scholarly journals Modular Assembly Micro-Robots for Natural Orifice Transluminal Endoscopic Surgery

Robotics ◽  
2013 ◽  
pp. 1600-1612
Author(s):  
Apollon Zygomalas ◽  
Kostas Giokas ◽  
Dimitris Koutsouris
Keyword(s):  
Surgical Technique ◽  
Endoscopic Surgery ◽  
Abdominal Cavity ◽  
Minimally Invasive Techniques ◽  
Natural Orifice ◽  
Modular Assembly ◽  
Invasive Techniques ◽  
Miniature Robot ◽  
Surgical Operations ◽  
Natural Orifices

Surgical operations are progressively being performed using minimally invasive techniques. Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a novel surgical technique that uses the natural orifices of the human body in order to approach the peritoneal cavity. There are two basic types of robotics for NOTES; the external robots that stay outside the patient but act inside the abdominal cavity, and the internal robots that stay and act in the abdomen. The internal robots could only be mini-robots. The development of modular assembling reconfigurable micro-robots is a revolutionary idea for the NOTES. Modular micro-robots consist of small subunits which could be assembled and construct a functional miniature robot. These surgical micro-robots may increase the possibility for true scarless tele-surgery. Although specific applications of intrabdominal surgical micro-robots are still in an early concept stage, the field is rapidly evolving. In the future, patients may be operated by specialized micro-robotic intrabdominal surgeons.

Modular Assembly Micro-Robots for Natural Orifice Transluminal Endoscopic Surgery, the Future of Minimal Invasive Surgery

2012 ◽  
Vol 1 (4) ◽  
pp. 43-55 ◽  
Author(s):  
Apollon Zygomalas ◽  
Kostas Giokas ◽  
Dimitris Koutsouris
Keyword(s):  
Endoscopic Surgery ◽  
Minimal Invasive Surgery ◽  
Abdominal Cavity ◽  
Minimal Invasive ◽  
Natural Orifice ◽  
Modular Assembly ◽  
The Future ◽  
Invasive Techniques ◽  
Miniature Robot ◽  
Surgical Operations

Surgical operations are progressively being performed using minimally invasive techniques. Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a novel surgical technique that uses the natural orifices of the human body in order to approach the peritoneal cavity. There are two basic types of robotics for NOTES; the external robots that stay outside the patient but act inside the abdominal cavity, and the internal robots that stay and act in the abdomen. The internal robots could only be mini-robots. The development of modular assembling reconfigurable micro-robots is a revolutionary idea for the NOTES. Modular micro-robots consist of small subunits which could be assembled and construct a functional miniature robot. These surgical micro-robots may increase the possibility for true scarless tele-surgery. Although specific applications of intrabdominal surgical micro-robots are still in an early concept stage, the field is rapidly evolving. In the future, patients may be operated by specialized micro-robotic intrabdominal surgeons.

scholarly journals Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Xiaona Wang ◽  
Max Q.-H. Meng
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Endoscopic Surgery ◽  
Surgical Procedure ◽  
State Of The Art ◽  
Abdominal Cavity ◽  
Natural Orifice ◽  
Robotic Platforms ◽  
Flexible Instruments ◽  
Natural Orifices

Natural Orifice Transluminal Endoscopic Surgery (NOTES) involves accessing the abdominal cavity via one of the bodies’ natural orifices, for example, mouth, anus, or vagina. This new surgical procedure is very appealing from patients’ perspectives because it eliminates completely abdominal wall aggression and promises to reduce postoperative pain, in addition to all other advantages brought by laparoscopic surgery. However, the constraints imposed by both the mode of access and the limited technology currently available make NOTES very challenging for the surgeons. Redesign of the instruments is imperative in order to make this emerging operative access safe and reproducible. In this paper, we survey on the state-of-the-art devices used in NOTES and introduce both the flexible instruments based on improvement of current endoscopic platforms and the revolutionary concept of robotic platforms based on the convergence of communication and micromechatronics technologies. The advantages and limitations of each category are addressed. Potential solutions are proposed to improve the existing designs and develop robust and stable robotic platforms for NOTES.

scholarly journals Correcting Reflux Laparoscopically

1998 ◽  
Vol 12 (5) ◽  
pp. 327-332 ◽  
Author(s):  
Eric C Poulin ◽  
Christopher M Schlachta ◽  
Joseph Mamazza
Keyword(s):  
Minimally Invasive ◽  
Antireflux Surgery ◽  
Abdominal Cavity ◽  
Learning Curves ◽  
Barium Swallow ◽  
Short Esophagus ◽  
Minimally Invasive Techniques ◽  
Laparoscopic Procedures ◽  
Surgical Methods ◽  
Invasive Techniques

Most operations in the abdominal cavity and chest can be performed using minimally invasive techniques. As yet it has not been determined which laparoscopic procedures are preferable to the same operations done through conventional laparotomy. However, most surgeons who have completed the learning curves of these procedures believe that most minimally invasive techniques will be scientifically recognized soon. The evolution, validation and justification of advanced laparoscopic surgical methods seem inevitable. Most believe that the trend towards procedures that minimize or eliminate the trauma of surgery while adhering to accepted surgical principles is irreversible. The functional results of laparoscopic antireflux surgery in the seven years since its inception have been virtually identical to the success curves generated with open fundoplication in past years. Furthermore, overall patient outcomes with laparoscopic procedures have been superior to outcomes with the traditional approach. Success is determined by patient selection and operative technique. Patient evaluation should include esophagogastroduodenoscopy, barium swallow, 24 h pH study and esophageal motility study. Gastric emptying also should be evaluated. Patients who have abnormal propulsion in the esophagus should not receive a complete fundoplication (Nissen) because it adds a factor of obstruction. Dor or Toupet procedures are adequate alternatives. Prokinetic agents, dilation or pyloroplasty are used for pyloric obstruction ranging from little to more severe. Correcting reflux laparoscopically is more difficult in patients with obesity, peptic strictures, paraesophageal hernias, short esophagus, or a history of previous upper abdominal or antireflux surgery.

scholarly journals Unsuspected Diagnosis of Uterine Leiomyosarcoma after Laparoscopic Myomectomy in an Isolated Bag

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Süleyman Salman ◽  
Fatma Ketenci Gencer ◽  
Bülent Babaoğlu ◽  
Melih Bestel ◽  
Serkan Kumbasar ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
The Other ◽  
Laparoscopic Myomectomy ◽  
Uterine Leiomyosarcoma ◽  
Minimally Invasive Techniques ◽  
Poor Survival ◽  
Power Morcellation ◽  
Clinically Significant ◽  
Invasive Techniques

Minimally invasive techniques are generally applied for patients suspected of having benign fibroids if medical treatment is insufficient. On the other hand, sometimes some occult carcinomas of uterus like leiomyosarcomas may be reported for the patients’ applied morcellation. This condition is rare but outcomes are clinically significant. Fragmentation of occult sarcoma in the abdominal cavity without isolation bag results in widespread and poor survival. In this article, we report a case of 37-year-old woman suffering from pain due to unexpected leiomyosarcoma. Laparoscopic myomectomy was performed with power morcellation in an isolated bag. Although isolation bag is generally reported to be preventive, recurrence of sarcoma was seen at 5th month of follow-up. Even though morcellation within a bag seems to block wide spreading, dispersion of tumor cannot be stopped and more investigations have to be done.

scholarly journals Hydraulic Robotic Surgical Tool Changing Manipulator

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Abolfazl Pourghodrat ◽  
Carl A. Nelson ◽  
Dmitry Oleynikov
Keyword(s):  
Surgical Technique ◽  
Endoscopic Surgery ◽  
Low Cost ◽  
Electric Motors ◽  
Natural Orifice ◽  
Robotic Technology ◽  
Surgical Tool ◽  
Different Types ◽  
Abdominal Operations ◽  
Robotic Tool

Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique to perform “scarless” abdominal operations. Robotic technology has been exploited to improve NOTES and circumvent its limitations. Lack of a multitasking platform is a major limitation. Manual tool exchange can be time consuming and may lead to complications such as bleeding. Previous multifunctional manipulator designs use electric motors. These designs are bulky, slow, and expensive. This paper presents design, prototyping, and testing of a hydraulic robotic tool changing manipulator. The manipulator is small, fast, low-cost, and capable of carrying four different types of laparoscopic instruments.

Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)

2011 ◽  
pp. 175-178
Author(s):  
Kai Matthes
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Abdominal Cavity ◽  
Academic Research ◽  
Surgical Techniques ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Less Invasive ◽  
Novel Technique ◽  
Laparoscopic Techniques

Chapter 18 discusses natural orifice translumenal endoscopic surgery (NOTES), which is currently investigated as an experimental alternative to diagnose and treat abdominal pathology combining endoscopic and laparoscopic techniques. Using a translumenal approach, the abdominal cavity is accessed with flexible endoscopes through an incision in the stomach, colon, or vagina. By obviating abdominal incisions, this approach may be less invasive than standard surgical techniques. This novel technique is currently performed at a few academic research institutions, but these less invasive operations potentially can be performed in an office-based setting in the future.

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