Preclinical Experience Using a New Robotic System Created for Microsurgery
| Autor: | L.T. Hoekstra, Raimondo Cau, Clint A E M Boymans, Shan Shan Qiu, Tom J. M. van Mulken, Jesse C. Selber, René R. W. J. van der Hulst, Ferry Schoenmakers, Rutger M. Schols |
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| Přispěvatelé: | MUMC+: MA AIOS Plastische Chirurgie (9), RS: NUTRIM - R2 - Liver and digestive health, MUMC+: MA Plastische Chirurgie (3), Plastische Chirurgie (PLC), MUMC+: MA Plastische Chirurgie (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Models
Anatomic medicine.medical_specialty Microsurgery FEASIBILITY SURGERY medicine.medical_treatment Rat model Operative Time MEDLINE VASOVASOSTOMY 030230 surgery 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures RAT MODEL medicine Humans Medical physics MICROVASCULAR ANASTOMOSES business.industry ACQUISITION Anastomosis Surgical ASSISTED MICROSURGERY technology industry and agriculture Equipment Design SERIES Robotic systems 030220 oncology & carcinogenesis Operative time Feasibility Studies Clinical Competence LEARNING-CURVE business PERFORM |
| Zdroj: | Plastic and Reconstructive Surgery, 142(5), 1367-1376. LIPPINCOTT WILLIAMS & WILKINS Plastic and Reconstructive Surgery, 142(5), 1367-1376. Lippincott Williams and Wilkins Ltd. |
| ISSN: | 0032-1052 |
| Popis: | Background: Robotic assistance in microsurgery could enhance human precision and dexterity to improve clinical outcomes. Because no robotic device has been designed primarily for microsurgery, the authors developed a dedicated microsurgical robotic system. This preclinical study investigates whether microsurgical anastomosis can be successfully completed on silicone vessels using a prototype of this new robotic system, and compares outcomes of robot-assisted versus conventional microsurgery.Methods: Three participants at different levels of microsurgical training completed 10 anastomoses by hand and 10 anastomoses with robotic assistance. Four blinded, experienced microsurgeons evaluated the quality of the microsurgical skills using a modified version of the Structured Assessment of Microsurgical Skills. Time to perform the anastomosis and adverse events were recorded.Results: The total time to perform the anastomoses with and without robotic assistance decreased to 35.1 minutes and 12.5 minutes, respectively, during the study. The overall performance and indicative skill of the Structured Assessment of Microsurgical Skills improved with the conventional method (from 2.8 to 3.6 and from 2.6 to 3.7, respectively) and the robot-assisted method (from 2.3 to 3.0 and from 2.3 to 3.1, respectively).Conclusions: It is feasible to complete anastomotic microsurgery on silicone vessels using the MicroSure robotic system. In comparison with the conventional method, time to perform the anastomosis was longer and quality of microsurgical skills was lower in the robot-assisted group. However, the robot-assisted performance showed steeper learning curves for both surgical time and domains of microsurgical skills. The encouraging results indicate further development of the system and (pre)clinical trials. |
| Databáze: | OpenAIRE |
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