>AM</given-names></name><name><surname>Yuh</surname><given-names>DD</given-names></name></person-group><article-title>Effects of visual force feedback on robot-assisted surgical task performance</article-title><source>J Thorac Cardiovasc Surg</source><year>2008</year><volume>135</volume><fpage>196</fpage><lpage>202</lpage><pub-id pub-id-type="pmid">18179942</pub-id></element-citation></ref></ref-list></back></sub-article></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000D61 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000D61 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:3325350
|texte= Telesurgery is promising but still need proof through prospective comparative studies
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:22523633" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |