Load evaluation of the da Vinci surgical system for transoral robotic surgery.
Identifieur interne : 000207 ( PubMed/Curation ); précédent : 000206; suivant : 000208Load evaluation of the da Vinci surgical system for transoral robotic surgery.
Auteurs : Kazunori Fujiwara [Japon] ; Takahiro Fukuhara [Japon] ; Koji Niimi [Japon] ; Takahiro Sato [Japon] ; Hiroya Kitano [Japon]Source :
- Journal of robotic surgery [ 1863-2491 ] ; 2015.
Abstract
Transoral robotic surgery, performed with the da Vinci surgical system (da Vinci), is a surgical approach for benign and malignant lesions of the oral cavity and laryngopharynx. It provides several unique advantages, which include a 3-dimensional magnified view and ability to see and work around curves or angles. However, the current da Vinci surgical system does not provide haptic feedback. This is problematic because the potential risks specific to the transoral use of the da Vinci include tooth injury, mucosal laceration, ocular injury and mandibular fracture. To assess the potential for intraoperative injuries, we measured the load of the endoscope and the instrument of the da Vinci Si surgical system. We pressed the endoscope and instrument of the da Vinci Si against Load cell six times each and measured the dynamic load and the time-to-maximum load. We also struck the da Vinci Si endoscope and instrument against the Load cell six times each and measured the impact load. The maximum dynamic load was 7.27 ± 1.31 kg for the endoscope and 1.90 ± 0.72 for the instrument. The corresponding time-to-maximum loads were 1.72 ± 0.22 and 1.29 ± 0.34 s, but the impact loads were significantly lower than the dynamic load. It remains possible that a major load is exerted on adjacent structures by continuous contact with the endoscope and instrument of da Vinci Si. However, there is a minor delay in reaching the maximum load. Careful monitoring by an on-site assistant may, therefore, help prevent contiguous injury.
DOI: 10.1007/s11701-015-0533-0
PubMed: 26530845
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and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504</wicri:regionArea></affiliation></author><author><name sortKey="Fukuhara, Takahiro" sort="Fukuhara, Takahiro" uniqKey="Fukuhara T" first="Takahiro" last="Fukuhara">Takahiro Fukuhara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504</wicri:regionArea></affiliation></author><author><name sortKey="Niimi, Koji" sort="Niimi, Koji" uniqKey="Niimi K" first="Koji" last="Niimi">Koji Niimi</name><affiliation wicri:level="1"><nlm:affiliation>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago</wicri:regionArea></affiliation></author><author><name sortKey="Sato, Takahiro" sort="Sato, Takahiro" uniqKey="Sato T" first="Takahiro" last="Sato">Takahiro Sato</name><affiliation wicri:level="1"><nlm:affiliation>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago</wicri:regionArea></affiliation></author><author><name sortKey="Kitano, Hiroya" sort="Kitano, Hiroya" uniqKey="Kitano H" first="Hiroya" last="Kitano">Hiroya Kitano</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of robotic surgery</title><idno type="eISSN">1863-2491</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">Transoral robotic surgery, performed with the da Vinci surgical system (da Vinci), is a surgical approach for benign and malignant lesions of the oral cavity and laryngopharynx. It provides several unique advantages, which include a 3-dimensional magnified view and ability to see and work around curves or angles. However, the current da Vinci surgical system does not provide haptic feedback. This is problematic because the potential risks specific to the transoral use of the da Vinci include tooth injury, mucosal laceration, ocular injury and mandibular fracture. To assess the potential for intraoperative injuries, we measured the load of the endoscope and the instrument of the da Vinci Si surgical system. We pressed the endoscope and instrument of the da Vinci Si against Load cell six times each and measured the dynamic load and the time-to-maximum load. We also struck the da Vinci Si endoscope and instrument against the Load cell six times each and measured the impact load. The maximum dynamic load was 7.27 ± 1.31 kg for the endoscope and 1.90 ± 0.72 for the instrument. The corresponding time-to-maximum loads were 1.72 ± 0.22 and 1.29 ± 0.34 s, but the impact loads were significantly lower than the dynamic load. It remains possible that a major load is exerted on adjacent structures by continuous contact with the endoscope and instrument of da Vinci Si. However, there is a minor delay in reaching the maximum load. Careful monitoring by an on-site assistant may, therefore, help prevent contiguous injury.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">26530845</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>12</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1863-2491</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of robotic surgery</Title><ISOAbbreviation>J Robot Surg</ISOAbbreviation></Journal><ArticleTitle>Load evaluation of the da Vinci surgical system for transoral robotic surgery.</ArticleTitle><Pagination><MedlinePgn>315-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11701-015-0533-0</ELocationID><Abstract><AbstractText>Transoral robotic surgery, performed with the da Vinci surgical system (da Vinci), is a surgical approach for benign and malignant lesions of the oral cavity and laryngopharynx. It provides several unique advantages, which include a 3-dimensional magnified view and ability to see and work around curves or angles. However, the current da Vinci surgical system does not provide haptic feedback. This is problematic because the potential risks specific to the transoral use of the da Vinci include tooth injury, mucosal laceration, ocular injury and mandibular fracture. To assess the potential for intraoperative injuries, we measured the load of the endoscope and the instrument of the da Vinci Si surgical system. We pressed the endoscope and instrument of the da Vinci Si against Load cell six times each and measured the dynamic load and the time-to-maximum load. We also struck the da Vinci Si endoscope and instrument against the Load cell six times each and measured the impact load. The maximum dynamic load was 7.27 ± 1.31 kg for the endoscope and 1.90 ± 0.72 for the instrument. The corresponding time-to-maximum loads were 1.72 ± 0.22 and 1.29 ± 0.34 s, but the impact loads were significantly lower than the dynamic load. It remains possible that a major load is exerted on adjacent structures by continuous contact with the endoscope and instrument of da Vinci Si. However, there is a minor delay in reaching the maximum load. Careful monitoring by an on-site assistant may, therefore, help prevent contiguous injury.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fujiwara</LastName><ForeName>Kazunori</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504, Japan. kfujiwa@med.tottori-u.ac.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fukuhara</LastName><ForeName>Takahiro</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Niimi</LastName><ForeName>Koji</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sato</LastName><ForeName>Takahiro</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Mechanical Engineering Division, Mechanical and Material Research Facility, Tottori Institute of Industrial Technology, Yonago, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kitano</LastName><ForeName>Hiroya</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1, Nishimachi, Yonago, 683-8504, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>10</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Robot Surg</MedlineTA><NlmUniqueID>101300401</NlmUniqueID><ISSNLinking>1863-2483</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Intraoperative injury</Keyword><Keyword MajorTopicYN="N">Load</Keyword><Keyword MajorTopicYN="N">Transoral robotic surgery</Keyword><Keyword MajorTopicYN="N">da Vinci</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>27</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>10</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>11</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>11</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>11</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26530845</ArticleId><ArticleId IdType="doi">10.1007/s11701-015-0533-0</ArticleId><ArticleId IdType="pii">10.1007/s11701-015-0533-0</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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