Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view

Abstract The target of human flight in space has changed from permanence on the International Space Station to missions beyond low earth orbit and the Lunar Gateway for deep space exploration and Missions to Mars. Several conditions affecting space missions had to be considered: for example the effe...

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Main Authors: Desirè Pantalone, Giulia Satu Faini, Francesca Cialdai, Elettra Sereni, Stefano Bacci, Daniele Bani, Marco Bernini, Carlo Pratesi, PierLuigi Stefàno, Lorenzo Orzalesi, Michele Balsamo, Valfredo Zolesi, Monica Monici
Format: Article
Language:English
Published: Nature Portfolio 2021-12-01
Series:npj Microgravity
Online Access:https://doi.org/10.1038/s41526-021-00183-3
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author Desirè Pantalone
Giulia Satu Faini
Francesca Cialdai
Elettra Sereni
Stefano Bacci
Daniele Bani
Marco Bernini
Carlo Pratesi
PierLuigi Stefàno
Lorenzo Orzalesi
Michele Balsamo
Valfredo Zolesi
Monica Monici
author_facet Desirè Pantalone
Giulia Satu Faini
Francesca Cialdai
Elettra Sereni
Stefano Bacci
Daniele Bani
Marco Bernini
Carlo Pratesi
PierLuigi Stefàno
Lorenzo Orzalesi
Michele Balsamo
Valfredo Zolesi
Monica Monici
author_sort Desirè Pantalone
collection DOAJ
description Abstract The target of human flight in space has changed from permanence on the International Space Station to missions beyond low earth orbit and the Lunar Gateway for deep space exploration and Missions to Mars. Several conditions affecting space missions had to be considered: for example the effect of weightlessness and radiations on the human body, behavioral health decrements or communication latency, and consumable resupply. Telemedicine and telerobotic applications, robot-assisted surgery with some hints on experimental surgical procedures carried out in previous missions, had to be considered as well. The need for greater crew autonomy in health issues is related to the increasing severity of medical and surgical interventions that could occur in these missions, and the presence of a highly trained surgeon on board would be recommended. A surgical robot could be a valuable aid but only inasfar as it is provided with multiple functions, including the capability to perform certain procedures autonomously. Space missions in deep space or on other planets present new challenges for crew health. Providing a multi-function surgical robot is the new frontier. Research in this field shall be paving the way for the development of new structured plans for human health in space, as well as providing new suggestions for clinical applications on Earth.
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spelling doaj.art-e5c4278ec0794978868c48dbc15f9cb22023-11-02T04:02:16ZengNature Portfolionpj Microgravity2373-80652021-12-01711610.1038/s41526-021-00183-3Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of viewDesirè Pantalone0Giulia Satu Faini1Francesca Cialdai2Elettra Sereni3Stefano Bacci4Daniele Bani5Marco Bernini6Carlo Pratesi7PierLuigi Stefàno8Lorenzo Orzalesi9Michele Balsamo10Valfredo Zolesi11Monica Monici12Department of Experimental and Clinical Medicine, University of Florence (IT), Emergency SurgeryUnit- TraumaTeam, Emergency Dept–Careggi, University HospitalDepartment of Experimental and Clinical Medicine, University of Florence, Careggi University HospitalASAcampus joint laboratory, ASA Research Division, Department of Experimental and Clinical Biomedical Sciences “Mario Serio”, University of FlorenceASAcampus joint laboratory, ASA Research Division, Department of Experimental and Clinical Biomedical Sciences “Mario Serio”, University of FlorenceDepartment of Biology, Research Unit of Histology and Embriology, University of FlorenceDepartment of Experimental & Clinical Medicine, Section of Anatomy & Histology, Research Unit of Histology & Embryology - University of FlorenceOncology Department, Breast Unit, Careggi University HospitalDepartment of Experimental and Clinical Medicine-University of Florence, Vascular Surgery Unit, Cardio -Thoracic and Vascular Dept-Careggi University HospitalDepartment of Experimental and Clinical Medicine-University of Florence, Cardiovascular Surgery Unit. Cardio-Thoracic and Vascular Dept -Careggi University HospitalDepartment of Experimental and Clinical Medicine, University of FlorenceKayser Italia srlKayser Italia srlASAcampus joint laboratory, ASA Research Division, Department of Experimental and Clinical Biomedical Sciences “Mario Serio”, University of FlorenceAbstract The target of human flight in space has changed from permanence on the International Space Station to missions beyond low earth orbit and the Lunar Gateway for deep space exploration and Missions to Mars. Several conditions affecting space missions had to be considered: for example the effect of weightlessness and radiations on the human body, behavioral health decrements or communication latency, and consumable resupply. Telemedicine and telerobotic applications, robot-assisted surgery with some hints on experimental surgical procedures carried out in previous missions, had to be considered as well. The need for greater crew autonomy in health issues is related to the increasing severity of medical and surgical interventions that could occur in these missions, and the presence of a highly trained surgeon on board would be recommended. A surgical robot could be a valuable aid but only inasfar as it is provided with multiple functions, including the capability to perform certain procedures autonomously. Space missions in deep space or on other planets present new challenges for crew health. Providing a multi-function surgical robot is the new frontier. Research in this field shall be paving the way for the development of new structured plans for human health in space, as well as providing new suggestions for clinical applications on Earth.https://doi.org/10.1038/s41526-021-00183-3
spellingShingle Desirè Pantalone
Giulia Satu Faini
Francesca Cialdai
Elettra Sereni
Stefano Bacci
Daniele Bani
Marco Bernini
Carlo Pratesi
PierLuigi Stefàno
Lorenzo Orzalesi
Michele Balsamo
Valfredo Zolesi
Monica Monici
Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
npj Microgravity
title Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
title_full Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
title_fullStr Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
title_full_unstemmed Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
title_short Robot-assisted surgery in space: pros and cons. A review from the surgeon’s point of view
title_sort robot assisted surgery in space pros and cons a review from the surgeon s point of view
url https://doi.org/10.1038/s41526-021-00183-3
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