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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Evaluation of a new multitasking platform for endoscopic full-thickness resection
Keiichi Ikeda1, Kazuki Sumiyama, Hisao Tajiri
1Department of Endoscopy, Jikei University School of Medicine, Tokyo, Japan. endosc-ikeda@jikei.ac.jp
Gastrointestinal Endoscopy
|November 16, 2010
Summary
A new multitasking platform demonstrated superior precision and efficiency in endoscopic full-thickness resection (EFTR) compared to conventional endoscopes in a porcine model, advancing GI endoscopy capabilities.
Area of Science:
- Gastroenterology
- Surgical Technology
- Endoscopic Surgery
Background:
- Natural orifice transluminal endoscopic surgery (NOTES) drives innovation in GI endoscopy.
- Multitasking platforms and suturing devices are crucial for endoluminal and NOTES procedures.
Purpose of the Study:
- To evaluate the efficacy of a novel multitasking platform for endoscopic full-thickness resection (EFTR).
Main Methods:
- A bench-top comparison study utilized 10 ex vivo porcine models.
- Ten EFTRs were performed: 5 with a double-channel endoscope and 5 with the new multitasking platform, both assisted by percutaneous gastric lifting.
- Procedures involved resecting a 10 mm full-thickness gastric wall specimen with adequate margins.
Main Results:
- No significant difference in mean specimen diameter was observed between the groups.
- The multitasking platform group showed significantly superior outcomes in procedure time, resection accuracy, and efficiency (P < .05).
Conclusions:
- The new multitasking platform enables precise and effective EFTR in a porcine model, outperforming conventional endoscopes.
- This platform is valuable for advanced endoluminal surgeries like EFTR and endoscopic submucosal dissection, as well as NOTES procedures.
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