Abstract
Minimally invasive surgery (MIS) can be considered as the greatest surgical innovation over the past 30 years. It revolutionized surgical practice with well-proven advantages over traditional open surgery: reduced surgical trauma and incision-related complications, such as surgical-site infections, postoperative pain and hernia, reduced hospital stay, and improved cosmetic outcome. Nonetheless, proficiency in MIS can be technically challenging as conventional laparoscopy is associated with several limitations as the two-dimensional (2D) monitor reduction in-depth perception, camera instability, limited range of motion, and steep learning curves. The surgeon has a low force feedback, which allows simple gestures, respect for tissues, and more effective treatment of complications. Since the 1980s, several computer sciences and robotics projects have been set up to overcome the difficulties encountered with conventional laparoscopy, to augment the surgeon’s skills, achieve accuracy and high precision during complex surgery, and facilitate widespread of MIS. Surgical instruments are guided by haptic interfaces that replicate and filter hand movements. Robotically assisted technology offers advantages that include improved three-dimensional stereoscopic vision, wristed instruments that improve dexterity, and tremor canceling software that improves surgical precision.
Highlights
Robotic Surgery in GynecologyJean Bouquet de Joliniere1* , Armando Librino, Jean-Bernard Dubuisson, Fathi Khomsi, Nordine Ben Ali, Anis Fadhlaoui, J
Robotic applications to surgery started in 1970s as military projects endorsed by the National Aeronautics and Space Administration (NASA) and funded by the Defense Advanced Research Project Administration (DARPA) in order to replace the surgeon’s physical presence and provide care to astronauts or to soldiers in battlefields [1]
After the merger of Computer Motion and Intuitive Surgical, development of the Zeus® robot was discontinued in favor of the da Vinci® system, which was equipped with a compact platform moving on wheels, three to four robotic operating arms and a stereoscopic immersive camera being able to give a 10-fold magnified view and under control
Summary
Jean Bouquet de Joliniere1* , Armando Librino, Jean-Bernard Dubuisson, Fathi Khomsi, Nordine Ben Ali, Anis Fadhlaoui, J. Invasive surgery (MIS) can be considered as the greatest surgical innovation over the past 30 years. It revolutionized surgical practice with well-proven advantages over traditional open surgery: reduced surgical trauma and incision-related complications, such as surgical-site infections, postoperative pain and hernia, reduced hospital stay, and improved cosmetic outcome. Since the 1980s, several computer sciences and robotics projects have been set up to overcome the difficulties encountered with conventional laparoscopy, to augment the surgeon’s skills, achieve accuracy and high precision during complex surgery, and facilitate widespread of MIS. Assisted technology offers advantages that include improved three-dimensional stereoscopic vision, wristed instruments that improve dexterity, and tremor canceling software that improves surgical precision
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