Abstract
Background
Minimally invasive surgery (MIS) is rising in popularity generating a revolution in operative medicine during the past few decades. Although laparoscopic techniques have not significantly changed in the last 10 years, several advances have been made in visualization devices and instrumentation.
Methods
Our team, composed of surgeons and biomedical engineers, developed a magnetic levitation camera (MLC) with a magnetic internal mechanism dedicated to MIS. Three animal trials were performed. Porcine acute model has been chosen after animal ethical committee approval, and laparoscopic cholecystectomy, nephrectomy and hernioplastic repair have been performed.
Results
MLC permits to complete efficiently several two-port laparoscopy surgeries reducing patients’ invasiveness and at the same time saving surgeon’s dexterity.
Conclusions
We strongly believe that insertable and softly tethered devices like MLS camera will be an integral part of future surgical systems, thus improving procedures efficiency, minimizing invasiveness and enhancing surgeon dexterity and versatility of visions angles.
Similar content being viewed by others
References
Grace PA, Quereshi A, Coleman J et al (1991) Reduced postoperative hospitalization after laparoscopic cholecystectomy. Br J Surg 78:160–162
Reynolds W (2001) The first laparoscopic cholecystectomy. J Soc Laparoendosc Surg 5:89–94
Buess G (1993) Review: transanal endoscopic microsurgery (TEM). J R Coll Surg Edinb 38(4):239–245
Stavros AA et al (2015) Past, present, and future of minimally invasive abdominal surgery. JSLS 19(3):e2015.00052
Arezzo A, Scozzari G, Famiglietti F, Passera R, Morino M (2013) Is single-incision laparoscopic cholecystectomy safe? Results of a systematic review and meta-analysis. Surg Endosc 27:2293–2304
Swain P, Bagga HS, Su LM (2009) Status of endoscopes and instruments used during NOTES. J Endourol 23(5):773–780
Valdastri P, Quaglia C, Buselli E, Arezzo A, Di Lorenzo N, Morino M, Menciassi A, Dario P (2010) A magnetic internal mechanism for precise orientation of the camera in wireless endoluminal applications. Endoscopy 42(6):481–486. doi:10.1055/s-0029-1244170
Yin G, Han WK, Faddegon S, Tan YK, Liu ZW, Olweny EO, Scott DJ, Cadeddu JA (2013) Laparoendoscopic single site (LESS) in vivo suturing using a magnetic anchoring and guidance system (MAGS) camera in a porcine model: impact on ergonomics and workload. Urology 81(1):80–84
Morgan M, Olweny EO, Cadeddu JA (2014) LESS and NOTES instrumentation: future. Curr Opin Urol 24(1):58–65
Swain P, Toor A, Volke F, Keller J, Gerber J, Rabinovitz E, Rothstein RI (2010) Remote magnetic manipulation of a wireless capsule endoscope in the esophagus and stomach of humans (with videos). Gastrointest Endosc 71(7):1290–1293
Keller J, Fibbe C, Volke F, Gerber J, Mosse AC, Reimann-Zawadzki M, Rabinovitz E, Layer P, Swain P (2010) Remote magnetic control of a wireless capsule endoscope in the esophagus is safe and feasible: results of a randomized, clinical trial in healthy volunteers. Gastrointest Endosc 72(5):941–946. doi:10.1016/j.gie.2010.06.053
Ding J, Goldman RE, Xu K, Allen PK, Fowler DL, Simaan N (2013) Design and coordination kinematics of an insertable robotic effectors platform for single-port access surgery. IEEE ASME Trans Mechatron 18:1612–1624
Simi M, Pickens R, Menciassi A, Herrell SD, Valdastri P (2013) Fine tilt tuning of a laparoscopic camera by local magnetic actuation: two-port nephrectomy experience on human cadavers. Surg Innov 20(4):385–394
Simi M, Tolou N, Valdastri P, Herder J, Menciassi A, Dario P (2012) Modelling of a compliant joint in a magnetic levitation system for an endoscopic camera. Mech Sci 3:5–14
Wang Z, André P, McLean D, Brown SI, Florence GJ, Cuschieri A (2014) Intraluminal magnetisation of bowel by ferromagnetic particles for retraction and manipulation by magnetic probes. Med Eng Phys 36(11):1521–1525. doi:10.1016/j.medengphy.2014.07.013
Wortman TD, Meyer A, Dolghi O, Lehman AC, McCormick RL, Farritor SM, Oleynikov D (2012) Miniature surgical robot for laparoendoscopic single-incision colectomy. Surg Endosc 26(3):727–731. doi:10.1007/s00464-011-1943-3
Otten ND, Farritor SM, Lehman AC, Wortman TD, McCormick RL, Markvicka E, Oleynikov D (2011) Miniature in vivo cameras for use in single-incision robotic surgery-biomed 2011. Biomed Sci Instrum 47:165–170
Best SL, Bergs R, Scott DJ, Fernandez R, Mashaud LB, Cadeddu JA (2012) Solo surgeon laparo-endoscopic single site nephrectomy facilitated by new generation magnetically anchored and guided systems camera. J Endourol 26(3):214–218. doi:10.1089/end.2011.0143
Cadeddu J, Fernandez R, Desai M, Bergs R, Tracy C, Tang SJ, Rao P, Desai M, Scott D (2009) Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience. Surg Endosc 23(8):1894–1899. doi:10.1007/s00464-009-0459-6
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Disclosures
Drs. Nicola Di Lorenzo, Livia Cenci, Massimiliano Simi, Claudio Arcudi, Valeria Tognoni, Achille Lucio Gaspari and Pietro Valdastri have no conflicts of interest or financial ties to disclose.
Additional information
In the era of laparoscopy, magnetic levitation camera permits to perform efficiently several two-port laparoscopy surgeries reducing patient’s invasiveness.
Rights and permissions
About this article
Cite this article
Di Lorenzo, N., Cenci, L., Simi, M. et al. A magnetic levitation robotic camera for minimally invasive surgery: Useful for NOTES?. Surg Endosc 31, 2529–2533 (2017). https://doi.org/10.1007/s00464-016-5255-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-016-5255-5