10. Robotic Surgery: Present and future. 10

Dec 2018

Robotic Surgery




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 Robotic surgery pdf


Laparoscopic Limitations/Robotic Solutions
Laparoscopic Problems/LimitationsRobotic Surgery Solutions/Potential
Two-dimensional vision of surgical field displayed on the monitor impairs depth perceptionBinocular systems and polarizing filters create 3-dimensional view of the field
Movements are counterintuitive (ie, moving the instrument to the right appears to the left on the screen due to mirror-image effect)Movements are intuitive (ie, moving the control to the right produces a movement to the right on the viewer)
Unstable camera held by an assistantSurgeon controls camera held in position by robotic arm, allowing solo surgery
Diminished degrees of freedom of straight laparoscopic instrumentsMicrowrists near the tip that mimic the motion of the human wrist
Surgeon forced to adopt uncomfortable postures during operationSuperior operative ergonomics: surgeon comfortably seated on the control console
Steep learning curveShorter learning curve      

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