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Telemicrosurgery pp 43–49Cite as

Robot Installation in Telemicrosurgery

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Abstract

Telemicrosurgery requires specific installation, completely different than in conventional microsurgery: robot position with regard to both the patient and the surgeon, surgical approaches, dissection of and support of a convenient surgical cavity allowing enough space for both camera and surgical instruments to move unimpeded.

Installation of the microscope is far easier in conventional microsurgery than in robot in telemicrosurgery. In telemicrosurgery, the arms of the robot do not extend significantly beyond the robot’s body, but are aimed instead towards the body. The body of the robot needs to be installed facing the telemicrosurgeon, as if the robot was about to perform a conventional microsurgical procedure.

Telemicrosurgery can be performed either by open approach or by minimally invasive means. Using a conventional open approach, telemicrosurgery does not require any alteration in routine other than robot installation. Minimally invasive telemicrosurgery limits the potential for scar tissue formation. Surgical approaches and indications are subject to the same requirements as in conventional laparoscopic telesurgery. In telemicrosurgery, the surgical field is located inside a cavity which needs to be at first dissected and then maintained during the procedure.

Installation of a telemicrosurgical procedure is complex, and adherence to several principles is warranted.

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Authors and Affiliations

  1. Department of Hand Surgery, Strasbourg University Hospitals, 10 Avenue Baumann, F-67403, Illkirch, Strasbourg, France

    Thierry Lequint M.D., Kiyohito Naito M.D., Sybille Facca M.D. & Philippe Liverneaux M.D., Ph.D.

  2. Department of Orthopeadics, Grand Hôpital, Charleroi, Belgium

    Thierry Lequint M.D.

  3. Department of Orthopeadics, Juntendo University, Tokyo, Japan

    Kiyohito Naito M.D.

  4. European Institute of TeleSurgery, IRCAD, F-67000, Strasbourg, France

    Eric Nectoux M.D. & Philippe Liverneaux M.D., Ph.D.

  5. Department of Children’s Surgery and Orthopaedics, Lille University Hospital, Lille 2 Nord de France University, Lille, France

    Eric Nectoux M.D.

Authors
  1. Thierry Lequint M.D.
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  2. Kiyohito Naito M.D.
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  3. Eric Nectoux M.D.
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  4. Sybille Facca M.D.
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  5. Philippe Liverneaux M.D., Ph.D.
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Corresponding author

Correspondence to Philippe Liverneaux M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Centre de Chirurgie, Orthopédique et de la Main (CCOM), Hôpitaux Universitaires de Strasbourg, av. Achille Baumann 10, Illkirch CX, 67403, France

    Philippe A. Liverneaux

  2. , Department of Orthopedic Surgery, Northwest Hospita, Crossroads Drive 10, Owings Mills, Baltimore, 21117, Maryland, USA

    Stacey H. Berner

  3. , Orthopaedic Surgery and Rehabilitation, Loyola University, Chicago, S. First Avenue 2160, Maywood, 60153, Illinois, USA

    Michael S. Bednar

  4. University of Florida, Director, Robotic Surgery, Winter Haven Hospital &, 200 Avenue F. N.E., Winter Haven, 33881, Florida, USA

    Sijo J. Parekattil

  5. São Paolo Hand Center, Rua Maestro Cardim 987, Sao Paolo, 01323-001, Brazil

    Gustavo Mantovani Ruggiero

  6. , Department of Plastic Surgery, M.D. Anderson Cancer Center, Pressler St 1400, Houston, 77030, Texas, USA

    Jesse C. Selber

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© 2013 Springer-Verlag France

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Lequint, T., Naito, K., Nectoux, E., Facca, S., Liverneaux, P. (2013). Robot Installation in Telemicrosurgery. In: Liverneaux, P., Berner, S., Bednar, M., Parekattil, S., Mantovani Ruggiero, G., Selber, J. (eds) Telemicrosurgery. Springer, Paris. https://doi.org/10.1007/978-2-8178-0391-3_5

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  • DOI: https://doi.org/10.1007/978-2-8178-0391-3_5

  • Published:

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0390-6

  • Online ISBN: 978-2-8178-0391-3

  • eBook Packages: MedicineMedicine (R0)

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