Robotic single‐incision transabdominal and transvaginal surgery: initial experience with intersecting robotic arms
Year: 2010
Type: article
Abstract: BACKGROUND: Single-incision laparoscopic and natural orifice translumenal endoscopic surgery (NOTES) are technically challenging methods. Robotics might have the potential to overcome such hurdles with computer technology. METHODS: The da Vinci Standard and S System (Intuitive, Sunnyvale, USA) were used in human cadavers and pigs to perform single-incision transabdominal and transvaginal surgery. Robotic arms were crossed and control-switched to achieve intuitive control. RESULTS: It was possible to perform robotic single-incision laparoscopy in the typical, intuitive fashion. Transvaginal set-up, including docking of the system and introduction of instruments into the abdominal cavity, was possible but no useful manipulation could be performed. CONCLUSIONS: While robotic NOTES with the da Vinci surgical system was not successful, robotic single-incision surgery is feasible using the above set-up. This new approach seems to offer the advantages of single-incision surgery while maintaining the intuitive control of robotic surgery. Clinical application appears justified.
DOI: 10.1002/rcs.310
Authors: Monika E. Hagen, Oliver J. Wagner, Ihsan Inan, Philippe Morel, Jean Fasel, Garth Jacobsen, Adam Spivack, Kari Thompson, Brian Wong, Lauren Fischer, Mark Talamini, Santiago Horgan
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2044196301