Editorial Comment: Image-guided study of swine anatomy as a tool for urologic surgery research and training

Objectives Since the introduction of the first master–slave robotic platform for surgical procedures, there have been ongoing modifications and development of new platforms, but there is still a paucity of commercially available systems. Our study aims to identify all master–slave robotic surgical platforms currently commercially available or in development around the world with applications in urologic surgery. Methods A scoping literature search was performed using PRISMA methodology to identify all relevant publications in English in PubMed, PubMed Central, and Embase, with additional information being obtained from official company websites. Results Ten robotic platforms with either proven or potential application in urologic surgery were identified: the da Vinci surgical system (Intuitive), Senhance surgical system (Transentrix), Versius Surgical (CMR Ltd), Enos surgical system (Titan Medical), Revo –I (Meere Company), MiroSurge (DLR), Avatera System (Avatera Medical), Hugo Surgical Robot (Medtronic), Ottava (J&J, Ethicon, Areus), and Hinotori (Medicaroid Corporation). Conclusions This review highlights the distinct features of emerging master–slave robotic platforms with applications in urologic surgery. Research and development are now focused on finding wider applications, improving outcomes, increasing availability, and reducing cost. Additional research is required comparing newly developed master–slave robotic platforms with those already well established.

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Image-guided urologic surgery: intraoperative optical imaging and tissue interrogation (Conference Presentation)

Molecular-Guided Surgery: Molecules, Devices, and Applications III ◽

10.1117/12.2257640 ◽

2017 ◽

Author(s):

Joseph C. Liao

Keyword(s):

Optical Imaging ◽

Urologic Surgery ◽

Image Guided

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Editorial Comment for Yoshino et al.: Image-Guided Research in the Clinic to Reduce Surgical Margins

Journal of Endourology ◽

10.1089/end.2017.0176 ◽

2017 ◽

Vol 31 (4) ◽

pp. 395-396

Author(s):

Hon S. Leong

Keyword(s):

Editorial Comment ◽

Surgical Margins ◽

Image Guided

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Feasibility of fresh frozen human cadavers as a research and training model for endovascular image guided interventions

PLoS ONE ◽

10.1371/journal.pone.0242596 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0242596

Author(s):

Marloes M. Jansen ◽

Constantijn E. V. B. Hazenberg ◽

Quirina M. B. de Ruiter ◽

Robbert W. van Hamersvelt ◽

Ronald L. A. W. Bleys ◽

...

Keyword(s):

Femoral Artery ◽

Lower Extremities ◽

Intraluminal Pressure ◽

Human Cadaver ◽

Image Guided ◽

Collateral Arteries ◽

Fresh Frozen ◽

Human Cadavers ◽

Human Cadaver Model ◽

And Training

Objective To describe the feasibility of a fresh frozen human cadaver model for research and training of endovascular image guided procedures in the aorta and lower extremity. Methods The cadaver model was constructed in fresh frozen human cadaver torsos and lower extremities. Endovascular access was acquired by inserting a sheath in the femoral artery. The arterial segment of the specimen was restricted by ligation of collateral arteries and, in the torsos, clamping of the contralateral femoral artery and balloon occlusion of the supratruncal aorta. Tap water was administered through the sheath to create sufficient intraluminal pressure to manipulate devices and acquire digital subtraction angiography (DSA). Endovascular cannulation tasks of the visceral arteries (torso) or the peripheral arteries (lower extremities) were performed to assess the vascular patency of the model. Feasibility of this model is based on our institute’s experiences throughout the use of six fresh frozen human cadaver torsos and 22 lower extremities. Results Endovascular simulation in the aortic and peripheral vasculature was achieved using this human cadaver model. Acquisition of DSA images was feasible in both the torsos and the lower extremities. Approximately 84 of the 90 target vessels (93.3%) were patent, the remaining six vessels showed signs of calcified steno-occlusive disease. Conclusions Fresh frozen human cadavers provide a feasible simulation model for aortic and peripheral endovascular interventions, and can potentially reduce the need for animal experimentation. This model is suitable for the evaluation of new endovascular devices and techniques or to master endovascular skills.

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