Robot assisted laparoscopic surgery with zeus system preliminary results and technical aspects
Sponsored Links
This presentation is the property of its rightful owner.
1 / 42

ROBOT-ASSISTED LAPAROSCOPIC SURGERY WITH ZEUS SYSTEM : PRELIMINARY RESULTS AND TECHNICAL ASPECTS PowerPoint PPT Presentation


  • 106 Views
  • Uploaded on
  • Presentation posted in: General

ROBOT-ASSISTED LAPAROSCOPIC SURGERY WITH ZEUS SYSTEM : PRELIMINARY RESULTS AND TECHNICAL ASPECTS. Hurng-Sheng Wu Department of Surgery, Show-Chwan Memorial Hospital, Changhua , Taiwan, R.O.C. 台北秀傳醫院. ( 30 床). ( 500 床). 竹山秀傳醫院. 彰濱秀傳健康園區. ( 700 床). 籌設中. ( 731 床). 秀傳紀念醫院. 台南市立醫院.

Download Presentation

ROBOT-ASSISTED LAPAROSCOPIC SURGERY WITH ZEUS SYSTEM : PRELIMINARY RESULTS AND TECHNICAL ASPECTS

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


ROBOT-ASSISTED LAPAROSCOPIC SURGERY WITH ZEUS SYSTEM: PRELIMINARY RESULTS AND TECHNICAL ASPECTS

Hurng-Sheng Wu

Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, R.O.C


台北秀傳醫院

(30床)

(500床)

竹山秀傳醫院

彰濱秀傳健康園區

(700床)

籌設中

(731床)

秀傳紀念醫院

台南市立醫院

(全國第一家公辦民營)

高雄縣立岡山醫院

(公辦民營)


Difficulties of laparoscopic surgery

  • Unstable camera platform

  • Loss of degrees of freedom

  • Two-dimentional imaging

  • Poor ergonomics for the surgeon

Ballantyne G. H.

Surgical laparoscopy, endoscopy

Percutaneous techniques

Vol. 12, No. 1, pp.1-5, 2002


Decades of Changes in Surgical Education

<1950 Operating room theaters

1960 Experimental surgery and motion picture films

1970 Industry-research laboratories

1980 Endoscopic surgery

1990 Laparoscopy

2000 Robotics

Alberto Peracchia,

Annals of Surgery

Vol.234, No. 6, 709-712, 2001


Space Medicine

  • ZEUS

  • da Vinci

    • Master-slavemanipulator

    • Simplicity

    • Lightness

    • Range of freedom

    • Motion scaling

    • Real-time high-resolution 3D vision

    • Physiological tremor elimination


The key component of the Zeus Surgical System is the microwrist technology. It allows the surgeon to roll, pitch, yaw and grip laparoscopic tools.

It also provideds a real benefit for the surgeon with a 3-D view of the operative field.

Microwrist


What is about space medicine?


ROBOT: computer-enhanced humanistic device


Zeus Robotic System

  • AESOP

  • HERMIS

  • SOCRATES

  • Surgeon Console& Three Roboyic Arms


LIMITATIONS OF ROBOTIC SURGERY

  • Ports and/or robotic arms placement

    • eg: lithotomy position

    • Cosmetic

  • Depth perception

    • No haptic feed back

      eg: needle and suture breaks

  • Size

  • Set up


Robotic Surgery in Show Chwan Memorial Hospital

BETWEEN MARCH,2002 AND NOVEMBER, 2004


Endo-ACAB

Definition :

A less invasive bypass procedure on the beating heart where all steps are performed endoscopically with the exception of a manual anastomosis.


Technique of Endo-ACAB

  • Endoscopic IMA Harvest

  • voice-activated robotic-assisted

  • and a 5mm thoracoscope under

  • single lung ventilation and CO2

  • insufflation


Technique of Endo-ACAB

  • Atrumatic Thoracotomy


Technique of Endo-ACAB

  • Direct vision anastomosis


Robotic-Assisted Laparoscopic Surgery in Difficult Common Bile Duct Stone: Preliminary Results in Show Chwan Memorial Hospital

Hurng-Sheng Wu

Department of Surgery,

Show Chwan Memorial Hospital, Changhua. Taiwan


Background

  • Common bile duct stones are a frequent problem (10-15%) in patients with symptomatic cholecystolithiasis

  • Laparoscopic techniques have expanded the options for their treatment

  • Difficulty in laparoscopic surgery


Aims

  • Compare the results in patients with CBD stones by Laparoscopic to robotic-assisted CBD exploration


Patients

Between January 2000 and November 2003

  • 919 patients with GB stones and/or CBD stone

  • 772 patients(84%) – LC (including 55 robotic-assisted )

  • 55 patients(6% )- Open Cholecystectomies

  • 92 patients(10%) with CBD stone

    IHS excluded

    42 patients(45%) – open CBDE

    22 patients(24%) – LCBDE

    28 patients(31%) – Robotic-assisted


Criteria of difficult common bile duct stone


Mr. Ker. 43/yrs male

C.C. :RUQ pain

tea-color urine

Lab. : GPT:65

Alk-P:368


Results(1)


Result (2 )


Result (3)


(min)

Person

Robot Set time

(min)

Person

Robot Suture Time


OP TIME & Learning Curve

Time

Person


ZEUS suture=37.76±24.33min (stitches=3.84)

LCBDE suture=24.65±10.82min (stitches=2.05)


THE FUTURE OF ROBOTIC SURGERY


CIMIT

Center for Integration of Medicine and Innovative Technology

Founding Members:

CIMIT facility in Cambridge, Massachusetts


Thank You


  • Login