Are pedicled flaps feasible in robotic surgery? Report of an anatomical study of the kite flap in conventional surgery versus robotic surgery.
Identifieur interne : 000E17 ( PubMed/Corpus ); précédent : 000E16; suivant : 000E18Are pedicled flaps feasible in robotic surgery? Report of an anatomical study of the kite flap in conventional surgery versus robotic surgery.
Auteurs : Alexandra Huart ; Sybille Facca ; Frédéric Lebailly ; José Carlos Garcia ; Philippe André LiverneauxSource :
- Surgical innovation [ 1553-3514 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- surgery : Hand.
- Cadaver, Feasibility Studies, Humans, Robotics, Surgical Flaps, Time Factors.
Abstract
Reconstruction of cutaneous defects of the hand has dramatically progressed. It should also benefit from the development of robot-assisted surgery. The aim of the present study was to consider the feasibility of a kite flap in robotic surgery. Two cadaver hands were used in this study, one for a conventional procedure, and one for a robotic surgical procedure using a da Vinci Si robot. The operative duration was measured, and all difficulties encountered during the procedures were reported. The total duration of the intervention was 19 minutes with the conventional procedure and 30 minutes with the robotic technique. Some difficulties were encountered, related both to lack of specific instrumentation and haptic feedback. Robotic surgery presents interesting advantages such as the suppression of physiological tremor, increased degrees of freedom, and enhanced precision and accuracy of hand maneuvers. In this study, it allowed the realization of a pedicled flap without any external help.
DOI: 10.1177/1553350611415869
PubMed: 21868422
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Report of an anatomical study of the kite flap in conventional surgery versus robotic surgery.</title><author><name sortKey="Huart, Alexandra" sort="Huart, Alexandra" uniqKey="Huart A" first="Alexandra" last="Huart">Alexandra Huart</name><affiliation><nlm:affiliation>University Hospital, Reims, France.</nlm:affiliation></affiliation></author><author><name sortKey="Facca, Sybille" sort="Facca, Sybille" uniqKey="Facca S" first="Sybille" last="Facca">Sybille Facca</name></author><author><name sortKey="Lebailly, Frederic" sort="Lebailly, Frederic" uniqKey="Lebailly F" first="Frédéric" last="Lebailly">Frédéric Lebailly</name></author><author><name sortKey="Garcia, Jose Carlos" sort="Garcia, Jose Carlos" uniqKey="Garcia J" first="José Carlos" last="Garcia">José Carlos Garcia</name></author><author><name sortKey="Liverneaux, Philippe Andre" sort="Liverneaux, Philippe Andre" uniqKey="Liverneaux P" first="Philippe André" last="Liverneaux">Philippe André Liverneaux</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1177/1553350611415869</idno><idno type="RBID">pubmed:21868422</idno><idno type="pmid">21868422</idno><idno type="wicri:Area/PubMed/Corpus">000E17</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Are pedicled flaps feasible in robotic surgery? Report of an anatomical study of the kite flap in conventional surgery versus robotic surgery.</title><author><name sortKey="Huart, Alexandra" sort="Huart, Alexandra" uniqKey="Huart A" first="Alexandra" last="Huart">Alexandra Huart</name><affiliation><nlm:affiliation>University Hospital, Reims, France.</nlm:affiliation></affiliation></author><author><name sortKey="Facca, Sybille" sort="Facca, Sybille" uniqKey="Facca S" first="Sybille" last="Facca">Sybille Facca</name></author><author><name sortKey="Lebailly, Frederic" sort="Lebailly, Frederic" uniqKey="Lebailly F" first="Frédéric" last="Lebailly">Frédéric Lebailly</name></author><author><name sortKey="Garcia, Jose Carlos" sort="Garcia, Jose Carlos" uniqKey="Garcia J" first="José Carlos" last="Garcia">José Carlos Garcia</name></author><author><name sortKey="Liverneaux, Philippe Andre" sort="Liverneaux, Philippe Andre" uniqKey="Liverneaux P" first="Philippe André" last="Liverneaux">Philippe André Liverneaux</name></author></analytic><series><title level="j">Surgical innovation</title><idno type="eISSN">1553-3514</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cadaver</term><term>Feasibility Studies</term><term>Hand (surgery)</term><term>Humans</term><term>Robotics</term><term>Surgical Flaps</term><term>Time Factors</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hand</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cadaver</term><term>Feasibility Studies</term><term>Humans</term><term>Robotics</term><term>Surgical Flaps</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Reconstruction of cutaneous defects of the hand has dramatically progressed. It should also benefit from the development of robot-assisted surgery. The aim of the present study was to consider the feasibility of a kite flap in robotic surgery. Two cadaver hands were used in this study, one for a conventional procedure, and one for a robotic surgical procedure using a da Vinci Si robot. The operative duration was measured, and all difficulties encountered during the procedures were reported. The total duration of the intervention was 19 minutes with the conventional procedure and 30 minutes with the robotic technique. Some difficulties were encountered, related both to lack of specific instrumentation and haptic feedback. Robotic surgery presents interesting advantages such as the suppression of physiological tremor, increased degrees of freedom, and enhanced precision and accuracy of hand maneuvers. In this study, it allowed the realization of a pedicled flap without any external help.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21868422</PMID><DateCreated><Year>2012</Year><Month>05</Month><Day>18</Day></DateCreated><DateCompleted><Year>2012</Year><Month>09</Month><Day>25</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1553-3514</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>1</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Surgical innovation</Title><ISOAbbreviation>Surg Innov</ISOAbbreviation></Journal><ArticleTitle>Are pedicled flaps feasible in robotic surgery? Report of an anatomical study of the kite flap in conventional surgery versus robotic surgery.</ArticleTitle><Pagination><MedlinePgn>89-92</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1553350611415869</ELocationID><Abstract><AbstractText>Reconstruction of cutaneous defects of the hand has dramatically progressed. It should also benefit from the development of robot-assisted surgery. The aim of the present study was to consider the feasibility of a kite flap in robotic surgery. Two cadaver hands were used in this study, one for a conventional procedure, and one for a robotic surgical procedure using a da Vinci Si robot. The operative duration was measured, and all difficulties encountered during the procedures were reported. The total duration of the intervention was 19 minutes with the conventional procedure and 30 minutes with the robotic technique. Some difficulties were encountered, related both to lack of specific instrumentation and haptic feedback. Robotic surgery presents interesting advantages such as the suppression of physiological tremor, increased degrees of freedom, and enhanced precision and accuracy of hand maneuvers. 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