Abstract
The use of robotics has been developing for several decades, but its adoption for General Surgery only started to emerge in the 1990s. While several robotic devices have been developed, the da Vinci Surgical System (Intuitive Surgical Inc, Sunnyvale, CA, USA) remains today by far the most commonly used robotic device for General Surgery. This master-slave system separates the surgeon from the patient and consists of a surgical console, surgical and vision carts. It is designed to mimic the upper extremities of the surgeons and results in very intuitive control of articulated surgical instruments while providing a true 3-dimensional image with magnification. Additional software features include motion scaling and tremor filtration. As a result, robotic surgery appears technologically superior when compared to conventional laparoscopy by overcoming some of the technical challenges that are imposed to the surgeon. While robotics has been applied to a wide range of surgical procedures, its role in General Surgery remains a subject of debate as increased costs need to be justified by superior clinical outcomes. Until now, no clear clinical evidence has been created that establishes the use of robotics as the gold standard for procedures of General Surgery. While surgical robotics is still in its infancy with multiple novel systems currently under development and clinical trials in progress, the opportunities for this technology appear endless and robotics will have a lasting impact to the field of General Surgery.
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Hagen, M.E., Tauxe, W.M., Morel, P. (2015). Robotic Applications in Advancing General Surgery. In: Latifi, R., Rhee, P., Gruessner, R. (eds) Technological Advances in Surgery, Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2671-8_31
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DOI: https://doi.org/10.1007/978-1-4939-2671-8_31
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