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Enhancement of a master-slave robotic system for natural orifice transluminal endoscopic surgery.

Identifieur interne : 000E46 ( PubMed/Corpus ); précédent : 000E45; suivant : 000E47

Enhancement of a master-slave robotic system for natural orifice transluminal endoscopic surgery.

Auteurs : Zhenglong Sun ; Rui Yee Ang ; Ed Wyn Lim ; Zheng Wang ; Khek Yu Ho ; Soo Jay Phee

Source :

RBID : pubmed:21678013

English descriptors

Abstract

A novel robotic platform for Natural Orifice Transluminal Endoscopic Surgery (NOTES) is presented in this paper. It aims to tackle two crucial technical barriers which hinder its smooth transition from animal studies to clinical trials: providing effective instrumentations to perform complex NOTES procedures and maintaining the spatial orientation for endoscopic navigation.

PubMed: 21678013

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pubmed:21678013

Le document en format XML

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<title xml:lang="en">Enhancement of a master-slave robotic system for natural orifice transluminal endoscopic surgery.</title>
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<name sortKey="Sun, Zhenglong" sort="Sun, Zhenglong" uniqKey="Sun Z" first="Zhenglong" last="Sun">Zhenglong Sun</name>
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<nlm:affiliation>School of Mechanical & Aerospace Engineering, Nanyang Technological University, Singapore. zhenglong.sun@ieee.org</nlm:affiliation>
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<name sortKey="Ang, Rui Yee" sort="Ang, Rui Yee" uniqKey="Ang R" first="Rui Yee" last="Ang">Rui Yee Ang</name>
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<name sortKey="Lim, Ed Wyn" sort="Lim, Ed Wyn" uniqKey="Lim E" first="Ed Wyn" last="Lim">Ed Wyn Lim</name>
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<name sortKey="Wang, Zheng" sort="Wang, Zheng" uniqKey="Wang Z" first="Zheng" last="Wang">Zheng Wang</name>
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<name sortKey="Ho, Khek Yu" sort="Ho, Khek Yu" uniqKey="Ho K" first="Khek Yu" last="Ho">Khek Yu Ho</name>
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<name sortKey="Phee, Soo Jay" sort="Phee, Soo Jay" uniqKey="Phee S" first="Soo Jay" last="Phee">Soo Jay Phee</name>
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<name sortKey="Lim, Ed Wyn" sort="Lim, Ed Wyn" uniqKey="Lim E" first="Ed Wyn" last="Lim">Ed Wyn Lim</name>
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<name sortKey="Wang, Zheng" sort="Wang, Zheng" uniqKey="Wang Z" first="Zheng" last="Wang">Zheng Wang</name>
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<name sortKey="Ho, Khek Yu" sort="Ho, Khek Yu" uniqKey="Ho K" first="Khek Yu" last="Ho">Khek Yu Ho</name>
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<title level="j">Annals of the Academy of Medicine, Singapore</title>
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<term>Animals</term>
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<term>Feasibility Studies</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Natural Orifice Endoscopic Surgery (instrumentation)</term>
<term>Natural Orifice Endoscopic Surgery (methods)</term>
<term>Robotics (instrumentation)</term>
<term>Robotics (methods)</term>
<term>Stomach (surgery)</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Surgical Procedures, Operative (methods)</term>
<term>Swine</term>
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<term>Natural Orifice Endoscopic Surgery</term>
<term>Robotics</term>
<term>Surgery, Computer-Assisted</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Natural Orifice Endoscopic Surgery</term>
<term>Robotics</term>
<term>Surgery, Computer-Assisted</term>
<term>Surgical Procedures, Operative</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Stomach</term>
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<term>Disease Models, Animal</term>
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<front>
<div type="abstract" xml:lang="en">A novel robotic platform for Natural Orifice Transluminal Endoscopic Surgery (NOTES) is presented in this paper. It aims to tackle two crucial technical barriers which hinder its smooth transition from animal studies to clinical trials: providing effective instrumentations to perform complex NOTES procedures and maintaining the spatial orientation for endoscopic navigation.</div>
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<Month>10</Month>
<Day>13</Day>
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<DateRevised>
<Year>2014</Year>
<Month>07</Month>
<Day>30</Day>
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<Title>Annals of the Academy of Medicine, Singapore</Title>
<ISOAbbreviation>Ann. Acad. Med. Singap.</ISOAbbreviation>
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<ArticleTitle>Enhancement of a master-slave robotic system for natural orifice transluminal endoscopic surgery.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">A novel robotic platform for Natural Orifice Transluminal Endoscopic Surgery (NOTES) is presented in this paper. It aims to tackle two crucial technical barriers which hinder its smooth transition from animal studies to clinical trials: providing effective instrumentations to perform complex NOTES procedures and maintaining the spatial orientation for endoscopic navigation.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The technical barriers are overcome by the design of the robotic system considering size, triangulation, dexterity, maneuverability and complexity. It is also shown that haptic feedback and interventional navigation system could solve the problem of off-axis manipulation of the camera angle and loss of spatial orientation upon entering the peritoneal cavity in transgastric NOTES procedure, respectively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Successful ESD (endoscopic submucosal dissection) and wedge hepatic resection have been performed on live pigs with our Master And Slave Transluminal Endoscopic Robot (MASTER) system, showing its capability to perform advanced endoscopic surgical and NOTES procedures. It is found that the MASTER exhibited good grasping and cutting efficiency. And the lesion resection time could be significantly reduced with more practice between the endoscopist and the robot operator.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study evaluates the feasibility of MASTER system as a platform overcoming the barriers to NOTES. It is also demonstrated that the MASTER could effectively mitigate the technical constraints normally encountered in NOTES procedures.</AbstractText>
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