Use of the EndoMaster robot-assisted surgical system in transoral robotic surgery: A cadaveric study

被引：18
作者：
Tay, Gerald [1 ]
Tan, Hiang-Khoon [1 ]
Thien Khanh Nguyen [1 ]
Phee, Soo Jay [2 ]
Iyer, N. Gopalakrishna [1 ]
机构：
[1] Singhealth Duke NUS Head & Neck Ctr, Singapore, Singapore
[2] Nanyang Technol Univ, Sch Mech & Aerosp Engn, Singapore, Singapore
来源：
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2018年 / 14卷 / 04期
基金：
新加坡国家研究基金会;
关键词：
cancer; ENT; head and neck; human-machine interfaces; minimally invasive surgery; robot design; throat; transoral; tumour; TRANSLUMINAL ENDOSCOPIC ROBOT; SUBMUCOSAL DISSECTION; MASTER; TORS; FEASIBILITY; RESECTION; MODEL;
D O I：
10.1002/rcs.1930
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BackgroundThe EndoMaster is a novel robot-assisted surgical system originally designed for endoscopic resection of gastrointestinal polyps and tumours. It incorporates two robotic arms (a grasper and a probe for monopolar diathermy) into the end of a flexible endoscope, creating improved manoeuvrability, with two arms allowing for 9 degrees of movement and triangulation; this enables fine manipulation and dissection of tissues. MethodsThe EndoMaster was used in two human cadavers to perform 4 radical tonsillectomies to evaluate its performance in transoral robotic surgery (TORS). ResultsThe EndoMaster allowed for good visualization of the surgical field and its compact form factor allowed for quick docking and avoided the problem of clashing of the working arms. ConclusionThe EndoMaster system shows promising potential for use in TORS. Further refinements to movements of the effector arms are required.
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页数：5
相关论文
共 15 条
[1]   Feasibility of full-thickness gastric resection using master and slave transluminal endoscopic robot and closure by overstitch: a preclinical study [J].
Chiu, Philip W. Y. ;
Phee, S. J. ;
Wang, Z. ;
Sun, Z. ;
Poon, Carmen C. ;
Yamamoto, T. ;
Penny, I. ;
Wong, Jennie Y. Y. ;
Lau, James Y. W. ;
Ho, K. Y. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (01) :319-324
[2]   Endoscopic submucosal dissection of gastric lesions by using a Master and Slave Transluminal Endoscopic Robot (MASTER) [J].
Ho, Khek-Yu ;
Phee, Soo Jay ;
Shabbir, Asim ;
Low, Soon Chiang ;
Huynh, Van An ;
Kencana, Andy Prima ;
Yang, Kai ;
Lomanto, Davide ;
So, Bok Yan Jimmy ;
Wong, Y. Y. Jennie ;
Chung, S. C. Sydney .
GASTROINTESTINAL ENDOSCOPY, 2010, 72 (03) :593-599
[3]   A European Multicenter Study Evaluating the Flex Robotic System in Transoral Robotic Surgery [J].
Lang, Stephan ;
Mattheis, Stefan ;
Hasskamp, Pia ;
Lawson, Georges ;
Gueldner, Christian ;
Mandapathil, Magis ;
Schuler, Patrick ;
Hoffmann, Thomas ;
Scheithauer, Marc ;
Remacle, Marc .
LARYNGOSCOPE, 2017, 127 (02) :391-395
[4]  
Low S C, 2006, Conf Proc IEEE Eng Med Biol Soc, V2006, P3850
[5]   Transoral robotic surgery (TORS) for base of tongue neoplasms [J].
O'Malley, Bert W., Jr. ;
Weinstein, Gregory S. ;
Snyder, Wendy ;
Hockstein, Neil G. .
LARYNGOSCOPE, 2006, 116 (08) :1465-1472
[6]   Transoral robotic surgery (TORS): Glottic microsurgery in a canine model [J].
O'Malley, BW ;
Weinstein, GS ;
Hockstein, NG .
JOURNAL OF VOICE, 2006, 20 (02) :263-268
[7]   Natural orifice transgastric endoscopic wedge hepatic resection in an experimental model using an intuitively controlled master and slave transluminal endoscopic robot (MASTER) [J].
Phee, S. J. ;
Ho, K. Y. ;
Lomanto, D. ;
Low, S. C. ;
Huynh, V. A. ;
Kencana, A. P. ;
Yang, K. ;
Sun, Z. L. ;
Chung, S. C. Sydney .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2010, 24 (09) :2293-2298
[8]   Master And Slave Transluminal Endoscopic Robot (MASTER) for Natural Orifice Transluminal Endoscopic Surgery (NOTES) [J].
Phee, S. J. ;
Low, S. C. ;
Huynh, V. A. ;
Kencana, A. P. ;
Sun, Z. L. ;
Yang, K. .
2009 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOLS 1-20, 2009, :1192-1195
[9]   Transoral robotic surgery (TORS) with the Medrobotics Flex™ System: first surgical application on humans [J].
Remacle, M. ;
Prasad, V. M. N. ;
Lawson, G. ;
Plisson, L. ;
Bachy, V. ;
Van der Vorst, S. .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2015, 272 (06) :1451-1455
[10]   Transoral robotic surgery in the management of head and neck tumours [J].
Rinaldi, Vittorio ;
Pagani, Davide ;
Torretta, Sara ;
Pignataro, Lorenzo .
ECANCERMEDICALSCIENCE, 2013, 7
12