Nasolacrimal duct stenosis-Surgery with a novel robotic endoscope positioning system
| Autor: | Felix Boehm, Daniel T. Friedrich, Thomas K. Hoffmann, Patrick J. Schuler, Jens Greve, Fabian Sommer, Marc‐Oliver Scheithauer |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Positioning system Endoscope medicine.medical_treatment Dacryocystorhinostomy Biophysics Constriction Pathologic Endoscopic dacryocystorhinostomy Clinical study Robotic Surgical Procedures medicine Humans ddc:610 Endoscopes Nasolacrimal duct business.industry Endoscopy Clinical routine Computer Science Applications Surgery medicine.anatomical_structure Treatment Outcome Nasolacrimal duct stenosis business Nasolacrimal Duct |
| Zdroj: | The international journal of medical robotics + computer assisted surgery : MRCAS. 16(6) |
| ISSN: | 1478-596X |
| Popis: | BACKGROUND Distal nasolacrimal duct stenosis is usually treated by head and neck surgeons with transnasal endoscopic dacryocystorhinostomy (DCR). The presented clinical study discusses advantages and drawbacks of a robot-assisted endoscope positioning system, which allows for hands-free visualization of the surgical field. MATERIAL AND METHODS Two patients were treated by surgical DCR. The endoscopic positioning system (Medineering® ) features a mechatronic holding arm with four segments and seven degrees of freedom. It is driven by using a foot pedal. RESULTS Visualization and instrumentation of the surgical field including the relevant anatomical landmarks were feasible. The endoscope position could be controlled with sufficient precision. The surgeon was able to maintain bimanual instrumentation. CONCLUSION The endoscope positioning system allows for two-handed surgery, which facilitates the essential steps of the surgical procedure. If the benefit of the system is sufficient for the use in clinical routine, it has to be evaluated in repeated applications. |
| Databáze: | OpenAIRE |
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