Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience
Robotic surgery is an option to laparoscopy that may offer some benefits including the possibility of performing surgery when the surgeon is geographically away from the patient and faster tireless repetitive movements with greater precision. At present, robot-assisted surgery has been done routinel...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2004-06-01
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| Series: | Acta Cirúrgica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502004000300013&tlng=en |
| _version_ | 1830512518144983040 |
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| author | Cássio Andreoni Mardhen Araújo Nelson Gattás Valdemar Ortiz Luiz Francisco Poli de Figueiredo Miguel Srougi |
| author_facet | Cássio Andreoni Mardhen Araújo Nelson Gattás Valdemar Ortiz Luiz Francisco Poli de Figueiredo Miguel Srougi |
| author_sort | Cássio Andreoni |
| collection | DOAJ |
| description | Robotic surgery is an option to laparoscopy that may offer some benefits including the possibility of performing surgery when the surgeon is geographically away from the patient and faster tireless repetitive movements with greater precision. At present, robot-assisted surgery has been done routinely in several institutions around the world, however, to the best of our knowledge, it is the first time such procedure is performed in our academic environment and herein is reported the first telerobotic-assisted laparoscopic cystectomy performed in a domestic pig at our institution using the Zeus®robotic system (Computer Motion, EUA). The procedure was performed using two different operating rooms geographically apart from each other. The assistant was in an operating room that was set with the operating table and the pig as well as with the Zeus® robotic arms. In the other operating room, the surgeon was seated in the control console with a three-dimensional imaging five meters away from the operating table connected with electric cables. The assistant surgeon established the pneumoperitoneum and five trocars were placed in a fan configuration. The surgeon started performing the surgery using three out of the five ports taking control of the laparoscope (voice control) and manual control of laparoscopic instruments connected to the robotic arms using the joysticks. The other two ports were used by the assistant for traction and clips placement that was also necessary for exchanging the many laparoscopic instruments connected to the robot. The laparoscopic total cystectomy was successfully performed in 25 minutes with no complications. The truly benefits as well as the cost-effectiveness of the robotic surgery in our environment is yet to be determined after experience acquisition with telerobotic before start performing such procedures routinely in humans. The present report shows the technical feasibility of telerobotic surgery in a developing country. |
| first_indexed | 2024-12-22T02:29:26Z |
| format | Article |
| id | doaj.art-3c648f8a4ec740f59f006b2b69061b2c |
| institution | Directory Open Access Journal |
| issn | 0102-8650 |
| language | English |
| last_indexed | 2024-12-22T02:29:26Z |
| publishDate | 2004-06-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj.art-3c648f8a4ec740f59f006b2b69061b2c2022-12-21T18:41:55ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502004-06-0119330831310.1590/S0102-86502004000300013Telerobotic-assisted laparoscopic operation performed at a remote site: initial experienceCássio Andreoni0Mardhen Araújo1Nelson Gattás2Valdemar Ortiz3Luiz Francisco Poli de Figueiredo4Miguel Srougi5Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloRobotic surgery is an option to laparoscopy that may offer some benefits including the possibility of performing surgery when the surgeon is geographically away from the patient and faster tireless repetitive movements with greater precision. At present, robot-assisted surgery has been done routinely in several institutions around the world, however, to the best of our knowledge, it is the first time such procedure is performed in our academic environment and herein is reported the first telerobotic-assisted laparoscopic cystectomy performed in a domestic pig at our institution using the Zeus®robotic system (Computer Motion, EUA). The procedure was performed using two different operating rooms geographically apart from each other. The assistant was in an operating room that was set with the operating table and the pig as well as with the Zeus® robotic arms. In the other operating room, the surgeon was seated in the control console with a three-dimensional imaging five meters away from the operating table connected with electric cables. The assistant surgeon established the pneumoperitoneum and five trocars were placed in a fan configuration. The surgeon started performing the surgery using three out of the five ports taking control of the laparoscope (voice control) and manual control of laparoscopic instruments connected to the robotic arms using the joysticks. The other two ports were used by the assistant for traction and clips placement that was also necessary for exchanging the many laparoscopic instruments connected to the robot. The laparoscopic total cystectomy was successfully performed in 25 minutes with no complications. The truly benefits as well as the cost-effectiveness of the robotic surgery in our environment is yet to be determined after experience acquisition with telerobotic before start performing such procedures routinely in humans. The present report shows the technical feasibility of telerobotic surgery in a developing country.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502004000300013&tlng=enSurgical techniqueLaparoscopyRoboticsCystectomy |
| spellingShingle | Cássio Andreoni Mardhen Araújo Nelson Gattás Valdemar Ortiz Luiz Francisco Poli de Figueiredo Miguel Srougi Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience Acta Cirúrgica Brasileira Surgical technique Laparoscopy Robotics Cystectomy |
| title | Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience |
| title_full | Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience |
| title_fullStr | Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience |
| title_full_unstemmed | Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience |
| title_short | Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience |
| title_sort | telerobotic assisted laparoscopic operation performed at a remote site initial experience |
| topic | Surgical technique Laparoscopy Robotics Cystectomy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502004000300013&tlng=en |
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