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Laparoscopic and Robotic Surgery Training PowerPoint Presentation
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Laparoscopic and Robotic Surgery Training

Laparoscopic and Robotic Surgery Training

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Laparoscopic and Robotic Surgery Training

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Presentation Transcript

  1. Global Status of Robotic Surgery R. K. Mishra World Laparoscopy Hospital Gurgaon

  2. First robot was shown in a Movie “Metropolis” 1926 Robot word was coined by Czech writer “Karel Capek”It stands for artificial humans Courtesy of Harald Fischer, Institute for Medical Technology and Biophysics, Frankfurt

  3. First da Vinci Prototype • In 2001 after FDA approval first use on human

  4. Master Slave Manipulator Robotic Surgery World Laparoscopy Hospital

  5. Trans Atlantic MAS September 7, 2001, First transatlantic surgery took place from New York to Strasbourg. Globalization of Surgery

  6. Advantages

  7. Seven Degree of Freedom World Laparoscopy Hospital

  8. Three Dimension Vision 3D Vision

  9. Telementoring & Remote Proctoring TILEPRO VIEW IN SURGEON CONSOLE REMOTE PROCTOR INTERFACE TELEMENTORING - is remote guidance or teaching TELEPROCTORING - supervision from a distance using error log technology

  10. Cholecystectomy

  11. Robotic Appendectomy

  12. Robotic Hernia

  13. Hysterectomy and Myomectomy

  14. Clinical Limitations • Not cost effective over standard laparoscopic approach for simple surgery. • Increased operative time observed • Not necessary where precise is dissection not required • Large Operating room space required • Good Patient Side assistant is required World Laparoscopy Hospital

  15. 2nd Generation Competitor: Titan Medical Signs MOU with Apollo Hospitals for Amadeus Robotic Surgical System • Some of the notable features of the Amadeus System are: • Multi-articulating arms, • Sound communication system, • Enhanced vision systems and • Real-time feedback to surgeons to know the impact of their movements while performing surgery.

  16. Internal Locomotion Robot Walking robot with legs

  17. Micro Robots & Nano Robots Designed at Sandia National Laboratories, New Mexico • Miniaturization to extremes • Can roam within human body • Equipped with DNA joints and carbon nano tubes • Specific functions - Repairing/Destroying individual cells • 1.63 cm3 • Mounted with cameras, temperature sensors, microphones, micro tools

  18. Protein & DNA based Nano Robot Powered autonomously by ATP Biomolecular Actuators World Laparoscopy Hospital

  19. Conclusion • Technology is always good - it is neither angel nor evil • It is up to us to breathe the moral and ethical life into these technologies • We should apply them with empathy and compassion for each and every patient • Robotic surgery is one example of such technology that reduces operative morbidity, hospital stay, and recovery, while improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE? World Laparoscopy Hospital

  20. Thanks! World Laparoscopy Hospital