General and Operative Surgery · MU Plovdiv

77. Robosurgery and telesurgery.

Inside: 2 sections · 3 min

Topic 77 of 77 in the MU Plovdiv syllabus for General and Operative Surgery (Medicine, Year 3). The free AceMed note covers it in 2 sections, about 487 words (3 min of reading).

In this note

  1. Robot-assisted surgery
  2. Telesurgery

Robot-assisted surgery

Written by Rhiana Devadasan

Robot-assisted surgery: the use of robots in the operating room (OR) to assist the surgeon in performing surgery.

Procedure:

  • Surgeon views the patient via a terminal and manipulates robotic surgical instruments via a control panel.
  • Views of the organs being worked on the transmitted from tiny cameras inserted into the body.

Classification

  • Supervisory-controlled systems
  • Tele surgical systems
  • Shared-control systems

3 types of surgical robots have been recently developed...

  1. Da Vinci Surgical system
  • designed to facilitate complex surgery using a minimally invasive approach, and is controlled by a surgeon from a console
  • commonly used for hysterectomies and prostate removals
  • four interactive robotic arms controlled from the console. Three of the arms are for tools that hold objects, and can also act as scalpels, scissors, bovies, or graspers
  • while the 4th arm contains a high definition 3D camera!!!!!
  1. Zeus robotic surgical system
  • Made up of an ergonomic surgeon control console and 2 table mounted robotic arms, which perform surgical tasks and provide visualization during endoscopic surgery.
  1. AESOP robotic system
  • Employs the assistance of the Automated Endoscopic system for optical position.

Advantages

  • Less scarring
  • Faster recovery time
  • Tiny incision
  • Shorter catheter time
  • Immediate urinary control
  • Less post op pain
  • Surgeons have an enhanced view
  • Easier to attach nerve endings
  • Fewer surgeons required in the operating room
  • Smaller infection risk
  • Less anaesthesia
  • Less blood loss

Disadvantages

  • Safety
  • Possible time lag between surgeons command and action of robot could harm the patient.
  • Loss of power in an electrical failure
  • Robots can’t replace human intelligence, skill and experience
  • Cost
  • Da vinci costs 2.5 million euros

Continue reading free

The whole note, all 2 sections, is free with an AceMed account. Premium adds flashcard recall, highlights and Ask AI.