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ROBOTIC SURGERY

ROBOTIC SURGERY. CONTENTS. INTRODUCTION DEFINITION OF ROBOTIC SURGERY TYPES OF ROBOT ROBOTS IN MEDICINE DAVINCI ROBOTIC SYSTEM DAVINCI SYSTEM OR SCHEMATIC TOTAL INTERGRATION OF SURGICAL CARE OPERATAING ROOM ADVANTAGES DISADVANTAGES APPLICATION CONCLUSION REFERENCE.

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ROBOTIC SURGERY

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  1. ROBOTIC SURGERY

  2. CONTENTS • INTRODUCTION • DEFINITION OF ROBOTIC SURGERY • TYPES OF ROBOT • ROBOTS IN MEDICINE • DAVINCI ROBOTIC SYSTEM • DAVINCI SYSTEM OR SCHEMATIC • TOTAL INTERGRATION OF SURGICAL CARE • OPERATAING ROOM • ADVANTAGES • DISADVANTAGES • APPLICATION • CONCLUSION • REFERENCE

  3. INTRODUCTION • The term “Robot " was coined by the Czech playrightKarel Capek in 1921 in his play Rossom's Universal Robots. • In 1985 a ROBOT, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance. • Robots were first introduced in 1987 with the first laparoscopic surgery.

  4. DEFINITION OF ROBOTIC SURGERY • Robotic surgery is Microsurgery in which the surgeon performs surgery by manipulating the hands of a robot • Any mechanica device that operates automatically with human like skill

  5. Types of Robots • Passive • Retractor system • Position the tool and then hold • Active • Robot would actively move the tool upon the surgeons command

  6. ROBOTS IN MEDICINE • PUMA 560 • DaVinci Robotic sytstem • ZEUS Surgical System

  7. DaVinci Robotic System • Magnified (12x), stereoscopic 3Dvision • Robotic wrist with 6 degrees of freedom • Movements are scaled,filtered,translated

  8. DaVinciSystem Schematic

  9. Total Integration of Surgical Care Minimally Invasive & Open Surgery Remote Surgery Pre-operative planning Surgical Rehearsal Simulation & Training Pre-operative Warmup Intra-operative navigation

  10. Operating Room with no People Operating Room of the Future

  11. ADVANTAGES:- • Shorter hospital stay • Reduced Trauma to the body • Less anesthesia • Less Blood loss • Less post- operative pain • Less pain • Less risk of infection • Less scarring • Faster recovery and return to daily activities

  12. DISADVANTAGES • Human presence • Fault consequence • Time • Cost • Efficiency &Compatibility

  13. APPLICATION • General surgery •  Cardiology •  Gastrointestinal surgery • Gynecology •  Neurosurgery • Orthopedics • Radiosurgery

  14. Conclusions • The rate of discovery of new technology is outpacing the ability of business, society, and healthcare to integrate and apply • Robotic surgery is but one example of such technology that MAY reduce operative morbidity, hospital stay, and recovery, while POTENTIALLY improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE?

  15. References 1. Gomez G. Sabiston Textbook of Surgery. 17th ed. Philadelphia, Pa: Elsevier Saunders; 2004. Emerging Technology in surgery: informatics, electronics, robotics. 2.Ballantyne GH. The pitfalls of laparoscopic surgery: challenges for robotics and telerobotic surgery. SurgLaparoscEndoscPercutan Tech. 2002;12:1–5. [PubMed] 3.Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results. SurgEndosc. 2002;16:1389–1402. [PubMed] 4.Darzi SA, Munz Y. The impact of minimally invasive surgical techniques. Annu Rev Med. 2004;55:223–237. [PubMed] 5.Hashizume M, Tsugawa K. Robotic surgery and cancer: the present state, problems and future vision. Jpn J ClinOncol. 2004;34:227–237. [PubMed]

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