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Ultrasound-guided robotic surgical procedures: a systematic review.
Matteo Pavone1,2,3, Barbara Seeliger4,5,6,7, Elena Teodorico8
1Institute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France. matteopavone.21@gmail.com.
Surgical Endoscopy
|March 21, 2024
Summary
Robotic intraoperative ultrasound (RIOUS) enhances minimally invasive surgery by providing clear visualization without radiation. This systematic review highlights RIOUS applications in various surgical fields, improving precision and potentially reducing procedure times.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Medical Imaging
Background:
- Laparoscopic ultrasound, known as "the surgeon's stethoscope," offers advantages beyond tactile sensation, particularly in robotic surgery.
- It enables visualization through tissue and into vascular structures, avoiding unnecessary dissection and the need for contrast media or ionizing radiation.
- Robotic handling of miniaturized ultrasound probes overcomes limitations in angulation and access during laparoscopy, with specific frequencies tailored for different tissues.
Approach:
- This systematic review adhered to PRISMA guidelines, searching PubMed, Google Scholar, ScienceDirect, and ClinicalTrials.gov up to October 2023.
- Included were manuscripts reporting data on ultrasound-guided robotic procedures for qualitative analysis.
- Twenty studies met the inclusion criteria.
Key Points:
- The majority of studies (53%) focused on general surgery (liver, pancreas, spleen, gallbladder/bile duct, vascular, rectal).
- Oncological surgery (42%) including urology, lung surgery, and retroperitoneal lymphadenectomy was also a significant area.
- Key applications included locating tumoral lesions (53%), assessing feasibility (15%), comparing probe types (10.5%), and evaluating specific probes and tissue characteristics.
Conclusions:
- Robotic instrumentation offers ergonomic, dexterity, and precision advantages for robotic intraoperative ultrasound (RIOUS).
- RIOUS supports surgeons by providing enhanced visualization and assessment capabilities.
- The findings suggest RIOUS can potentially reduce minimally invasive procedure times.
