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Robot-Assisted Endoscopic Resection: Current Status and Future Directions
Therapeutic endoscopic resection has gained favor for its ability to achieve high en bloc and histologically complete resection rates via a minimally invasive approach. The main technical difficulties faced by interventionists are first the lack of traction causing suboptimal visualization of the di...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Office of Gut and Liver
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096234/ https://www.ncbi.nlm.nih.gov/pubmed/31158954 http://dx.doi.org/10.5009/gnl19047 |
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author | Kaan, Hung Leng Ho, Khek Yu |
author_facet | Kaan, Hung Leng Ho, Khek Yu |
author_sort | Kaan, Hung Leng |
collection | PubMed |
description | Therapeutic endoscopic resection has gained favor for its ability to achieve high en bloc and histologically complete resection rates via a minimally invasive approach. The main technical difficulties faced by interventionists are first the lack of traction causing suboptimal visualization of the dissection field and second, the lack of triangulation using existing therapeutic apparatuses. These challenges can be overcome with the use of robots and the multiple degrees of freedom afforded by the robotic wrists. Nevertheless, complications such as bleeding and perforation can occur. It is hence beneficial for the robotic device to be equipped with additional abilities such as suturing. Once the robotic prototypes have been fully optimized and marketed, a structured program should be instituted to ensure proper and adequate training of the end-users. The future of robotics should then explore the possibility of developing a soft robot or a robot with more natural human-like movements. A robot with a force feedback mechanism would be superior and improve safety. Eventually, a supervised autonomous robot may perform interventions with greater precision and accuracy than an expert procedurist. This review describes the benefits of robot-assisted endoscopic resections, recent developments aimed at managing iatrogenic complications and future directions for robotic endoscopy. |
format | Online Article Text |
id | pubmed-7096234 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Editorial Office of Gut and Liver |
record_format | MEDLINE/PubMed |
spelling | pubmed-70962342020-04-02 Robot-Assisted Endoscopic Resection: Current Status and Future Directions Kaan, Hung Leng Ho, Khek Yu Gut Liver Review Therapeutic endoscopic resection has gained favor for its ability to achieve high en bloc and histologically complete resection rates via a minimally invasive approach. The main technical difficulties faced by interventionists are first the lack of traction causing suboptimal visualization of the dissection field and second, the lack of triangulation using existing therapeutic apparatuses. These challenges can be overcome with the use of robots and the multiple degrees of freedom afforded by the robotic wrists. Nevertheless, complications such as bleeding and perforation can occur. It is hence beneficial for the robotic device to be equipped with additional abilities such as suturing. Once the robotic prototypes have been fully optimized and marketed, a structured program should be instituted to ensure proper and adequate training of the end-users. The future of robotics should then explore the possibility of developing a soft robot or a robot with more natural human-like movements. A robot with a force feedback mechanism would be superior and improve safety. Eventually, a supervised autonomous robot may perform interventions with greater precision and accuracy than an expert procedurist. This review describes the benefits of robot-assisted endoscopic resections, recent developments aimed at managing iatrogenic complications and future directions for robotic endoscopy. Editorial Office of Gut and Liver 2020-03-15 2019-06-04 /pmc/articles/PMC7096234/ /pubmed/31158954 http://dx.doi.org/10.5009/gnl19047 Text en Copyright © 2020 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Kaan, Hung Leng Ho, Khek Yu Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title | Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title_full | Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title_fullStr | Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title_full_unstemmed | Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title_short | Robot-Assisted Endoscopic Resection: Current Status and Future Directions |
title_sort | robot-assisted endoscopic resection: current status and future directions |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096234/ https://www.ncbi.nlm.nih.gov/pubmed/31158954 http://dx.doi.org/10.5009/gnl19047 |
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