Mr. PRAKASH.R.PATILVTU NO. 2BL06EE017 GUIDANCE : PROF. SUJATA.M.BAGI

ROBOTIC SURGERY

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

CONTENTS

The term “Robot " was coined by the Czech playright Karel 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.

INTRODUCTION

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

DEFINITION OF ROBOTIC SURGERY

Passive ◦ Retractor system◦ Position the tool and then hold

Active◦ Robot would actively move the tool upon the surgeons

command

Types of Robots

PUMA 560

ROBOTS IN MEDICINE

ZEUS Surgical System

DaVinci Robotic sytstem

DaVinci Robotic SystemMagnified (12x), stereoscopic 3DvisionRobotic wrist with 6 degrees of freedomMovements are scaled,filtered,translated

DaVinci System Schematic

Total Integration of Surgical Care

Simulation & TrainingPre-operative WarmupIntra-operative navigation

Pre-operative planningSurgical Rehearsal

Remote Surgery

Minimally Invasive& Open Surgery

Operating Room with no People

Operating Room of the Future

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

ADVANTAGES:-

Human presence Fault consequence Time Cost Efficiency &Compatibility

DISADVANTAGES

 General surgery Cardiology  Gastrointestinal surgery Gynecology Neurosurgery OrthopedicsRadiosurgery

APPLICATION

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?

Conclusions

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. Surg Laparosc Endosc Percutan Tech. 2002;12:1–5. [PubMed]

3. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results. Surg Endosc. 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 Clin Oncol. 2004;34:227–237. [PubMed]

References

Do Robots Dream ?

THANK YOU