Cargando…
Performance of microvascular anastomosis with a new robotic visualization system: proof of concept
Microvascular procedures require visual magnification of the surgical field, e.g. by a microscope. This can be accompanied by an unergonomic posture with musculoskeletal pain or long-term degenerative changes as the eye is bound to the ocular throughout the whole procedure. The presented study descr...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135778/ https://www.ncbi.nlm.nih.gov/pubmed/34410583 http://dx.doi.org/10.1007/s11701-021-01294-5 |
_version_ | 1784714038844850176 |
---|---|
author | Boehm, F. Schuler, P. J. Riepl, R. Schild, L. Hoffmann, T. K. Greve, J. |
author_facet | Boehm, F. Schuler, P. J. Riepl, R. Schild, L. Hoffmann, T. K. Greve, J. |
author_sort | Boehm, F. |
collection | PubMed |
description | Microvascular procedures require visual magnification of the surgical field, e.g. by a microscope. This can be accompanied by an unergonomic posture with musculoskeletal pain or long-term degenerative changes as the eye is bound to the ocular throughout the whole procedure. The presented study describes the advantages and drawbacks of a 3D exoscope camera system. The RoboticScope(®)-system (BHS Technologies(®), Innsbruck, Austria) features a high-resolution 3D-camera that is placed over the surgical field and a head-mounted-display (HMD) that the camera pictures are transferred to. A motion sensor in the HMD allows for hands-free change of the exoscope position via head movements. For general evaluation of the system functions coronary artery anastomoses of ex-vivo pig hearts were performed. Second, the system was evaluated for anastomosis of a radial-forearm-free-flap in a clinical setting/in vivo. The system positioning was possible entirely hands-free using head movements. Camera control was intuitive; visualization of the operation site was adequate and independent from head or body position. Besides technical instructions of the providing company, there was no special surgical training of the surgeons or involved staff upfront performing the procedures necessary. An ergonomic assessment questionnaire showed a favorable ergonomic position in comparison to surgery with a microscope. The outcome of the operated patient was good. There were no intra- or postoperative complications. The exoscope facilitates a change of head and body position without losing focus of the operation site and an ergonomic working position. Repeated applications have to clarify if the system benefits in clinical routine. |
format | Online Article Text |
id | pubmed-9135778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-91357782022-05-28 Performance of microvascular anastomosis with a new robotic visualization system: proof of concept Boehm, F. Schuler, P. J. Riepl, R. Schild, L. Hoffmann, T. K. Greve, J. J Robot Surg Original Article Microvascular procedures require visual magnification of the surgical field, e.g. by a microscope. This can be accompanied by an unergonomic posture with musculoskeletal pain or long-term degenerative changes as the eye is bound to the ocular throughout the whole procedure. The presented study describes the advantages and drawbacks of a 3D exoscope camera system. The RoboticScope(®)-system (BHS Technologies(®), Innsbruck, Austria) features a high-resolution 3D-camera that is placed over the surgical field and a head-mounted-display (HMD) that the camera pictures are transferred to. A motion sensor in the HMD allows for hands-free change of the exoscope position via head movements. For general evaluation of the system functions coronary artery anastomoses of ex-vivo pig hearts were performed. Second, the system was evaluated for anastomosis of a radial-forearm-free-flap in a clinical setting/in vivo. The system positioning was possible entirely hands-free using head movements. Camera control was intuitive; visualization of the operation site was adequate and independent from head or body position. Besides technical instructions of the providing company, there was no special surgical training of the surgeons or involved staff upfront performing the procedures necessary. An ergonomic assessment questionnaire showed a favorable ergonomic position in comparison to surgery with a microscope. The outcome of the operated patient was good. There were no intra- or postoperative complications. The exoscope facilitates a change of head and body position without losing focus of the operation site and an ergonomic working position. Repeated applications have to clarify if the system benefits in clinical routine. Springer London 2021-08-19 2022 /pmc/articles/PMC9135778/ /pubmed/34410583 http://dx.doi.org/10.1007/s11701-021-01294-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Boehm, F. Schuler, P. J. Riepl, R. Schild, L. Hoffmann, T. K. Greve, J. Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title | Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title_full | Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title_fullStr | Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title_full_unstemmed | Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title_short | Performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
title_sort | performance of microvascular anastomosis with a new robotic visualization system: proof of concept |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135778/ https://www.ncbi.nlm.nih.gov/pubmed/34410583 http://dx.doi.org/10.1007/s11701-021-01294-5 |
work_keys_str_mv | AT boehmf performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept AT schulerpj performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept AT rieplr performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept AT schildl performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept AT hoffmanntk performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept AT grevej performanceofmicrovascularanastomosiswithanewroboticvisualizationsystemproofofconcept |