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Gepubliceerd in:
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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

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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.
vorige hoofdstuk Single incision robots
volgende hoofdstuk Electromechanical instruments
Literatuur
1.
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.
Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91(12):1549–58.CrossRefPubMed
3.
4.
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.
Warnaar N, Szold A. Novel, hand-held, agile surgical operating systems. Ann Laparosc Endosc Surg. 2021;6:11.CrossRef
6.
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.
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.
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.
Ponsky TA. Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J Am Coll Surg. 2009;209(5):e1–6.CrossRefPubMed
10.
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.
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.
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.
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.
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.
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.
Heemskerk J, Zandbergen R, Maessen JG, Greve JW, Bouvy ND. Advantages of advanced laparoscopic systems. Surg Endosc. 2006;20(5):730–3.CrossRefPubMed
17.
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.
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.
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
Boek
The Technical Principles of Endoscopic Surgery

Print ISBN: 978-90-368-2904-5

Elektronisch ISBN: 978-90-368-2905-2

Copyright: 2024

DOI
https://doi.org/10.1007/978-90-368-2905-2_44