16. Robotics in Laparoscopic and Thoracoscopic Surgery



Advanced technology used in modern surgery includes telerobotic and robotic surgical instrumentation. The device currently used for most general surgical, and thoracic procedures (daVinci, Intuitive Surgical Sunnyvale, CA, USA) is more precisely defined as a telerobotic computer-assisted telemanipulator. Current clinical applications include image-guided robotic surgeries and computer enhanced robotic telesurgery. Operative procedures include a wide variety of cardiac procedures that can be accomplished without open sternotomy or thoracotomy. Most general surgical procedures have demonstrated some feasibility using robotic devices, although few have demonstrated superiority when compared to standard laparoscopic procedures. Selected procedures may show benefit such as esophagomyotomy. Urology and gynecology have seen significant growth in computer assisted surgery for the last decade as well as noncardiac thoracic procedures. There are limitations that will continue to slow the adoption of computer assisted surgery in general surgery; however, many examples of emerging technology are in place that will allow us to increase the use of technology to enhance patient outcomes. Ongoing evaluation of this technology is important in order that it be applied appropriately. This chapter gives an overview and introduction to these emerging technologies and their applications.


Robotic surgery Telerobotic surgery Computer-assisted surgery Telesurgery Image guided robotic systems 

Selected References

  1. Aiono S, Gilbert JM, Soin B, Finlay PA, Gordan A. Controlled trial of the introduction of a robotic camera assistant (EndoAssist) for laparoscopic cholecystectomy. Surg Endosc. 2002;16:1267–70.PubMedCrossRefGoogle Scholar
  2. Cadeddu JA, Stoianovici D, Chen RN, Moore RG, Kavoussi LR. Stereotactic mechanical percutaneous renal access. J Endourol. 1998;12:121–6.PubMedCrossRefGoogle Scholar
  3. Davies B. A review of robotics in surgery. Proc Inst Mech Eng. 2000;214(H):129–40.Google Scholar
  4. Galvani CA, Gorodner MV, Moser F, Jacobsen G, Chretien C, Espat NJ, Donahue P, Horgan S. Robotically assisted laparoscopic transhiatal esophagectomy. Surg Endosc. 2008;22(4):1139–40.Google Scholar
  5. Lavallee S, Brunie L, Mazier B, et al. Image guided operating robot: a clinical application in stereotactic surgery. In: Taylor R, et al., editors. Computer integrated surgery. Cambridge, MA: MIT Press; 1996;77–98.Google Scholar
  6. Luketich JD, Fernardo HC, Buanaventura PO, Christie NA, Grondin SC, Schauer PR. Results of a randomized trial of HERMES-assisted vs non-HERMES-assisted laparoscopic antireflux surgery. Surg Endosc. 2002;16:1264–8.PubMedCrossRefGoogle Scholar
  7. Massamune K, Kobayashi E, Masutani Y, et al. Development of an MRI-compatible needle insertion manipulator for stereotactic neurosurgery. J Image Guid Surg. 1995;1:242–8.CrossRefGoogle Scholar
  8. Melvin WS, Dundon JM, Talamini MA, Horgan S. Computer enhanced robotic telesurgery reduces esophageal perforation during Heller myotomy. Surgery. 2005;138(4):553–8; discussion 558–9.Google Scholar
  9. Melvin WS, Needleman JB, Krause RK, Schneider C, Ellisson EC. Computer-enhanced vs. standard laparoscopic antireflux surgery. J Gastroint Surg. 2002;6:11–6.Google Scholar
  10. Prasad SM, Ducko CT, Stephenson ER, Chambers CE, Ralph J. Prospective clinical trial of robotically assisted endoscopic coronary grafting with 1-year follow-up. Ann Surg. 2001;233(6):725–32.PubMedCrossRefGoogle Scholar
  11. Rovetta A, Sala R. Robotics and telerobotics applied to a prostate biopsy on a human patient. In: Proceedings of the second international symposium on medical robotics and computer–assisted surgery, Baltimore, 2000. p. 104.Google Scholar
  12. Talamini M, Chapman W, Melvin S, Horgan S. A prospective analysis of 211 robotic assisted surgical procedures. Surg Endosc. 2002;16 Suppl 1:S205.Google Scholar
  13. Weinstein GS, O’Malley Jr BW, Cohen MA, Quon H. Transoral robotic surgery for advanced oropharyngeal carcinoma. Arch Otolaryngol Head Neck Surg. 2010;136(11):1079–85.PubMedCrossRefGoogle Scholar
  14. Weissenbacher A, Bodner J. Robotic surgery of the mediastinum. Thorac Surg Clin 2010;20(2):331–9.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of SurgeryThe Ohio State UniversityColumbusUSA
  2. 2.Department of Minimally Invasive SurgeryThe Ohio State UniversityColumbusUSA

Personalised recommendations