robotic surgery student watch “taking surgery beyond the limits of the human hand”™ stuart...
TRANSCRIPT
Robotic Surgery Student Watch
“Taking surgery beyond the limits of the human hand”™
Stuart Graham RN
Robotic Surgery Coordinator
Evolution of Surgery
– Open surgery: mid-19th Century
– Minimally invasive surgery:Began in late 1980’s
(Laparoscopic Surgery)
– Computer Assisted (Robotic) surgery with da Vinci: 1999
1987
Advantages of Minimally Invasive Surgery (MIS)
– Faster recovery– Shorter hospital stay– Quicker return to work– Less postoperative pain– Better cosmesis– Patient Expectation
Laparoscopic Surgery
• Minimally invasive surgery
• Ability to operate through small keyhole incisions
• Camera and instruments fit through the keyhole incisions
• Better visualization than open surgery
Conventional Laparoscopic Surgery Drawbacks
• 2–D flat image video• Rigid instruments - chopsticks• Instruments controlled at a distance - fulcrum effect• Decreases your surgeon’s precision, dexterity and control• Higher surgeon fatigue• Makes complex operations more difficult
How can we overcome these drawbacks?
AESOP Lineage(Automated Endoscopic System for Optimal Positioning)
• AESOP 1000 (1993)First CMI product
• AESOP 2000 (1996) Incorporates voice recognition control
• AESOP 3000 (1998) Adds:– Double-jointed elbow– 3-D manual mode button
Surgical Benefits
• Improved vision with a true 3 dimensional view magnified up to 10x.
• Scaled surgeon movement. Ratios vary from 1:1, 3:1 and 5:1. This allows for very fine work and offers great benefits in pediatric laparoscopic surgery.
• Improved surgical dexterity with wristed instruments allows for 6 degrees of surgical freedom rather than the 4 in traditional laparoscopic surgery.
• Improved surgeon comfort – Surgeon seated at console during the majority of the surgery.
Predicting the future…
“I think there is a world market for about five computers”
Thomas WatsonChairman IBM,
1943