Robotic-Assisted Surgery for Cadaveric Skull Opening: A New Method of Autopsy Procedure

Background: Sawing of bone is an essential part of an autopsy procedure. An oscillating saw always generates noise, fine infectious dust particles, and the possibility of traumatic injuries, all of which can induce occupational hazard risks to autopsy workers, especially during the COVID-19 pandemic.Objectives: The first goal of this study was to explore the production of noise and bone dust emission, comparing an oscillating saw and a robotic autopsy saw during an autopsy. The second goal was to evaluate the performance of a new robotic autopsy method, used during skull opening. The third goal was to encourage mortuary workers to use robotic technology during the autopsy procedure to protect us away from occupational injuries as well as airborne infections.Materials and Methods: The experiments involved a comparison of noise levels and aerosol production during skull cutting between the oscillating saw and the robotic autopsy saw.Results: The results confirmed that noise production from the robotic autopsy saw was lower than the oscillating saw. However, the bone dust levels, produced by the robotic autopsy saw, were greater than the oscillating saw, but were not greater than the dust concentrations which were present before opening the skull.Conclusions: The use of a new robotic system might be an alternative choice for protecting against occupational damage among the healthcare workers. Further research might attempt to consider other healthcare problems which occur in the autopsy workplace and apply the robotic-assisted technology in autopsy surgery.

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Video Symposium 2 “Robotic-assisted Surgery in Bronchoesophagology”

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.67.116 ◽

2016 ◽

Vol 67 (2) ◽

pp. 116-117

Author(s):

N. Ikeda

Keyword(s):

Robotic Assisted ◽

Robotic Assisted Surgery

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04 / Temperature changes during robotic assisted surgery

10.26226/morressier.5aeb0acd07b0d6001a79ad94 ◽

2018 ◽

Author(s):

Fouad Atallah

Keyword(s):

Temperature Changes ◽

Robotic Assisted ◽

Robotic Assisted Surgery

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Faculty Opinions recommendation of Robotic-Assisted Surgery Improves the Quality of Total Mesorectal Excision for Rectal Cancer Compared to Laparoscopy: Results of a Case-Controlled Analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725952842.793523151 ◽

2016 ◽

Author(s):

Scott Steele

Keyword(s):

Rectal Cancer ◽

Total Mesorectal Excision ◽

Mesorectal Excision ◽

Robotic Assisted ◽

Robotic Assisted Surgery

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Detailed cost of robotic-assisted surgery in the Australian public health sector: from implementation to a multi-specialty caseload

BMC Health Services Research ◽

10.1186/s12913-021-06105-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kate McBride ◽

Daniel Steffens ◽

Christina Stanislaus ◽

Michael Solomon ◽

Teresa Anderson ◽

...

Keyword(s):

Public Sector ◽

Health Sector ◽

Public Hospitals ◽

Fixed Costs ◽

Tertiary Referral Hospital ◽

Robotic Assisted ◽

The Public ◽

Robotic Assisted Surgery ◽

Specific Implementation ◽

Theatre Utilisation

Abstract Background A barrier to the uptake of robotic-assisted surgery (RAS) continues to be the perceived high costs. A lack of detailed costing information has made it difficult for public hospitals in particular to determine whether use of the technology is justified. This study aims to provide a detailed description of the patient episode costs and the contribution of RAS specific costs for multiple specialties in the public sector. Methods A retrospective descriptive costing review of all RAS cases undertaken at a large public tertiary referral hospital in Sydney, Australia from August 2016 to December 2018 was completed. This included RAS cases within benign gynaecology, cardiothoracic, colorectal and urology, with the total costs described utilizing various inpatient costing data, and RAS specific implementation, maintenance and consumable costs. Results Of 211 RAS patients, substantial variation was found between specialties with the overall median cost per patient being $19,269 (Interquartile range (IQR): $15,445 to $32,199). The RAS specific costs were $8828 (46%) made up of fixed costs including $4691 (24%) implementation and $2290 (12%) maintenance, both of which are volume dependent; and $1848 (10%) RAS consumable costs. This was in the context of 37% robotic theatre utilisation. Conclusions There is considerable variation across surgical specialties for the cost of RAS. It is important to highlight the different cost components and drivers associated with a RAS program including its dependence on volume and how it fits within funding systems in the public sector.

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Robotic natural orifice specimen extraction surgery versus traditional robotic-assisted surgery (NOTR) for patients with colorectal cancer: a study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-021-05077-z ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Rui Luo ◽

Fangfang Zheng ◽

Haobo Zhang ◽

Weiquan Zhu ◽

Penghui He ◽

...

Keyword(s):

Colorectal Cancer ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Natural Orifice ◽

Specimen Extraction ◽

Natural Orifice Specimen Extraction ◽

Robotic Assisted ◽

Randomized Controlled ◽

Robotic Assisted Surgery ◽

Secondary Outcomes

Abstract Background Natural orifice specimen extraction surgery for colorectal cancer has been introduced in order to reduce the abdominal incision, demonstrating major development potential in minimally invasive surgery. We are conducting this randomized controlled trial to assess whether robotic NOSES is non-inferior to traditional robotic-assisted surgery for patients with colorectal cancer in terms of primary and secondary outcomes. Method/design Accordingly, a prospective, open-label, randomized controlled, parallel-group, multicenter, and non-inferiority trial will be conducted to discuss the safety and efficacy of robotic natural orifice extraction surgery compared to traditional robotic-assisted surgery. Here, 550 estimated participants will be enrolled to have 80% power to detect differences with a one-sided significance level of 0.025 in consideration of the non-inferiority margin of 10%. The primary outcome is the incidence of surgical complications, which will be classified using the Clavien-Dindo system. Discussion This trial is expected to reveal whether robotic NOSES is non-inferior to traditional robotic-assisted surgery, which is of great significance in regard to the development of robotic NOSES for patients with colorectal cancer in the minimally invasive era. Furthermore, robotic NOSES is expected to exhibit superiority to traditional robotic-assisted surgery in terms of both primary and secondary outcomes. Trial registration ClinicalTrials.govNCT04230772. Registered on January 15, 2020.

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Room Size Influences Flow in Robotic-Assisted Surgery

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157984 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7984

Author(s):

Falisha Kanji ◽

Tara Cohen ◽

Myrtede Alfred ◽

Ashley Caron ◽

Samuel Lawton ◽

...

Keyword(s):

New Technology ◽

Surgical Robots ◽

Physical Size ◽

Robotic Assisted ◽

Surgical Technology ◽

Room Size ◽

Robotic Assisted Surgery ◽

Academic Hospitals ◽

Environmental Causes ◽

The Impact

The introduction of surgical technology into existing operating rooms (ORs) can place novel demands on staff and infrastructure. Despite the substantial physical size of the devices in robotic-assisted surgery (RAS), the workspace implications are rarely considered. This study aimed to explore the impact of OR size on the environmental causes of surgical flow disruptions (FDs) occurring during RAS. Fifty-six RAS procedures were observed at two academic hospitals between July 2019 and January 2021 across general, urologic, and gynecologic surgical specialties. A multiple regression analysis demonstrated significant effects of room size in the pre-docking phase (t = 2.170, df = 54, β = 0.017, p = 0.035) where the rate of FDs increased as room size increased, and docking phase (t = −2.488, df = 54, β = −0.017, p = 0.016) where the rate of FDs increased as room size decreased. Significant effects of site (pre-docking phase: p = 0.000 and docking phase: p = 0.000) were also demonstrated. Findings from this study demonstrate hitherto unrecognized spatial challenges involved with introducing surgical robots into the operating domain. While new technology may provide benefits towards patient safety, it is important to consider the needs of the technology prior to integration.

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Robotic‐assisted surgery for rectal cancer with situs inversus totalis: A case report

Asian Journal of Endoscopic Surgery ◽

10.1111/ases.12937 ◽

2021 ◽

Author(s):

Shunsuke Kasai ◽

Hitoshi Hino ◽

Akio Shiomi ◽

Hiroyasu Kagawa ◽

Shoichi Manabe ◽

...

Keyword(s):

Rectal Cancer ◽

Case Report ◽

Situs Inversus ◽

Situs Inversus Totalis ◽

Robotic Assisted ◽

Robotic Assisted Surgery

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Dust Deposition on the Gulf of California Caused by Santa Ana Winds

Atmosphere ◽

10.3390/atmos11030275 ◽

2020 ◽

Vol 11 (3) ◽

pp. 275 ◽

Cited By ~ 1

Author(s):

Christian A. Álvarez ◽

José N. Carbajal ◽

Luis F. Pineda-Martínez ◽

José Tuxpan ◽

David E. Flores

Keyword(s):

Gulf Of California ◽

Dust Emission ◽

Positive Influence ◽

Dust Particles ◽

Weather Research And Forecasting ◽

Western Coast ◽

Emission Rates ◽

Dust Deposition ◽

Santa Ana ◽

Santa Ana Winds

Numerical simulations revealed a profound interaction between the severe dust storm of 2007 caused by Santa Ana winds and the Gulf of California. The weather research and forecasting model coupled with a chemistry module (WRF-CHEM) and the hybrid single-particle Lagrangian integrated trajectory model (HYSPLIT) allowed for the estimation of the meteorological and dynamic aspects of the event and the dust deposition on the surface waters of the Gulf of California caused by the erosion and entrainment of dust particles from the surrounding desert regions. The dust emission rates from three chosen areas (Altar desert, Sonora coast, and a region between these two zones) and their contribution to dust deposition over the Gulf of California were analyzed. The Altar Desert had the highest dust emission rates and the highest contribution to dust deposition over the Gulf of California, i.e., it has the most critical influence with 96,879 tons of emission and 43,539 tons of dust deposition in the gulf. An increase of chlorophyll-a concentrations is observed coinciding with areas of high dust deposition in the northern and western coast of the gulf. This kind of event could have a significant positive influence over the mineralization and productivity processes in the Gulf of California, despite the soil loss in the eroded regions.

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