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Soft Tissue Robotic Assisted Orbital Surgery Using da Vinci SP: A Cadaveric Experience.

Jack Faulkner1,2, Mohsan Malik3, Claire Daniel3

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Summary

This study explored robotic assisted orbital surgery using the da Vinci SP system in cadavers. The novel robotic platform demonstrated feasibility for various orbital procedures, though instrument size presented some limitations.

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Area of Science:

  • Ophthalmology
  • Robotic Surgery
  • Surgical Innovation

Background:

  • Robotic surgery has advanced many medical fields, but its application in ophthalmology, particularly orbital surgery, remains limited.
  • The da Vinci SP (single-port) robotic platform offers a novel approach for minimally invasive procedures.

Purpose of the Study:

  • To assess the feasibility of robotic-assisted orbital surgery using the da Vinci SP system.
  • To evaluate the potential of this novel robotic platform for complex orbital procedures.

Main Methods:

  • The da Vinci SP robotic system was used to perform several orbital procedures on cadaveric specimens.
  • Procedures included lacrimal gland dissection and biopsy, orbital wall dissections, enucleation, and orbital exenteration.
  • Feasibility was determined by the successful completion of each procedure by the operating surgeon.

Main Results:

  • Seven orbital procedures were successfully completed in three cadaveric specimens without complications.
  • Setup and operative times were deemed acceptable after optimization.
  • The system's three instrument arms and endoscope allowed for effective manipulation and retraction, though instrument size limited access at the orbital apex.

Conclusions:

  • The da Vinci SP system is feasible for various robotic-assisted orbital surgery applications in a preclinical setting.
  • Robotic surgical systems offer advantages for orbital surgery, but current platforms require further optimization for the specific anatomical challenges of the orbit.