Evaluation of telesurgical (robotic) NISSEN fundoplication

被引：128

作者：

Cadière, GB ^{[1
]}

Himpens, J ^{[1
]}

Vertruyen, M ^{[1
]}

Bruyns, J ^{[1
]}

Germay, O ^{[1
]}

Leman, G ^{[1
]}

Izizaw, R ^{[1
]}

机构：

[1] CHU St Pierre, Gastrointestinal Surg Dept, B-1000 Brussels, Belgium

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2001年 / 15卷 / 09期

关键词：

ergonomics; laparoscopic tools; Nissen fundoplication; robotic; telemedicine; telesurgery;

D O I：

10.1007/s004640000217

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background:The laparoscopic surgical approach has proven its benefit for the patient. There are however several shortcomings, which have triggered considerable research for improvement. One improvement may be the introduction of telesurgery by the interposition of a computer interface between surgeon and patient. Material and Methods: A prospective randomized study was conducted in an advanced laparoscopic procedure, Nissen fundoplication. The control group underwent the conventional laparoscopic approach, while the investigational group underwent the telesurgical approach. Results: Feasibility was 100%. The procedure was more time consuming in the Telesurgical group, at all stages of the operation. Mortality was nil and morbidity was comparable in both groups. Conclusion: The telesurgical approach is feasible in advanced laparoscopic procedures like Nissen fundoplication. At the present time there is however no obvious added benefit from this new technique.

引用

页码：918 / 923

页数：6

共 19 条

[1] A comparison of surgeons' posture during laparoscopic and open surgical procedures [J].

Berguer, R ;

Rab, GT ;

AbuGhaida, H ;

Alarcon, A ;

Chung, J .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (02) :139-142

[2] LAPAROSCOPIC NISSEN FUNDOPLICATION - TECHNIQUE AND PRELIMINARY-RESULTS [J].

CADIERE, GB ;

HOUBEN, JJ ;

BRUYNS, J ;

HIMPENS, J ;

PANZER, JM ;

GELIN, M .

BRITISH JOURNAL OF SURGERY, 1994, 81 (03) :400-403

[3]

Cadière GB, 1999, ANN CHIR, V53, P137

[4]

CADIERE GB, 1995, SURG ENDOSC-ULTRAS, V9, P450

[5] Visual integration of data and basic motor skills under laparoscopy - Influence of 2-D and 3-D video-camera systems [J].

Dion, YM ;

Gaillard, F .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (10) :995-1000

[6]

Dubois F, 1990, Chirurgie, V116, P248

[7] Manual vs robotically assisted laparoscopic surgery in the performance of basic manipulation and suturing tasks [J].

Garcia-Ruiz, A ;

Gagner, M ;

Miller, JH ;

Steiner, CP ;

Hahn, JF .

ARCHIVES OF SURGERY, 1998, 133 (09) :957-961

[8] Robotic surgical instruments for dexterity enhancement in thoracoscopic coronary artery bypass graft [J].

GarciaRuiz, A ;

Smedira, NG ;

Loop, FD ;

Hahn, JF ;

Miller, JH ;

Steiner, CP ;

Gagner, M .

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A, 1997, 7 (05) :277-283

[9] Telesurgical laparoscopic cholecystectomy [J].

Himpens, J ;

Leman, G ;

Cadiere, GB .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (08) :1091-1091

[10]

KOLMORGEN K, 1989, ZBL GYNAKOL, V111, P609

← 1 2 →