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Robotics and systems technology for advanced endoscopic procedures: experiences in general surgery
M O Schurr1, A Arezzo, G F Buess
1Section for Minimally Invasive Surgery, Eberhard-Karls University, Tuebingen, Gerrnany.
Summary
This paper reviews technologies enhancing endoscopic surgery, including ergonomic chairs and robotic systems like ARTEMIS. These innovations aim to improve surgeon ergonomics and enable advanced procedures such as solo-surgery and telemanipulation.
Area of Science:
- Surgical Technology
- Minimally Invasive Surgery
- Robotics in Medicine
Background:
- Endoscopic techniques have significantly advanced surgical practices.
- Current technologies aim to improve surgeon ergonomics and procedural capabilities.
- The integration of robotics offers potential for enhanced surgical control and assistance.
Purpose of the Study:
- To provide an overview of technologies facilitating endoscopic surgery.
- To explore the application of system and robotic technology in general and cardiac surgery.
- To describe advancements in ergonomic support and robotic instrumentation for solo-surgery.
Main Methods:
- Review of existing and developmental technologies for endoscopic surgery.
- Description of an ergonomic chair with integrated controls for endoscopic procedures.
- Introduction of robotic systems, including the ARTEMIS master-slave manipulator prototype.
Main Results:
- Development of an ergonomic chair with integrated foot pedals and electric motor drive.
- Design and experimental application of the ARTEMIS endoscopic manipulator system (1996).
- Demonstration of robotic manipulators providing surgeons with increased degrees of freedom.
Conclusions:
- Technological advancements, including robotics and ergonomic design, are crucial for the future of endoscopic surgery.
- Robotic systems like ARTEMIS show promise for solo-surgery and microsurgical instrumentation.
- Future developments in telecommunication integrated with robotic instruments will expand possibilities in teleconsulting, teleassistance, and telemanipulation.