Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.
Identifieur interne : 000211 ( PubMed/Corpus ); précédent : 000210; suivant : 000212Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.
Auteurs : Christopher R. Wottawa ; Bradley Genovese ; Bryan N. Nowroozi ; Steven D. Hart ; James W. Bisley ; Warren S. Grundfest ; Erik P. DutsonSource :
- Surgical endoscopy [ 1432-2218 ] ; 2015.
Abstract
The aims of this study were to evaluate (1) grasping forces with the application of a tactile feedback system in vivo and (2) the incidence of tissue damage incurred during robotic tissue manipulation. Robotic-assisted minimally invasive surgery has been shown to be beneficial in a variety of surgical specialties, particularly radical prostatectomy. This innovative surgical tool offers advantages over traditional laparoscopic techniques, such as improved wrist-like maneuverability, stereoscopic video displays, and scaling of surgical gestures to increase precision. A widely cited disadvantage associated with robotic systems is the absence of tactile feedback.
DOI: 10.1007/s00464-015-4602-2
PubMed: 26514132
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.</title><author><name sortKey="Wottawa, Christopher R" sort="Wottawa, Christopher R" uniqKey="Wottawa C" first="Christopher R" last="Wottawa">Christopher R. Wottawa</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Genovese, Bradley" sort="Genovese, Bradley" uniqKey="Genovese B" first="Bradley" last="Genovese">Bradley Genovese</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nowroozi, Bryan N" sort="Nowroozi, Bryan N" uniqKey="Nowroozi B" first="Bryan N" last="Nowroozi">Bryan N. Nowroozi</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hart, Steven D" sort="Hart, Steven D" uniqKey="Hart S" first="Steven D" last="Hart">Steven D. Hart</name><affiliation><nlm:affiliation>Department of Pathology, UCLA, Los Angeles, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bisley, James W" sort="Bisley, James W" uniqKey="Bisley J" first="James W" last="Bisley">James W. Bisley</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grundfest, Warren S" sort="Grundfest, Warren S" uniqKey="Grundfest W" first="Warren S" last="Grundfest">Warren S. Grundfest</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dutson, Erik P" sort="Dutson, Erik P" uniqKey="Dutson E" first="Erik P" last="Dutson">Erik P. Dutson</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA. EDutson@mednet.ucla.edu.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1007/s00464-015-4602-2</idno><idno type="RBID">pubmed:26514132</idno><idno type="pmid">26514132</idno><idno type="wicri:Area/PubMed/Corpus">000211</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.</title><author><name sortKey="Wottawa, Christopher R" sort="Wottawa, Christopher R" uniqKey="Wottawa C" first="Christopher R" last="Wottawa">Christopher R. Wottawa</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Genovese, Bradley" sort="Genovese, Bradley" uniqKey="Genovese B" first="Bradley" last="Genovese">Bradley Genovese</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nowroozi, Bryan N" sort="Nowroozi, Bryan N" uniqKey="Nowroozi B" first="Bryan N" last="Nowroozi">Bryan N. Nowroozi</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hart, Steven D" sort="Hart, Steven D" uniqKey="Hart S" first="Steven D" last="Hart">Steven D. Hart</name><affiliation><nlm:affiliation>Department of Pathology, UCLA, Los Angeles, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bisley, James W" sort="Bisley, James W" uniqKey="Bisley J" first="James W" last="Bisley">James W. Bisley</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grundfest, Warren S" sort="Grundfest, Warren S" uniqKey="Grundfest W" first="Warren S" last="Grundfest">Warren S. Grundfest</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dutson, Erik P" sort="Dutson, Erik P" uniqKey="Dutson E" first="Erik P" last="Dutson">Erik P. Dutson</name><affiliation><nlm:affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA. EDutson@mednet.ucla.edu.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Surgical endoscopy</title><idno type="eISSN">1432-2218</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aims of this study were to evaluate (1) grasping forces with the application of a tactile feedback system in vivo and (2) the incidence of tissue damage incurred during robotic tissue manipulation. Robotic-assisted minimally invasive surgery has been shown to be beneficial in a variety of surgical specialties, particularly radical prostatectomy. This innovative surgical tool offers advantages over traditional laparoscopic techniques, such as improved wrist-like maneuverability, stereoscopic video displays, and scaling of surgical gestures to increase precision. A widely cited disadvantage associated with robotic systems is the absence of tactile feedback.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">26514132</PMID><DateCreated><Year>2015</Year><Month>10</Month><Day>30</Day></DateCreated><DateRevised><Year>2016</Year><Month>5</Month><Day>1</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-2218</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2015</Year><Month>Oct</Month><Day>30</Day></PubDate></JournalIssue><Title>Surgical endoscopy</Title><ISOAbbreviation>Surg Endosc</ISOAbbreviation></Journal><ArticleTitle>Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The aims of this study were to evaluate (1) grasping forces with the application of a tactile feedback system in vivo and (2) the incidence of tissue damage incurred during robotic tissue manipulation. Robotic-assisted minimally invasive surgery has been shown to be beneficial in a variety of surgical specialties, particularly radical prostatectomy. This innovative surgical tool offers advantages over traditional laparoscopic techniques, such as improved wrist-like maneuverability, stereoscopic video displays, and scaling of surgical gestures to increase precision. A widely cited disadvantage associated with robotic systems is the absence of tactile feedback.</AbstractText><AbstractText Label="METHODS AND PROCEDURE" NlmCategory="METHODS">Nineteen subjects were categorized into two groups: 5 experts (six or more robotic cases) and 14 novices (five cases or less). The subjects used the da Vinci with integrated tactile feedback to run porcine bowel in the following conditions: (T1: deactivated tactile feedback; T2: activated tactile feedback; and T3: deactivated tactile feedback). The grasping force, incidence of tissue damage, and the correlation of grasping force and tissue damage were analyzed. Tissue damage was evaluated both grossly and histologically by a pathologist blinded to the sample.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Tactile feedback resulted in significantly decreased grasping forces for both experts and novices (P < 0.001 in both conditions). The overall incidence of tissue damage was significantly decreased in all subjects (P < 0.001). A statistically significant correlation was found between grasping forces and incidence of tissue damage (P = 0.008). The decreased forces and tissue damage were retained through the third trial when the system was deactivated (P > 0.05 in all subjects).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The in vivo application of integrated tactile feedback in the robotic system demonstrates significantly reduced grasping forces, resulting in significantly less tissue damage. This tactile feedback system may improve surgical outcomes and broaden the use of robotic-assisted minimally invasive surgery.</AbstractText></Abstract><AuthorList><Author><LastName>Wottawa</LastName><ForeName>Christopher R</ForeName><Initials>CR</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Henry Samueli School of Engineering and Applied Science, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Genovese</LastName><ForeName>Bradley</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, UCLA, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Nowroozi</LastName><ForeName>Bryan N</ForeName><Initials>BN</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Hart</LastName><ForeName>Steven D</ForeName><Initials>SD</Initials><AffiliationInfo><Affiliation>Department of Pathology, UCLA, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Bisley</LastName><ForeName>James W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurobiology, UCLA, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Grundfest</LastName><ForeName>Warren S</ForeName><Initials>WS</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Henry Samueli School of Engineering and Applied Science, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author><LastName>Dutson</LastName><ForeName>Erik P</ForeName><Initials>EP</Initials><AffiliationInfo><Affiliation>Center for Advanced Surgical and Interventional Technology (CASIT), UCLA, Los Angeles, CA, 90095, USA. EDutson@mednet.ucla.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, UCLA, Los Angeles, CA, USA. EDutson@mednet.ucla.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><GrantList><Grant><GrantID>R21 EB013832</GrantID><Acronym>EB</Acronym><Agency>NIBIB NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>10</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>Surg Endosc</MedlineTA><NlmUniqueID>8806653</NlmUniqueID><ISSNLinking>0930-2794</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Haptic feedback</Keyword><Keyword MajorTopicYN="N">Robotic surgical system</Keyword><Keyword MajorTopicYN="N">Tactile feedback</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>4</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>9</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>10</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>10</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pmc-release"><Year>2017</Year><Month>4</Month><Day>30</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s00464-015-4602-2</ArticleId><ArticleId IdType="pii">10.1007/s00464-015-4602-2</ArticleId><ArticleId IdType="pubmed">26514132</ArticleId><ArticleId IdType="pmc">PMC4851934</ArticleId><ArticleId IdType="mid">NIHMS734567</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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