Towards laparoscopic tissue aspiration

被引:10
作者
Hollenstein, Marc [1 ]
Bugnard, Guillaume [1 ]
Joos, Renzo [2 ]
Kropf, Saskia [1 ]
Villiger, Peter [2 ]
Mazza, Edoardo [1 ,3 ]
机构
[1] ETH, Inst Mech Syst, CH-8092 Zurich, Switzerland
[2] Kantonsspital Graubunden, Dept Visceral Surg, CH-7000 Chur, Switzerland
[3] EMPA, CH-8600 Dubendorf, Switzerland
基金
瑞士国家科学基金会;
关键词
Aspiration experiment; Mechanical test; Laparoscopy; Minimally invasive; In vivo; Soft tissue; HUMAN UTERINE CERVIX; IN-VIVO; BIOMECHANICAL PROPERTIES; ENDOSCOPIC GRASPER; ROBOTIC INDENTER; MR ELASTOGRAPHY; WALL THICKNESS; HUMAN LIVER; INDENTATION; FIBROSIS;
D O I
10.1016/j.media.2013.06.001
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
The soft tissue aspiration experiment has been further developed for application during laparoscopic surgery. The new setup has been tested and validated under lab-conditions and came then to in vivo operation. It is to our knowledge the first time ever a mechanical experiment has been performed under laparoscopic conditions on the human, which enables determining corresponding constitutive model equations. As most important results, the feasibility of laparoscopic tissue aspiration has been demonstrated and, based on an ad hoc parameter for the tissue stiffness, the liver and the stomach gave significantly different responses. Furthermore, the determined constitutive behavior for one healthy human liver was in line with results obtained from tissue aspiration during open surgery. Eventually, laparoscopic tissue aspiration might qualify as minimally invasive testing method for tactile feedback systems. The presented results are preliminary and more research is required. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:1037 / 1045
页数:9
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