Surgical Endoscopy

, Volume 27, Issue 6, pp 1932–1937 | Cite as

A novel robotic system for single-port laparoscopic surgery: preliminary experience

  • G. Petroni
  • M. Niccolini
  • S. Caccavaro
  • C. Quaglia
  • A. Menciassi
  • S. Schostek
  • G. Basili
  • O. Goletti
  • M. O. Schurr
  • P. Dario



The concept of single-access procedures has gained greater attention from general surgeons during the past 5 years. Despite this wide momentum, these procedures pose several changes for the surgeon, such as impaired eye-hand coordination and restricted manipulation. In this context, robotic-assisted surgery represents a promising technology to enhance the dexterity of laparoscopic surgeons.


A novel teleoperated robotic system for minimally invasive surgery (MIS) called SPRINT (Single-Port lapaRoscopy bImaNual roboT) has been developed. SPRINT is a master-slave robotic platform designed for bimanual interventions through a single-access port. The system is basically composed by two main arms having a maximum diameter of 18 mm and a stereoscopic-camera (Karl-Storz, Tuttlingen, Germany). The arms may be inserted into a cylindrical introducer that has a maximum diameter of 30 mm. The surgeon console is composed of two master manipulators, a foot-switch, and a 3D full-HD display.


In an animal study, a small-bowel enteroenterostomy and the ligation of a mesenteric vessel bundle have been performed. As preliminary experience, the system has been placed within the peritoneal cavity through an incision of approximately 10 cm: the robot has been suspended in an open fashion, due to some mechanical constraints of the current prototype. The procedures have been performed in an authorized laboratory on a female pig of approximately 50 Kg.


Two typical surgical maneuvers have been performed successfully with the SPRINT surgical platform: an intestinal anastomosis and a vessel ligation. Moreover, the speed, precision, and force with which the SPRINT robot executed the commands by the surgeon controlling the master console have been subjectively described as adequate to the tasks. Based on this preliminary demonstration, bimanual robot solutions, such as the SPRINT robot, may offer more dexterity and precision to single-port techniques in the next future.


Laparoendoscopic single site (LESS) surgery Minimally invasive surgery (MIS) Robotic surgery Bimanual robot 

Supplementary material

Supplementary material 1 (MOV 35492 kb)


  1. 1.
    Ahmed K, Wang TT, Patel VM, Nagpal K, Clark J, Ali M, Deeba S, Ashrafian H, Darzi A, Athanasiou T, Paraskeva P (2011) The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg Endosc 25:378–396PubMedCrossRefGoogle Scholar
  2. 2.
    Antoniou SA, Pointner R, Granderath FA (2011) Single-incision laparoscopic cholecystectomy: a systematic review. Surg Endosc 25:367–377PubMedCrossRefGoogle Scholar
  3. 3.
    Saber AA, Elgamal MH, Itawi EA, Rao AJ (2008) Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg 18:1338–1342PubMedCrossRefGoogle Scholar
  4. 4.
    Boni L, Dionigi G, Cassinotti E, Di Giuseppe M, Diurni M, Rausei S, Cantore F, Dionigi R (2010) Single-incision laparoscopic right colectomy. Surge Endosc 24:3233–3236CrossRefGoogle Scholar
  5. 5.
    Lirici MM (2012) Single site laparoscopic surgery: an intermediate step toward no (visible) scar surgery or the next gold standard in minimally invasive surgery? Minim Invasive Ther Allied Technol 21:1–7PubMedCrossRefGoogle Scholar
  6. 6.
    Romanelli J, Earle D (2009) Single-port laparoscopic surgery: an overview. Surg Endosc 23:1419–1427PubMedCrossRefGoogle Scholar
  7. 7.
    Tang B, Hou S, Cuschieri A (2012) Ergonomics of and technologies for single-port laparoscopic surgery. Minim Invasive Ther Allied Technol 21:46–54PubMedCrossRefGoogle Scholar
  8. 8.
    Dapri G (2012) Specially designed curved reusable instruments for single-access laparoscopy: 2.5-year experience in 265 patients. Minim Invasive Ther Allied Technol 21:31–39PubMedCrossRefGoogle Scholar
  9. 9.
    Galvao Neto M, Ramos A, Campos J (2009) Single-port laparoscopic access surgery. Tech Gastrointest Endosc 11:84–93CrossRefGoogle Scholar
  10. 10.
    Pearl J, Ponsky J (2008) Natural orifice translumenal surgery: a critical review. J Gastrointest Surg 12:1293–1300PubMedCrossRefGoogle Scholar
  11. 11.
    Pryor AD, Tushar JR, DiBernardo LR (2010) Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe. Surg Endosc 24:917–923PubMedCrossRefGoogle Scholar
  12. 12.
    Horgan S, Thompson K, Talamini M, Ferreres A, Jacobsen G, Spaun G, Cullen J, Swanstrom L (2011) Clinical experience with a multifunctional, flexible surgery system for endolumenal, single-port and NOTES procedures. Surg Endosc 25:586–592PubMedCrossRefGoogle Scholar
  13. 13.
    Haber GP, White MA, Autorino R, Escobar PF, Kroh MD, Chalikonda S, Khanna R, Forest S, Yang B, Altunrende F, Stein RJ, Kaouk JH (2010) Novel robotic daVinci instruments for laparoendoscopic single-site surgery. Urology 76:1279–1282PubMedCrossRefGoogle Scholar
  14. 14.
    Ding J, Xu K, Goldman R, Allen P, Fowler D, Simaan N (2010) Design, simulation and evaluation of kinematic alternatives for insertable robotic effectors platforms in single port access surgery. In: Proceedings of the IEEE International Conference on Robotics and Automation (ICRA), May 2010, pp 1053–1058Google Scholar
  15. 15.
    Noonan SD, Payne C, Clark J, Sodergren M, Darzi A, Yang GZ (2011) An articulated universal joint based flexible access robot for minimally invasive surgery. In: Proceedings of the IEEE International Conference on Robotics and Automation (ICRA), May 2011, pp 1147–1152Google Scholar
  16. 16.
    Kobayashi Y, Tomono Y, Sekiguchi Y, Watanabe H, Toyoda K, Konishi K, Tomikawa M, Ieiri S, Tanoue K, Hashizume M, Fujie MG (2010) A surgical robot with vision field control for single port endoscopic surgery. Int J Med Robotics Comput Assist Surg 6:454–464CrossRefGoogle Scholar
  17. 17.
    Phee S, Ho K, Lomanto D, Low S, Huynh V, Kencana A, Yang K, Sun Z, Chung S (2010) Natural orifice transgastric endoscopic wedge hepatic resection in an experimental model using an intuitively controlled master and slave transluminal endoscopic robot (MASTER). Surg Endosc 24:2293–2298PubMedCrossRefGoogle Scholar
  18. 18.
    Wortman TD, Meyer A, Dolghi O, Lehman AC, McCornick RL, Farritor SM, Oleynikov D (2012) Miniature surgical robot for laparoendoscopic single-incision colectomy. Surg Endosc 26:727–731PubMedCrossRefGoogle Scholar
  19. 19.
    Lehman AC, Wood NA, Farritor S, Goede MR, Oleynikov D (2011) Dexterous miniature robot for advanced minimally invasive surgery. Surg Endosc 25:119–123PubMedCrossRefGoogle Scholar
  20. 20.
    Piccigallo M, Scarfogliero U, Quaglia C, Petroni G, Valdastri P, Menciassi A, Dario P (2010) Design of a novel bimanual robotic system for single port laparoscopy. IEEE/ASME Trans Mechatronics. doi:10.1109/TMECH.2010.2078512 December 13, 2010Google Scholar
  21. 21.
    Petroni G, Niccolini M, Menciassi A, Dario P, Cuschieri A (2012) A novel intracorporeal assembling robotic system for single-port laparoscopic surgery. Surg Endosc. doi:10.1007/s00464-012-2453-7 PubMedGoogle Scholar
  22. 22.
    Niccolini M, Petroni G, Menciassi A, Dario P (2012) Real-time control architecture of a novel Single-Port lapaRoscopy bimaNual roboT (SPRINT). In: Proceedings of the IEEE International Conference on Robotics and Automation (ICRA), May 2012Google Scholar
  23. 23.
    Pini G, Rassweiler J (2012) Minilaparoscopy and laparoendoscopic single-site surgery: mini and single scar in urology. Minim Invasive Ther Allied Technol 21:8–25PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • G. Petroni
    • 1
  • M. Niccolini
    • 1
  • S. Caccavaro
    • 1
  • C. Quaglia
    • 1
  • A. Menciassi
    • 1
  • S. Schostek
    • 3
  • G. Basili
    • 2
  • O. Goletti
    • 2
  • M. O. Schurr
    • 3
  • P. Dario
    • 1
  1. 1.The BioRobotics InstituteScuola Superiore Sant’AnnaPisaItaly
  2. 2.Pontedera Hospital, General Surgery UnitPisaItaly
  3. 3.IHCI Institute, Steinbeis University BerlinTuebingenGermany

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