Computers and robotics in gynaecological endoscopy

Computerised documentation has already gained ground in our daily work. Even robots no longer belong just in the realm of science fiction but perform specialised tasks in certain fields. The aim of this study was a comparison of robotic versus human laparoscopic camera control. Utilising robotic technology a robot has been designed specifically for the purpose of holding and manoeuvring the laparoscope under the direct control of the surgeon. We tested AESOP = Automated Endoscopic System for Optimal Positioning in 50 patients undergoing routine gynaecologic endoscopic surgical procedures, The elimination of the camera holder allows two doctors to perform complex laparoscopic surgery faster than without the robotic arm. The timing of surgical procedures performed by surgeons using the voice control was compared to the timing of similar operations using the foot or hand control. The voice controlled AESOP works more efficiently and faster than the hand or foot control.