Skip to main content
Top

Tip

Swipe om te navigeren naar een ander hoofdstuk

2024 | OriginalPaper | Hoofdstuk

44. Mechanical articulating instruments

Auteurs : Ludovica Baldari, MD, Amir Szold, MD

Gepubliceerd in: The Technical Principles of Endoscopic Surgery

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Standard laparoscopic instruments have limited dexterity due to their rigidity, making some surgical tasks extremely challenging. Robotic surgery was developed to overcome these issues, but it is associated with high costs. In recent years, many companies have designed and produced hand-held articulating instruments for laparoscopic surgery, to improve dexterity and ergonomics but with greater cost effectiveness. This chapter describes the main commercially available handheld mechanically articulating instruments for minimally invasive surgery, with a focus on the technology, advantages, and disadvantages of each device. These instruments have different designs and mechanisms to achieve higher degrees of freedom.
Literatuur
1.
go back to reference Gallagher A, McClure N, McGuigan J, Ritchie K, Sheehy N. An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy. 1998;30:617–20. CrossRefPubMed Gallagher A, McClure N, McGuigan J, Ritchie K, Sheehy N. An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy. 1998;30:617–20. CrossRefPubMed
2.
go back to reference Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91(12):1549–58. CrossRefPubMed Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91(12):1549–58. CrossRefPubMed
4.
go back to reference Fan C, Dodou D, Breedveld P. Review of manual control methods for handheld maneuverable instruments. Minim Invasive Ther Allied Technol. 2013;22(3):127–35. CrossRefPubMed Fan C, Dodou D, Breedveld P. Review of manual control methods for handheld maneuverable instruments. Minim Invasive Ther Allied Technol. 2013;22(3):127–35. CrossRefPubMed
5.
go back to reference Warnaar N, Szold A. Novel, hand-held, agile surgical operating systems. Ann Laparosc Endosc Surg. 2021;6:11. CrossRef Warnaar N, Szold A. Novel, hand-held, agile surgical operating systems. Ann Laparosc Endosc Surg. 2021;6:11. CrossRef
6.
go back to reference Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol. 2009;114(2):157–61. CrossRefPubMed Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol. 2009;114(2):157–61. CrossRefPubMed
7.
go back to reference Jelínek F, Arkenbout EA, Henselmans PWJ, Pessers R, Breedveld P. Classification of joints used in steerable instruments for minimally invasive surgery–a review of the state of the art. ASME J Med Devices. 2015;9(1):010801. Jelínek F, Arkenbout EA, Henselmans PWJ, Pessers R, Breedveld P. Classification of joints used in steerable instruments for minimally invasive surgery–a review of the state of the art. ASME J Med Devices. 2015;9(1):010801.
8.
go back to reference Anderson PL, Lathrop RA, Webster RJ III. Robot-like dexterity without computers and motors: a review of hand-held laparoscopic instruments with wrist-like tip articulation. Expert Rev Med Devices. 2016;13(7):661–72. CrossRefPubMedPubMedCentral Anderson PL, Lathrop RA, Webster RJ III. Robot-like dexterity without computers and motors: a review of hand-held laparoscopic instruments with wrist-like tip articulation. Expert Rev Med Devices. 2016;13(7):661–72. CrossRefPubMedPubMedCentral
9.
go back to reference Ponsky TA. Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J Am Coll Surg. 2009;209(5):e1–6. CrossRefPubMed Ponsky TA. Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J Am Coll Surg. 2009;209(5):e1–6. CrossRefPubMed
10.
go back to reference Hallbeck MS, Lowndes BR, McCrory B, Morrow MM, Kaufman KR, LaGrange CA. Kinematic and ergonomic assessment of laparoendoscopic single-site surgical instruments during simulator training tasks. Appl Ergon. 2017;62:118–30. CrossRefPubMed Hallbeck MS, Lowndes BR, McCrory B, Morrow MM, Kaufman KR, LaGrange CA. Kinematic and ergonomic assessment of laparoendoscopic single-site surgical instruments during simulator training tasks. Appl Ergon. 2017;62:118–30. CrossRefPubMed
11.
go back to reference Lacitignola L, Trisciuzzi R, Imperante A, Fracassi L, Crovace AM, Staffieri F. Comparison of laparoscopic steerable instruments performed by expert surgeons and novices. Vet Sci. 2020;7:135. CrossRefPubMedPubMedCentral Lacitignola L, Trisciuzzi R, Imperante A, Fracassi L, Crovace AM, Staffieri F. Comparison of laparoscopic steerable instruments performed by expert surgeons and novices. Vet Sci. 2020;7:135. CrossRefPubMedPubMedCentral
12.
go back to reference Torres Bermudez JR, Buess G, Waseda M, Gacek I, Becerra Garcia F, Manukyan GA, Inaki N. Laparoscopic intracorporal colorectal sutured anastomosis using the Radius Surgical System in a phantom model. Surg Endosc. 2009;23(7):1624–32. CrossRefPubMed Torres Bermudez JR, Buess G, Waseda M, Gacek I, Becerra Garcia F, Manukyan GA, Inaki N. Laparoscopic intracorporal colorectal sutured anastomosis using the Radius Surgical System in a phantom model. Surg Endosc. 2009;23(7):1624–32. CrossRefPubMed
13.
go back to reference Di Lorenzo N, Camperchioli I, Gaspari AL. Radius surgical system and conventional laparoscopic instruments in abdominal surgery: application, learning curve and ergonomy. Surg Oncol. 2007;16(Suppl 1):S69–72. Di Lorenzo N, Camperchioli I, Gaspari AL. Radius surgical system and conventional laparoscopic instruments in abdominal surgery: application, learning curve and ergonomy. Surg Oncol. 2007;16(Suppl 1):S69–72.
14.
go back to reference Hirano Y, Inaki N, Ishikawa N, Watanabe G. Laparoscopic treatment for esophageal achalasia and gastro-esophago-reflex disease using radius surgical system. Indian J Surg. 2013;75(Suppl 1):160–2. CrossRefPubMed Hirano Y, Inaki N, Ishikawa N, Watanabe G. Laparoscopic treatment for esophageal achalasia and gastro-esophago-reflex disease using radius surgical system. Indian J Surg. 2013;75(Suppl 1):160–2. CrossRefPubMed
15.
go back to reference Ishikawa N, Kawaguchi M, Shimizu S, Matsunoki A, Inaki N, Watanabe G. Single-incision laparoscopic hernioplasty with the assistance of the radius surgical system. Surg Endosc. 2010;24(3):730–1. CrossRefPubMed Ishikawa N, Kawaguchi M, Shimizu S, Matsunoki A, Inaki N, Watanabe G. Single-incision laparoscopic hernioplasty with the assistance of the radius surgical system. Surg Endosc. 2010;24(3):730–1. CrossRefPubMed
16.
go back to reference Heemskerk J, Zandbergen R, Maessen JG, Greve JW, Bouvy ND. Advantages of advanced laparoscopic systems. Surg Endosc. 2006;20(5):730–3. CrossRefPubMed Heemskerk J, Zandbergen R, Maessen JG, Greve JW, Bouvy ND. Advantages of advanced laparoscopic systems. Surg Endosc. 2006;20(5):730–3. CrossRefPubMed
17.
go back to reference Criss CN, Jarboe MD, Claflin J, Matusko N, Rooney DM. Evaluating a solely mechanical articulating laparoscopic device: a prospective randomized crossover study. J Laparoendosc Adv Surg Tech A. 2019;29(4):542–50. CrossRefPubMed Criss CN, Jarboe MD, Claflin J, Matusko N, Rooney DM. Evaluating a solely mechanical articulating laparoscopic device: a prospective randomized crossover study. J Laparoendosc Adv Surg Tech A. 2019;29(4):542–50. CrossRefPubMed
18.
go back to reference Darwich I, Abuassi M, Weiss C, Stephan D, Willeke F. The artisential® articulated laparoscopic forceps: a dry lab study to examine dexterity and learning effects in operators with different levels of laparoscopic experience. Surg Technol Int. 2021;20;38:29–36. Darwich I, Abuassi M, Weiss C, Stephan D, Willeke F. The artisential® articulated laparoscopic forceps: a dry lab study to examine dexterity and learning effects in operators with different levels of laparoscopic experience. Surg Technol Int. 2021;20;38:29–36.
19.
go back to reference Parente G, Thomas E, Cravano S, Di Mitri M, Vastano M, Gargano T, et al. ArtiSential ® articulated wrist-like instruments and their first application in pediatric minimally invasive surgery: case reports and literature review of the most commonly available robot-inspired devices. Children (Basel). 2021;17;8(7):603. Parente G, Thomas E, Cravano S, Di Mitri M, Vastano M, Gargano T, et al. ArtiSential ® articulated wrist-like instruments and their first application in pediatric minimally invasive surgery: case reports and literature review of the most commonly available robot-inspired devices. Children (Basel). 2021;17;8(7):603.
Metagegevens
Titel
Mechanical articulating instruments
Auteurs
Ludovica Baldari, MD
Amir Szold, MD
Copyright
2024
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2905-2_44