Users Online : 48 About us |  Subscribe |  e-Alerts  | Feedback | Login   |   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
 ¤  Next article
 ¤  Previous article 
 ¤  Table of Contents
 ¤   Similar in PUBMED
 ¤  Search Pubmed for
 ¤  Search in Google Scholar for
 ¤Related articles
 ¤   Article in PDF (486 KB)
 ¤   Citation Manager
 ¤   Access Statistics
 ¤   Reader Comments
 ¤   Email Alert *
 ¤   Add to My List *
* Registration required (free)  

 ¤  Abstract
 ¤  Introduction
 ¤  References
 ¤  Article Figures

 Article Access Statistics
    PDF Downloaded1020    
    Comments [Add]    
    Cited by others 84    

Recommend this journal


Year : 2009  |  Volume : 5  |  Issue : 1  |  Page : 1-7

Robotic assisted minimally invasive surgery

Department of General Surgery, Grant Medical College and St. George's Hospital, Mumbai, India

Date of Submission02-Jan-2009
Date of Acceptance15-Jan-2009

Correspondence Address:
Jaydeep H Palep
Dr. Palep's 'Priyank' Nursing Home, Manoj CHS, S. G. Marg, Prabhadevi, Mumbai - 400025
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-9941.51313

Rights and Permissions

 ¤ Abstract 

The term "robot" was coined by the Czech playright Karel Capek in 1921 in his play Rossom's Universal Robots. The word "robot" is from the check word robota which means forced labor.The era of robots in surgery commenced in 1994 when the first AESOP (voice controlled camera holder) prototype robot was used clinically in 1993 and then marketed as the first surgical robot ever in 1994 by the US FDA. Since then many robot prototypes like the Endoassist (Armstrong Healthcare Ltd., High Wycombe, Buck, UK), FIPS endoarm (Karlsruhe Research Center, Karlsruhe, Germany) have been developed to add to the functions of the robot and try and increase its utility. Integrated Surgical Systems (now Intuitive Surgery, Inc.) redesigned the SRI Green Telepresence Surgery system and created the daVinci Surgical System® classified as a master-slave surgical system. It uses true 3-D visualization and EndoWrist® . It was approved by FDA in July 2000 for general laparoscopic surgery, in November 2002 for mitral valve repair surgery. The da Vinci robot is currently being used in various fields such as urology, general surgery, gynecology, cardio-thoracic, pediatric and ENT surgery. It provides several advantages to conventional laparoscopy such as 3D vision, motion scaling, intuitive movements, visual immersion and tremor filtration. The advent of robotics has increased the use of minimally invasive surgery among laparoscopically naοve surgeons and expanded the repertoire of experienced surgeons to include more advanced and complex reconstructions.

Keywords: Robotic surgery, da Vinci surgery

How to cite this article:
Palep JH. Robotic assisted minimally invasive surgery. J Min Access Surg 2009;5:1-7

How to cite this URL:
Palep JH. Robotic assisted minimally invasive surgery. J Min Access Surg [serial online] 2009 [cited 2022 May 17];5:1-7. Available from:

 ¤ Introduction Top

The era of robots in surgery commenced in 1994 when the first AESOP (voice controlled camera holder) prototype robot was used clinically in 1993 and then marketed as the first surgical robot ever in 1994 by the US FDA 1

Since then, many robot prototypes like the Endoassist (Armstrong Healthcare Ltd., High Wycombe, Buck, UK), FIPS endoarm (Karlsruhe Research Center, Karlsruhe, Germany) have been developed to add to the functions of the robot and try and increase its utility.

In 1997, Intuitive Surgicals Inc. (Menlo Park, Calif) came out with their prototype robot called the da Vinci which was a master-slave manipulator with three arms, one for the camera and two for operating the instruments. This has proved to be a breakthrough technology and stood the test of time since its inception.

Ergonomic and technological comparison of da Vinci vis-à-vis conventional laparoscopy

Advanced laparoscopic surgery has a technically more demanding learning curve as against open surgery. The laparoscopic surgeon must view a distant monitor which provides 2-D vision, leading to a change in the normal hand-eye target axis. [1] The 2-D vision has a loss of stereoscopic depth perception which needs the surgeon to compensate for the same. Moreover, the camera is being held by an assistant and hence the vision is not under surgeon control and liable to fatigue, causing an unsteady field of vision. [2] All these factors lead to surgeon and assistant fatigue which are eliminated to a significant extent using the da Vinci surgical robot. The instruments in laparoscopic surgery are rigid and provide only four degrees of motion as compared to the surgical robot which provides seven degrees, just like the human wrist does, in open surgery. The abdominal wall also adds to this a ' Fulcrum effect' which reverses movements for the surgeon in laparoscopic surgery which is eliminated in robotic surgery just a in open surgery. [3] Hence, in conventional laparoscopy, tasks like ligation and suturing are much more complex. [4] All these factors of laparoscopy in colorectal surgery give a very prolonged and sustained learning curve. [5],[6] However, the advantages of minimally invasive surgery are now confirmed beyond doubt with regard to oncological safety, survival and recurrence rates for malignant diseases. [7],[8],[9],[10],[11],[12],[13] The surgical robot can, therefore, be wisely used in choosing proper indications to provide the patient with the benefits of minimally invasive colorectal surgery eliminating the pitfalls of conventional laparoscopy at the same time.

The da Vinci Surgical Robotic system

The da Vinci surgical robot is developed and marketed by Intuitive Surgical Inc. (Sunnyvale, CA). The first machine was setup in Europe in 1997 and the first surgical procedure was reported by Himpens et al in March 1997 [14] Since its inception, the robot has been gradually upgraded from the first three-arm system to the current four arms, light weight and more versatile version called the S-Type. The system basically has three components: the robotic cart, the surgeon console and the endoscopic stack or column, details of which will be discussed subsequently. The system has technical features which significantly augment the quality and control of the visual field and thus enhance the dexterity of the surgeon. It delivers a high quality three dimensional (3-D) vision to the surgeon manning the console. This technology allows intuitive telemanipulation with tremor abolition, motion scaling and endo-wristed instruments. This is essentially what gives this technology an edge over the endoscopic technology which has been prevailing over the last two decades and overcomes some of the pitfalls of conventional laparoscopy which have probably limited the capabilities of the surgeon in the field of minimally invasive surgery. [15]

Robotic cart

The robotic cart of the S-Type da Vinci [Figure 1] approximately 544 kg and is easily manoeuvrable on a wheel base. The cart is connected by color coded cables for the four arms to the console and the console in turn is connected the main power circuits. The cart consists of four robotic arms and a monitor for the assistant surgeon at the patient side. Once in position, the cart is locked in place slightly away from the operating table. The system runs off the main power system and has an emergency five-minute internal power backup.

Each arm has a series of multiple positioning joints and a terminal pivot joint at the attachment with the port allowing easy positioning of the arms during setup and a full range of movement during the surgery. Buttons provided at each joint allow manual adjustment by acting as a clutch, releasing the button locks the arm in place. The central, camera arm is compatible with a standard 12-mm port and the camera unit. The other three arms attach to specially designed 8-mm metal ports supplied with both blunt and sharp trocars. The arms are mechanically and electronically balanced for safety and ease of use. Custom-fitted plastic drapes are available to drape the four arms to achieve sterility, thus, allowing only the sterile ports and instruments in the operating field. The camera system (Insite vision system, Intuitive Surgical Inc.) has a dual lens system with two three-chip cameras and spatially separated within 12-mm casing. Hence, two complete optical systems are incorporated, representing the left and right eyes. The spatial separation of these images projected to the surgeon's eyes in the binocular viewer allows true 3-D image perception at the console. The head end of the cart is fitted with a HD monitor for the benefit of the assistant surgeon and the scrub nurse.

A wide variety of instruments [Figure 2] available with the system are easily and rapidly changeable by the assistant surgeon or a trained scrub nurse at the patient side. Except for the ultrasonic dissector all the instruments are endowristed (Endo Wrist, Intuitive Surgical Inc.). the instrument wrist is controlled by a cable system attached to four wheels on the instruments' head that can be moved simultaneously by the robot to generate a single complex movement mimicking the motion of the human wrist [Figure 3]. The human tremors are effectively abolished by position sensing, which occurs approximately 1500 times per second. There are six degrees of motion at the instrument tip and a seventh degree of freedom provided by the instrument itself (e.g. grasping or cutting). Each instrument has only 10 lives following which it needs to be discarded and replaced this is done by the system which counts down the ten sessions of use. The instruments can be sterilized. The instrument can be used any number of times during one surgical procedure. However, a possibility of the instrument cable breaking off remains thus making the instrument unusable before 10 sessions.

The Surgical Console

This consists of the binocular viewer of the Insite vision system, the instrument controllers, the system setup and control panels, and five foot control pedals [Figure 4]. The console contains the hardware and the software of the computer which is essentially equivalent to 5 Pentium 300 processors (Intel Corp., Santa Clara, CA)

Insite Vision System

This is a high resolution endoscope, as mentioned earlier, consisting of two three-chip cameras and two optical channels generating two images delivered to each human eye viewing the binocular viewer [Figure 5]. Two light sources optimize the intensity of light. The surgeon controls image magnification by adjusting the depth of camera insertion in the operative field.

Instrument control (Masters)

The surgeon is seated in an ergonomically comfortable position with the elbows resting on a padded bar. The thumb and index finger of each hand are placed in adjustable loops attached to the master controllers. Approximation of the thumb and index fingers operate the jawed instruments. The multi joint master controls move freely in all dimensions, allowing intuitive control of the instruments and the camera [Figure 6].

Foot control

There are five foot pedals. Starting from the left, the clutch pedal simply disengages the instruments from the controllers, allowing movement of the controllers to an ergonomically satisfactory position without changing the instrument position. The pedal to its right, i.e. the second one, is the camera pedal which when pressed disengages the instrument from the masters and engages the camera allowing adjustment of the camera depending on the need of the surgeon. The next foot switch adjusts focus and is used only initially before the commencement of the procedure normally to focus the telescope vision. The next foot switch is for bipolar coagulation and the fifth pedal is for monopolar cautery [Figure 7].

Control panels

Two panels on either sides of the surgeon, one on the left includes camera and endoscopic calibration and motion scaling; the other on the right hand side controls the system start control, emergency stop control and standby buttons. Pressing the emergency stop button causes the master controllers to immediately disengage. This command can only be re-engaged by pressing the fault override button. In case of need to convert to open, the system can be rapidly disengaged by placing it on standby mode and disengaging the cart after removing the instruments and releasing the arms from the ports and the cart wheeled away from the field. Trained staff can normally achieve this in a matter of approximately two to four minutes.


The surgeon sits at the console with elbows resting on a padded bar, forehead placed against a padded bar with eyes comfortably viewing into the binocular viewer, the height of which is adjustable. The hand and finger positioning is as mentioned earlier. The intraocular distance can also be adjusted to suit the individual's needs. The ideal hand positions can be maintained, as the surgery progresses, by using the clutch pedal to reposition the surgeon's arms and hands.

The Endoscopic stack [Figure 8]

This stack has all the features of a standard laparo / endoscopic stack viz: the monitor, a CO2 insufflator, a dual high intensity light source (Intuitive Surgical Inc.), and a dual CCD camera unit (Insite Vision, Intuitive Surgical Inc.). The features of the camera unit and light source are as already mentioned.

Setup procedure

The robotic system start up sequence includes a self test that takes approximately one minute. The arms are draped thereafter, normally by two personnel, one being the scrub nurse and the other the OR assistant, who is not scrubbed, with practice, this usually takes less than 10 minutes. Once the camera and endoscope have been connected it needs to be calibrated. The system goes in to the standby mode by default. Now the patient has to be placed in the position desired and only then can the robotic ports be placed and the arms attached to start the procedure. Any movement of the operating table after the arms are fixed to the ports are contraindicated and can be extremely dangerous.

Once the arms are in place and the full range of movement of each arm is confirmed the desired instruments are placed by the scrub nurse or assistant surgeon through the ports in the operating field. The surgeon takes his position at the console and the ready button is pressed. As described earlier, the surgeon places his fingers in the adjustable loops and head in the binocular view and begins performing the surgery. An infrared sensor at the head pad engages the instruments and the camera just like pressing the ready button does.

The system is also incorporated with an audio intercom system which enables the surgeon's voice to be heard in the OR loud and clear, enabling the surgeon to keep looking in to the viewer and still talking to the assistants at the patient side. The other facilities included are an endoscopic cardiac stabilizer, ultrasonic instrumentation and the Gyrus plasma kinetic dissector. Needless to say, a large operating room is essential to house the robot and its components along with the routine equipment in the present day mini/invasive OR setup.

Applications of the da Vinci

More than 1000 systems have now been setup across the globe, a majority of them being in the USA. The system was designed for use in minimally invasive surgery. However, it can be used for open surgery as well. The robot has been used until now mainly by urologists, general surgeons, cardiothoracic, gynaecologists and paediatric surgeons.

It is best suited for mini-invasive surgeries, especially those which are seemingly impossible or very difficult to perform with conventional laparoscopic techniques. Procedures like cholecystectomy, Nissens' fundoplication, adrenalectomy, rectopexy, cardiomyotomy, hernia repair and bariatric surgery were developed to be performed with standard instruments with the robotic technology. [15],[16],[17],[18],[19],[20],[21],[22]

However, it is important to identify the right indications for the use of the robot simply because of the cost factor as of today. Hence, it is prudent to classify the indications as follows,

Surgeries improved with the robot- radical prostatectomy, radical cystectomy, pyeloplasty, partial nephrectomy, ureteric reimplantation, major hepatectomy, spleen preserving pancreatectomy, esophagectomy, gastric bypass, gastrectomy, nephrectomy, Heller's cardiomyotomy, pulmonary resections, rectal resection (with TME), difficult splenectomies.

Surgeries which can be performed only with the da vinci robotic system (vis-à-vis conventional laparoscopic surgery) - pancreatetoduodenctomies and other complex pancreatectomies, visceral artery aneurysmectomy, small sized hepatico-jejunostomy, microsutures (tubal anastomosis) and complex lymphadenectomies. [23]

To conclude, robotic surgery is an already well established technology being used across the globe. Presently the urologists and general surgeons are the frontrunners as far as the da Vinci system is concerned. Gynaecologists, paediatric surgeons, cardio-thoracic surgeons, ENT surgeons are taking the cue and incorporating it in their respective fields and the applications of the da Vinci are increasing by the day. The learning curve for advanced abdominal minimally invasive surgeries is sustained and long but achievable at specialised centers with a high volume of cases.

Any new therapeutic innovation is critical to our future health and such an innovation will, at least initially, cost more than the previous therapy. To abandon the search for improved therapies on the basis of cost would represent enormous disservice to our patients and would distinguish attempts to improve patient care from the quest for better automobiles, audio systems, or computers, or from any area of human endeavor. [24]

 ¤ References Top

1.Sackier Jm, Wang Y. Robotically assisted laparoscopic surgery. From concept to development. Surg Endosc 1994;8:63-6.   Back to cited text no. 1    
2.Dion YM, Gaillard F. Visual integration of data and basic motor skills under laparoscopy influence of 2-D and 3-D video-camera-systems. Surg Endosc 1997;11:995-1000.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]
3.Ballantyne GH. The pitfalls of laparoscopic surgery: challenges for robotic and telerobotic surgery. Surg Laparosc Endosc Percutan Tech 2002;12:1-5.   Back to cited text no. 3    
4.Schurr MO, Breitwieser H, Melzer A, Kunert W, Schmitt M, Voges U, et al . Experimental telemanipulation in endoscopic surgery. Surg Laparosc Endosc 1996; 6:167-75.  Back to cited text no. 4  [PUBMED]  
5.Ahmed S, Hanna GB, Cuschieri A. Optimal angle between instrument shaft and handle for laparoscopic bowel suturing. Arch Surg 2004;139:89-92.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]
6.Bennett CL, Stryker SJ, Ferreira MR, Adams J, Beart RW Jr. The learning curve for laparoscopic colorectal surgery. Preliminary results from a prospective analysis of 1194 laparoscopic-assisted colectomies. Arch Surg 1997;132:41-4.  Back to cited text no. 6    
7.Wishner JD, Baker JW Jr, Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, et al . Laparoscopic-assisted colectomy: The learning curve. Surg Endosc 1995;9:1179-83.  Back to cited text no. 7  [PUBMED]  
8.Nduka CC, Monson JR, Menzies-Gow N, Darzi A. Abdominal wall metastases following laparoscopy. Br J Surg 1994;81:648-52.  Back to cited text no. 8  [PUBMED]  
9.COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Dig Surg 2000;17:617-22.  Back to cited text no. 9    
10.Nelson H, Weeks JC, Wienad HS. Proposed phase III trial comparing laparoscopic-assisted colectomy versus open colectomy for colon cancer. J Natl Cancer Inst Monogr 1995;19:51-6.  Back to cited text no. 10    
11.Tang CL, Eu KW, Tai BC, Soh JG, MacHin D, Seow-Choen F. Randomized clinical trial of the effect of open versus laparoscopically assisted colectomy on systemic immunity in patients with colorectal cancer. Br J Surg 2001;88:801-7.  Back to cited text no. 11  [PUBMED]  [FULLTEXT]
12.Patankar SK, Larach SW, Ferrara A, Williamson PR, Gallagher JT, DeJesus S, et al . Prospective comparison of laparoscopic vs open resections for colorectal adenocarcinoma over a ten-year period. Dis Col Rectum 2003;46:601-11.  Back to cited text no. 12    
13.Watanabe M, Hasegawa H, Yamamoto S, Baba H, Kitajima M. Laparoscopic surgery for stage I colorectal cancer. Surg Endosc 2003;17:1274-77.  Back to cited text no. 13  [PUBMED]  [FULLTEXT]
14.Zmora O, Gervaz P, Wexner SD. Trocar site recurrence in laparoscopic surgery for colorectal cancer. Surg Endosc 2001;15:788-93.  Back to cited text no. 14  [PUBMED]  
15.Himpens J, Lemans G, Cadiere GB. Telesurgical laparoscopic cholecystectomy. Surg Endosc 1998;12:1091.  Back to cited text no. 15    
16.Rockall TA, Darzi AW. Tele-manipulator robots in surgery. Br J Surg 2003;90:641-3.  Back to cited text no. 16  [PUBMED]  [FULLTEXT]
17.Piazza L, Caragliano P, Scardilli M, Sgroi AV, Marino G, Giannone G. Laparoscopic robot- assisted right adrenalectomy and left oavriectomy[case reports]. Chir Ital 1999;51:465-6.  Back to cited text no. 17    
18.Shah J, Rockall T, Darzi A. Robot- assisted laparoscopic Heller's cardiomyotomy. Surg Laparosc Endosc Percutan Tech 2002;12:30-2.  Back to cited text no. 18  [PUBMED]  [FULLTEXT]
19.Meininger D, Byhahn C, Markus BH, Heller K, Westphal K. Total endoscopic Nissen fundoplication with the robotic device " da Vinci" in children Hemodynamics, gas exchange and anesthetic management. Anaesthesist 2001;50:271-5.  Back to cited text no. 19  [PUBMED]  [FULLTEXT]
20.Hanisch E, Markus B, Gutt C, Schmandra TC, Encke A. Robot-assisted laparoscopic cholecystectomy and fundoplication- initial experiences with the da Vinci system. Chirurg 2001;72:286-8.  Back to cited text no. 20  [PUBMED]  [FULLTEXT]
21.Gill IS, Sung GT, Hsu TH, Meraney AM . Robotic remote laparoscopic nephrectomy and adrenalectomy: The intial experience. J Urol 2000;164:2082-5.  Back to cited text no. 21    
22.Chapman WH, Young JA, Albrecht RJ, Kim VB, Nifong LW, Chitwood WR Jr. Robotic Nissen fundoplication: Alternative surgical technique for the treatment of gastroesophageal reflux disease. J Laparoendosc Adv Surg Tech A 2001;11:27-30.  Back to cited text no. 22  [PUBMED]  [FULLTEXT]
23.Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Baestracci T, et al . Robotics in general surgery: Personal experience in a large community hospital. Arch Surg 2003;138:777-84.  Back to cited text no. 23    
24.Wood AJ. When increased therapeutic benefit comes at increased cost. N Engl J Med 2002;346:1819-21.  Back to cited text no. 24  [PUBMED]  [FULLTEXT]


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8]

This article has been cited by
1 Ten years of paediatric robotic surgery: Lessons learned
Martin Salö, Linda Bonnor, Christina Graneli, Pernilla Stenström, Magnus Anderberg
The International Journal of Medical Robotics and Computer Assisted Surgery. 2022;
[Pubmed] | [DOI]
2 Should All Minimal Access Surgery Be Robot-Assisted? A Systematic Review into the Musculoskeletal and Cognitive Demands of Laparoscopic and Robot-Assisted Laparoscopic Surgery
Abdul Shugaba, Joel E. Lambert, Theodoros M. Bampouras, Helen E. Nuttall, Christopher J. Gaffney, Daren A. Subar
Journal of Gastrointestinal Surgery. 2022; : 317
[Pubmed] | [DOI]
3 Robotic-assisted plate osteosynthesis of the anterior pelvic ring and acetabulum: an anatomical feasibility study
Markus A. Küper, Alexander Trulson, Jonas Johannink, Bernhard Hirt, Artur Leis, Max Hoßfeld, Tina Histing, Steven C. Herath, Bastian Amend
Journal of Robotic Surgery. 2022;
[Pubmed] | [DOI]
4 Trajectory control of a laparoscopic 3-PUU parallel manipulator based on neural network in SIMSCAPE SIMULINK environment
Iham F. Zidane, Yasmin Khattab, Mohamed El-Habrouk, Sohair Rezeka
Alexandria Engineering Journal. 2022; 61(12): 9335
[Pubmed] | [DOI]
5 Integration of Reinforcement Learning in a Virtual Robotic Surgical Simulation
Alexandra T. Bourdillon, Animesh Garg, Hanjay Wang, Y. Joseph Woo, Marco Pavone, Jack Boyd
Surgical Innovation. 2022; : 1553350622
[Pubmed] | [DOI]
6 Tactile Sensing for Minimally Invasive Surgery: Conventional Methods and Potential Emerging Tactile Technologies
Wael Othman, Zhi-Han A. Lai, Carlos Abril, Juan S. Barajas-Gamboa, Ricard Corcelles, Matthew Kroh, Mohammad A. Qasaimeh
Frontiers in Robotics and AI. 2022; 8
[Pubmed] | [DOI]
7 Robotic Surgery: Rediscovering Human Anatomy
Antonio Gangemi, Betty Chang, Paolo Bernante, Gilberto Poggioli
International Journal of Environmental Research and Public Health. 2021; 18(23): 12744
[Pubmed] | [DOI]
8 A National Survey of Robotic Surgery Training Among Otolaryngology—Head and Neck Surgery Residents
Hilary C. McCrary, Sierra R. McLean, Abigail Luman, Patricia O’Sullivan, Brigitte Smith, Richard B. Cannon
Annals of Otology, Rhinology & Laryngology. 2021; 130(9): 1085
[Pubmed] | [DOI]
9 Robotic versus conventional laparoscopic liver resections: A systematic review and meta-analysis
Sivesh Kathir Kamarajah, James Bundred, Derek Manas, Long Jiao, Mohammad Abu Hilal, S. A. White
Scandinavian Journal of Surgery. 2021; 110(3): 290
[Pubmed] | [DOI]
10 A New Tactile Transfer Cell Using Magnetorheological Materials for Robot-Assisted Minimally Invasive Surgery
Yu-Jin Park, Seung-Bok Choi
Sensors. 2021; 21(9): 3034
[Pubmed] | [DOI]
11 Alimentary tract obstruction attributed to use of barbed suture for double tract reconstruction after robot-assisted proximal gastrectomy: a case report
Daisuke Fujimoto, Keizo Taniguchi, Fumihiko Miura, Hirotoshi Kobayashi
BMC Surgery. 2021; 21(1)
[Pubmed] | [DOI]
12 Experimental Structural Stiffness Analysis of a Surgical Haptic Master Device Manipulator
Ibrahimcan Görgülü, Mehmet Ismet Can Dede, Giuseppe Carbone
Journal of Medical Devices. 2021; 15(1)
[Pubmed] | [DOI]
13 Permanent magnet array–driven navigation of wireless millirobots inside soft tissues
Donghoon Son, Musab Cagri Ugurlu, Metin Sitti
Science Advances. 2021; 7(43)
[Pubmed] | [DOI]
14 Microrobotic laser steering for minimally invasive surgery
Peter A. York, Rut Peña, Daniel Kent, Robert J. Wood
Science Robotics. 2021; 6(50)
[Pubmed] | [DOI]
15 Cervical lymphatic malformations amenable to transhairline robotic surgical excision in children
Han-Jie Lin, Frank Cheau-Feng Lin, Tsung-Lin Yang, Chun-Hsiang Chang, Chia-Hui Kao, Stella Chin-Shaw Tsai
Medicine. 2021; 100(37): e27200
[Pubmed] | [DOI]
16 A Kinematic Bottleneck Approach for Pose Regression of Flexible Surgical Instruments Directly From Images
Luca Sestini, Benoit Rosa, Elena De Momi, Giancarlo Ferrigno, Nicolas Padoy
IEEE Robotics and Automation Letters. 2021; 6(2): 2938
[Pubmed] | [DOI]
17 Unsupervised Identification of Surgical Robotic Actions From Small Non-Homogeneous Datasets
Daniele Meli, Paolo Fiorini
IEEE Robotics and Automation Letters. 2021; 6(4): 8205
[Pubmed] | [DOI]
18 A Novel Grip Force Cognition Scheme for Robot-Assisted Minimally Invasive Surgery
Yongchen Guo, Bo Pan, Yili Fu, Max Q.-H. Meng
IEEE Transactions on Cognitive and Developmental Systems. 2021; 13(2): 391
[Pubmed] | [DOI]
19 Initial experience with ArtiSential articulating laparoscopic instruments in the paediatric setting: a single-centre feasibility study
Arun Kelay, Georgina Bough, Paul Charlesworth
Journal of Pediatric Endoscopic Surgery. 2021; 3(2): 81
[Pubmed] | [DOI]
20 Towards realistic laparoscopic image generation using image-domain translation
Aldo Marzullo, Sara Moccia, Michele Catellani, Francesco Calimeri, Elena De Momi
Computer Methods and Programs in Biomedicine. 2021; 200: 105834
[Pubmed] | [DOI]
21 Management of the Distal Ureter in Radical Laparoscopic Nephroureterectomy for Upper Tract Urothelial Carcinoma
Danielle Whiting, Seshadri Sriprasad
Journal of Laparoendoscopic & Advanced Surgical Techniques. 2021; 31(6): 610
[Pubmed] | [DOI]
22 A study on autonomous suturing task assignment in robot-assisted minimally invasive surgery
Shuai Gao, Shijun Ji, Mei Feng, Xiuquan Lu, Weihua Tong
The International Journal of Medical Robotics and Computer Assisted Surgery. 2021; 17(1): 1
[Pubmed] | [DOI]
23 An eye-tracking based robotic scrub nurse: proof of concept
Ahmed Ezzat, Alexandros Kogkas, Josephine Holt, Rudrik Thakkar, Ara Darzi, George Mylonas
Surgical Endoscopy. 2021; 35(9): 5381
[Pubmed] | [DOI]
24 Probabilistic Deep Q Network for real-time path planning in censorious robotic procedures using force sensors
Parvathaneni Naga Srinivasu, Akash Kumar Bhoi, Rutvij H. Jhaveri, Gadekallu Thippa Reddy, Muhammad Bilal
Journal of Real-Time Image Processing. 2021; 18(5): 1773
[Pubmed] | [DOI]
25 Advanced Intelligent Systems for Surgical Robotics
Mai Thanh Thai, Phuoc Thien Phan, Trung Thien Hoang, Shing Wong, Nigel H. Lovell, Thanh Nho Do
Advanced Intelligent Systems. 2020; 2(8): 1900138
[Pubmed] | [DOI]
26 Novel virtual reality based training system for fine motor skills: Towards developing a robotic surgery training system
Madhan Kumar Vasudevan, Joseph H. R. Isaac, Venkatraman Sadanand, Manivannan Muniyandi
The International Journal of Medical Robotics and Computer Assisted Surgery. 2020; 16(6): 1
[Pubmed] | [DOI]
27 Surgical applications of intracorporal tissue adhesive agents: current evidence and future development
Nicholas Gillman, David Lloyd, Randy Bindra, Rui Ruan, Minghao Zheng
Expert Review of Medical Devices. 2020; 17(5): 443
[Pubmed] | [DOI]
28 Magnetically steerable manipulator with variable stiffness using graphene polylactic acid for minimally invasive surgery
Joowon Park, Hyoryong Lee, Hyeonwoo Kee, Sukho Park
Sensors and Actuators A: Physical. 2020; 309: 112032
[Pubmed] | [DOI]
29 Integrating the MasSpec Pen to the da Vinci Surgical System for In Vivo Tissue Analysis during a Robotic Assisted Porcine Surgery
Michael F. Keating, Jialing Zhang, Clara L. Feider, Sascha Retailleau, Robert Reid, Alexander Antaris, Bradley Hart, Gina Tan, Thomas E. Milner, Kyle Miller, Livia S. Eberlin
Analytical Chemistry. 2020; 92(17): 11535
[Pubmed] | [DOI]
30 Intravital three-dimensional bioprinting
Anna Urciuolo, Ilaria Poli, Luca Brandolino, Paolo Raffa, Valentina Scattolini, Cecilia Laterza, Giovanni G. Giobbe, Elisa Zambaiti, Giulia Selmin, Michael Magnussen, Laura Brigo, Paolo De Coppi, Stefano Salmaso, Monica Giomo, Nicola Elvassore
Nature Biomedical Engineering. 2020; 4(9): 901
[Pubmed] | [DOI]
31 Robo FOMO (Fear of Missing Out), But at What Cost? The Unintended Consequences of Robotics for General Surgery Operations at Rural Hospitals
Ajita S. Prabhu, Michael J. Rosen
Surgical Innovation. 2020; 27(6): 561
[Pubmed] | [DOI]
32 Laparoscopic Robotic Surgery: Current Perspective and Future Directions
Sally Kathryn Longmore, Ganesh Naik, Gaetano D. Gargiulo
Robotics. 2020; 9(2): 42
[Pubmed] | [DOI]
33 Motion Control and External Force Estimation of a Pneumatically Driven Multi-DOF Robotic Forceps
Dongbo Zhou, Kotaro Tadano, Daisuke Haraguchi
Applied Sciences. 2020; 10(11): 3679
[Pubmed] | [DOI]
34 A High-Sensitivity Tactile Sensor Array Based on Fiber Bragg Grating Sensing for Tissue Palpation in Minimally Invasive Surgery
Tianliang Li, Chaoyang Shi, Hongliang Ren
IEEE/ASME Transactions on Mechatronics. 2018; 23(5): 2306
[Pubmed] | [DOI]
35 Current perspectives in robotic assisted pediatric surgery
Prashant B. Joshi,Anjali Kulkarni
Apollo Medicine. 2014; 11(3): 167
[Pubmed] | [DOI]
36 Impact of examinees’ stereopsis and near visual acuity on laparoscopic virtual reality performance
Henry Hoffmann,Rebecca Ruiz-Schirinzi,David Goldblum,Salome Dell-Kuster,Daniel Oertli,Dieter Hahnloser,Rachel Rosenthal
Surgery Today. 2014;
[Pubmed] | [DOI]
37 Attaining high bending stiffness by full actuation in steerable minimally invasive surgical instruments
Filip Jelínek,Giada Gerboni,Paul W. J. Henselmans,Rob Pessers,Paul Breedveld
Minimally Invasive Therapy & Allied Technologies. 2014; : 1
[Pubmed] | [DOI]
38 Method for minimising rolling joint play in the steerable laparoscopic instrument prototype DragonFlex
Filip Jelínek,Tom Diepens,Sander Dobbenga,Geert van der Jagt,Davey Kreeft,Annemijn Smid,Rob Pessers,Paul Breedveld
Minimally Invasive Therapy & Allied Technologies. 2014; : 1
[Pubmed] | [DOI]
39 Five millimetre-instruments in paediatric robotic surgery: Advantages and shortcomings
Gloria Pelizzo,Ghassan Nakib,Piero Romano,Luigi Avolio,Simonetta Mencherini,Elisa Zambaiti,Alessandro Raffaele,Timothée Stoll,Nicolò Mineo,Valeria Calcaterra
Minimally Invasive Therapy & Allied Technologies. 2014; : 1
[Pubmed] | [DOI]
40 Evaluation of active camera control systems in gynecological surgery: construction, handling, comfort, surgeries and results
Luisa Beckmeier,Rüdiger Klapdor,Phillip Soergel,Sudip Kundu,Peter Hillemanns,Hermann Hertel
Archives of Gynecology and Obstetrics. 2013;
[Pubmed] | [DOI]
41 Robotic colonic surgery: Is it advisable to commence a new learning curve?
Fung, A.K.-Y. and Aly, E.H.
Diseases of the Colon and Rectum. 2013; 56(6): 786-796
42 The first case of robotic left lower lobectomy in Turkey [Türkiyeæde yapilan ilk robotik sol alt lobektomi olgusu]
CoÅŸgun, T. and Akin, O. and Akpinar, H. and Kutlu, C.A.
Turkish Journal of Thoracic and Cardiovascular Surgery. 2013; 21(1): 225-228
43 A novel intracorporeal assembling robotic system for single-port laparoscopic surgery
Petroni, G. and Niccolini, M. and Menciassi, A. and Dario, P. and Cuschieri, A.
Surgical Endoscopy and Other Interventional Techniques. 2013; 27(2): 665-670
44 Magnetically activated stereoscopic vision system for laparoendoscopic single-site surgery
Simi, M. and Silvestri, M. and Cavallotti, C. and Vatteroni, M. and Valdastri, P. and Menciassi, A. and Dario, P.
IEEE/ASME Transactions on Mechatronics. 2013; 18(3): 1140-1151
45 Robotic Colonic Surgery
Andrew Kai-Yip Fung,Emad H. Aly
Diseases of the Colon & Rectum. 2013; 56(6): 786
[Pubmed] | [DOI]
46 A novel intracorporeal assembling robotic system for single-port laparoscopic surgery
Gianluigi Petroni,Marta Niccolini,Arianna Menciassi,Paolo Dario,Alfred Cuschieri
Surgical Endoscopy. 2013; 27(2): 665
[Pubmed] | [DOI]
47 Rare use of robotic surgery for removal of large urachal carcinoma
Radomir Kosanovic,Rey J. Romero,Jonathan K. Arad,Michelle Gallas,Rupa Seetharamaiah,Anthony M. Gonzalez
Journal of Robotic Surgery. 2013;
[Pubmed] | [DOI]
48 Mental Workload and Stress Perceived by Novice Operators in the Laparoscopic and Robotic Minimally Invasive Surgical Interfaces
Martina I. Klein,Joel S. Warm,Michael A. Riley,Gerald Matthews,Charles Doarn,James F. Donovan,Krishnanath Gaitonde
Journal of Endourology. 2012; 26(8): 1089
[Pubmed] | [DOI]
49 Lessons and Tips from the Experience of Pediatric Robotic Choledochal Cyst Resection
Eun Young Chang,Young Ju Hong,Hye Kyung Chang,Jung-Tak Oh,Seok Joo Han
Journal of Laparoendoscopic & Advanced Surgical Techniques. 2012; 22(6): 609
[Pubmed] | [DOI]
50 Brutal chevron to keyhole laparoscopic radical nephrectomy - Time to transform!
Mahmud, S.M.
Journal of the Pakistan Medical Association. 2012; 62(10): 993-994
51 Mental workload and stress perceived by novice operators in the laparoscopic and robotic minimally invasive surgical interfaces
Klein, M.I. and Warm, J.S. and Riley, M.A. and Matthews, G. and Doarn, C. and Donovan, J.F. and Gaitonde, K.
Journal of Endourology. 2012; 26(8): 1089-1094
52 Lessons and tips from the experience of pediatric robotic choledochal cyst resection
Chang, E.Y. and Hong, Y.J. and Chang, H.K. and Oh, J.-T. and Han, S.J.
Journal of Laparoendoscopic and Advanced Surgical Techniques. 2012; 22(6): 609-614
53 Robotic surgery in gynecology practice: Current approaches
Kara, M.
Pakistan Journal of Medical Sciences. 2012; 28(1): 238-241
54 Review of surgical robotics user interface: what is the best way to control robotic surgery?
R. Stephen Otte, Courtni M. Kopietz, Dmitry Oleynikov, Anton Simorov
Surgical Endoscopy. 2012;
[VIEW] | [DOI]
55 Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature
Madhu Ragupathi, Diego I. Ramos-Valadez, Chirag B. Patel, Eric M. Haas
Surgical Endoscopy. 2011; 25(1): 199-206
[Pubmed] | [DOI]
56 Robotic-assisted surgical removal of pelvic schwannoma: a novel approach to a rare variant
Konstantinos M. Konstantinidis, Savvas Hiridis, Dimitrios Karakitsos
The International Journal of Medical Robotics and Computer Assisted Surgery. 2011; 7(1): 55-59
[Pubmed] | [DOI]
57 Autostereoscopic three-dimensional viewer evaluation through comparison with conventional interfaces in laparoscopic surgery
Silvestri, M. and Simi, M. and Cavallotti, C. and Vatteroni, M. and Ferrari, V. and Freschi, C. and Valdastri, P. and Menciassi, A. and Dario, P.
Surgical Innovation. 2011; 18(3): 223-230
58 The camera-holding robotic device in laparoscopy surgery
Rahman, M.N. and Mishra, R.K.
World Journal of Laparoscopic Surgery. 2011; 4(3): 132-135
59 Haptic control for minimally invasive robotic surgery
Xu, Z. and Song, C. and Yan, S.
Advanced Materials Research. 2011; 291-294: 1600-1603
60 One-stage Robotic-assisted laparoscopic cholecystectomy and common bile duct exploration with primary closure in 5 patients
Ji, W.-B. and Zhao, Z.-M. and Dong, J.-H. and Wang, H.-G. and Lu, F. and Lu, H.-W.
Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2011; 21(2): 123-126
61 Robot-Assisted Mitral Valve Repair
Kent H. Rehfeldt, William J. Mauermann, Harold M. Burkhart, Rakesh M. Suri
Journal of Cardiothoracic and Vascular Anesthesia. 2011;
[VIEW] | [DOI]
62 Designing a robotic colorectal program
Madhu Ragupathi, Eric M. Haas
Journal of Robotic Surgery. 2011; 5(1): 51-56
[Pubmed] | [DOI]
63 Robot-assisted distal gastrectomy for gastric cancer: initial experience
Han Hong Lee, Hoon Hur, Hun Jung, Hae Myung Jeon, Cho Hyun Park, Kyo Young Song
The American Journal of Surgery. 2011; 201(6): 841
[VIEW] | [DOI]
64 Experiencia inicial en prostatectomía radical laparoscópica con el dispositivo de acceso laparoscópico umbilical Single-Incision Laparoscopic Surgery Port®
J. Bachiller Burgos,J. Alonso Flores,J. Sánchez De La Vega,V. Beltrán Aguilar,S. Salazar Otero,C. Bras Silva
Actas Urológicas Españolas. 2010; 34(6): 495
[Pubmed] | [DOI]
65 Early experience in laparoscopic radical prostatectomy using the laparoscopic device for umbilical access SILS Port®
J. Bachiller Burgos, J. Alonso Flores, J. Sánchez De La Vega, V. Beltrán Aguilar, S. Salazar Otero, C. Bras Silva
Actas Urológicas Españolas (English Edition). 2010; 34(6): 495
[VIEW] | [DOI]
66 The Developments and Achievements of Endoscopic Surgery, Robotic Surgery and Function-preserving Surgery
M. Yoshida, T. Furukawa, Y. Morikawa, Y. Kitagawa, M. Kitajima
Japanese Journal of Clinical Oncology. 2010; 40(9): 863-869
[Pubmed] | [DOI]
67 Robotic technology in ophthalmic surgery :
V Swetha E Jeganathan, Sunil Shah
Current Opinion in Ophthalmology. 2010; 21(1): 75-80
[Pubmed] | [DOI]
68 <![CDATA[Design of a Novel Bimanual Robotic System for Single-Port Laparoscopy]]>
Marco Piccigallo, Umberto Scarfogliero, Claudio Quaglia, Gianluigi Petroni, Pietro Valdastri, Arianna Menciassi, Paolo Dario
IEEE/ASME Transactions on Mechatronics. 2010;
[VIEW] | [DOI]
69 Robotic-Assisted Laparoscopic “Salvage” Rectopexy for Recurrent Ileoanal J-Pouch Prolapse
Madhu Ragupathi, Chirag B. Patel, Diego I. Ramos-Valadez, Eric M. Haas
Gastroenterology Research and Practice. 2010; 2010: 1
[VIEW] | [DOI]
70 Robot-Assisted Regional Anesthesia
Patrick J. Tighe,S. J. Badiyan,I. Luria,Andre P. Boezaart,S. Parekattil
Anesthesia & Analgesia. 2010; 111(3): 813
[Pubmed] | [DOI]
71 Robot-Assisted Airway Support : A Simulated Case
Patrick J. Tighe, S. J. Badiyan, I. Luria, S. Lampotang, S. Parekattil
Anesthesia & Analgesia. 2010; 111(4): 929-931
[Pubmed] | [DOI]
72 Robot-assisted airway support: A simulated case
Tighe, P.J. and Badiyan, S.J. and Luria, I. and Lampotang, S. and Parekattil, S.
Anesthesia and Analgesia. 2010; 111(4): 929-931
73 Early experience in laparoscopic radical prostatectomy using the laparoscopic device for umbilical access SILS Port® [Experiencia inicial en prostatectoma radical laparoscpica con el dispositivo de acceso laparoscpico umbilical Single-Incision Laparoscopic Surgery Port®]
Bachiller Burgos, J. and Alonso Flores, J. and Sánchez De La Vega, J. and Beltrán Aguilar, V. and Salazar Otero, S. and Bras Silva, C.
Actas Urologicas Espanolas. 2010; 34(6): 495-499
74 Robotic-assisted laparoscopic "salvage" rectopexy for recurrent ileoanal J-pouch prolapse
Haas, E.M. and Ragupathi, M. and Patel, C.B. and Ramos-Valadez, D.I.
Gastroenterology Research and Practice. 2010; (790462)
75 Robotic technology in ophthalmic surgery
Swetha, V. and Jeganathan, E. and Shah, S.
Current Opinion in Ophthalmology. 2010; 21(1): 75-80
76 A novel method in exploration of arteries inside a tissue and assessment of the arteries by computational approach
Mehrizi, A.A., Najarian, S., Moini, M., Dargahi, J., Ahmadi, R.
IEEE/ASME International Conference on Advanced Intelligent Mechatronics, AIM ,. 2010; : 932-936
77 Robot-assisted ophthalmic surgery
Fine, H.F., Wei, W., Goldman, R.E., Simaan, N.
Canadian Journal of Ophthalmology. 2010; 45(6): 581-584
78 Design of a novel bimanual robotic system for single-port laparoscopy
Piccigallo, M., Scarfogliero, U., Quaglia, C., Petroni, G., Valdastri, P., Menciassi, A., Dario, P.
IEEE/ASME Transactions on Mechatronics. 2010; 15(6): 871-878
79 Quantifying the importance of high frequency components on the amplitude of physiological tremor
Benoit Carignan, Jean-François Daneault, Christian Duval
Experimental Brain Research. 2010; 202(2): 299-306
[Pubmed] | [DOI]
80 Robotic-assisted single-incision laparoscopic partial cecectomy
Madhu Ragupathi, Diego I. Ramos-Valadez, Rodrigo Pedraza, Eric M. Haas
The International Journal of Medical Robotics and Computer Assisted Surgery. 2010; 6(3): 362-367
[Pubmed] | [DOI]
81 Robot-assisted regional anesthesia: A simulated demonstration
Tighe, P.J., Badiyan, S.J., Luria, I., Boezaart, A.P., Parekattil, S.
Anesthesia and Analgesia. 2010; 111(3): 813-816
82 Robotic-assisted laparoscopic "salvage" rectopexy for recurrent ileoanal J-pouch prolapse
Haas, E.M., Ragupathi, M., Patel, C.B., Ramos-Valadez, D.I.
Gastroenterology Research and Practice. 2010; art(790462 )
83 Early experience in laparoscopic radical prostatectomy using the laparoscopic device for umbilical access SILS Port® | [Experiencia inicial en prostatectoma radical laparoscpica con el dispositivo de acceso laparoscpico umbilical Single-Incision Laparoscopic Surgery Port®]
Early experience in laparoscopic radical prostatectomy using the laparoscopic device for umbilical access SILS Port® | [Experiencia inicial en prostatectoma radical laparoscpica con el dispositivo de acceso laparoscpico umbilical Single-Incision Laparoscopic Surgery Port®]
Actas Urologicas Espanolas. 2010; 34(6): 495-499
84 Robotic Distal Splenopancreatectomy: Bridging the Gap Between Pancreatic and Minimal Access Surgery
Dimitrios Ntourakis, Ettore Marzano, Patricia Alexandra Lopez Penza, Philippe Bachellier, Daniel Jaeck, Patrick Pessaux
Journal of Gastrointestinal Surgery. 2010; 14(8): 1326-1330
[Pubmed] | [DOI]


Print this article  Email this article
Previous article Next article


© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04