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A Single-Port Robotic Platform for Laparoscopic Surgery with a Large Central Channel for Additional Instrument

Annals of Biomedical Engineering volume 45, pages 2211–2221 (2017)Cite this article

Abstract

A new approach to a surgical robotic platform for single incision laparoscopic or natural orifice transluminal endoscopic surgery is presented in this paper This platform allows insertion of up to four instruments including the robotic arms and the camera through a single cannula at the same footprint. After insertion of all instruments, a large central channel of 15 mm diameter is kept clear for the passage of additional laparoscopic instruments, such as passage or retrieval of suture needles, and/or suction irrigators which greatly facilitates the performance of complex surgical procedures. Phantom and animal trials have been performed to evaluate the insertion and retrieval sequences. These important features were made possible by internally-motorized robotic arms with 7 degrees of freedom and with no external mechanical device connections. The whole platform, together with the 3 degrees of freedom from the swivel system that support the cannula, has altogether 10 degrees of freedom to allow the operation of complex surgeries and access to all quadrants of the abdominal cavity. This new single-port robotic platform paves a new development direction for future non-invasive surgery.

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References

  1. Asakuma, M., S. Perretta, P. Allemann, R. Cahill, S. A. Con, C. Solano, S. Pasupathy, D. Mutter, B. Dallemagne, and J. Marescaux. Challenges and lessons learned from NOTES cholecystectomy initial experience: a stepwise approach from the laboratory to clinical application. J. Hepatobiliary Pancreat. Surg. 16:249–254, 2009.

    Article  PubMed  Google Scholar 

  2. Bhayani, S. B., and G. L. Andriole. Three-dimensional (3D) vision: does it improve laparoscopic skills? An assessment of a 3D head-mounted visualization system. Rev. Urol. 7:211–214, 2005.

    PubMed  PubMed Central  Google Scholar 

  3. Chandra, V., D. Nehra, R. Parent, R. Woo, R. Reyes, T. Hernandez-Boussard, and S. Dutta. A comparison of laparoscopic and robotic assisted suturing performance by experts and novices. Surgery 147:830–839, 2010.

    Article  PubMed  Google Scholar 

  4. Cheon, B., E. Gezgin, D. K. Ji, M. Tomikawa, M. Hashizume, H. J. Kim, and J. Hong. A single port laparoscopic surgery robot with high force transmission and a large workspace. Surg. Endosc. 28:2719–2729, 2014.

    Article  PubMed  Google Scholar 

  5. Ersin, S., O. Firat, and M. Sozbilen. Single-incision laparoscopic cholecystectomy: is it more than a challenge? Surg. Endosc. 24:68–71, 2010.

    Article  PubMed  Google Scholar 

  6. Kaouk, J. H., R. K. Goel, G. P. Haber, S. Crouzet, and R. J. Stein. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 103:366–369, 2009.

    Article  PubMed  Google Scholar 

  7. Kaouk, J. H., G. P. Haber, R. Autorino, S. Crouzet, A. Ouzzane, V. Flamand, and A. Villers. A novel robotic system for single-port urologic surgery: first clinical investigation. Eur. Urol. 66:1033–1043, 2014.

    Article  PubMed  Google Scholar 

  8. Lehman, A. C., J. Dumpert, N. A. Wood, L. Redden, A. Q. Visty, S. Farritor, B. Varnell, and D. Oleynikov. Natural orifice cholecystectomy using a miniature robot. Surg. Endosc. 23:260–266, 2009.

    Article  PubMed  Google Scholar 

  9. Leong, F., N. Garbin, C. D. Natali, A. Mohammadi, D. Thiruchelvam, D. Oetomo, and P. Valdastri. Magnetic surgical instruments for robotic abdominal surgery. IEEE Rev. Biomed. Eng. 9:66–78, 2016.

    Article  PubMed  Google Scholar 

  10. Nicolau, S., L. Soler, D. Mutter, and J. Marescaux. Augmented reality in laparoscopic surgical oncology. Surg. Oncol. 20:189–201, 2011.

    Article  PubMed  Google Scholar 

  11. Payne, C. J., H. J. Marcus, and G. Yang. A smart haptic hand- held device for neurosurgical microdissection. Ann. Biomed. Eng. 43:2185–2195, 2015.

    Article  PubMed  Google Scholar 

  12. Quaglia, C., G. Petroni, M. Niccolini, S. Caccavaro, P. Dario, and A. Menciassi. Design of a compact robotic manipulator for single- port laparoscopy (author abstract). J. Mech. Design 136:105001, 2014.

    Article  Google Scholar 

  13. Samson, H. Titan Medical Inc. Completes Functional Prototype of Its Single Port Orifice Robotic Technology (SPORT(TM)) Surgical System. Toronto: Marketwired, 2013.

    Google Scholar 

  14. Shang, J., K. Leibrandt, P. Giataganas, V. Vitiello, C. A. Seneci, P. Wisanuvej, J. Liu, G. Gras, J. Clark, A. Darzi, and G. Yang. A single-port robotic system for transanal micro-surgery—design and validation. IEEE Robot. Autom. Lett. 2:1510–1517, 2017.

    Article  Google Scholar 

  15. Shang, J., C. J. Payne, J. Clark, D. P. Noonan, K. W. Kwok, A. Darzi, and G. Z. Yang. Design of a multitasking robotic platform with flexible arms and articulated head for minimally invasive surgery. Rep. U. S. 2012:1988–1993, 2012.

    PubMed  PubMed Central  Google Scholar 

  16. Shin, Won-Ho, and Dong-Soo Kwon. Surgical robot system for single-port surgery with novel joint mechanism. IEEE Trans. Biomed. Eng. 60:937–944, 2013.

    Article  PubMed  Google Scholar 

  17. Simaan, N., K. Xu, A. Kapoor, W. Wei, P. Kazanzides, P. Flint, and R. Taylor. Design and integration of a telerobotic system for minimally invasive surgery of the throat. Int. J. Rob. Res. 28:1134–1153, 2009.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Smith, R., A. Day, T. Rockall, K. Ballard, M. Bailey, and I. Jourdan. Advanced stereoscopic projection technology significantly improves novice performance of minimally invasive surgical skills. Surg. Endosc. 26:1522–1527, 2012.

    CAS  Article  PubMed  Google Scholar 

  19. Stiff, G., M. Rhodes, A. Kelly, K. Telford, C. P. Armstrong, and B. I. Rees. Long-term pain: less common after laparoscopic than open cholecystectomy. Br. J. Surg. 81:1368–1370, 1994.

    CAS  Article  PubMed  Google Scholar 

  20. Tacchino, R., F. Greco, and D. Matera. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg. Endosc. 23:896–899, 2009.

    CAS  Article  PubMed  Google Scholar 

  21. Wortman, T. D., A. Meyer, O. Dolghi, A. C. Lehman, R. L. McCormick, S. M. Farritor, and D. Oleynikov. Miniature surgical robot for laparoendoscopic single-incision colectomy. Surg. Endosc. 26:727–731, 2012.

    Article  PubMed  Google Scholar 

  22. Wortman, T. D., K. W. Strabala, A. C. Lehman, S. M. Farritor, and D. Oleynikov. Laparoendoscopic single- site surgery using a multi- functional miniature in vivo robot. Int. J. Med. Robot. Comput. Assist. Surg. 7:17, 2011.

    Article  Google Scholar 

  23. Xu, K., R. E. Goldman, J. Ding, P. K. Allen, D. L. Fowler, and N. Simaan. System design of an insertable robotic effector platform for single port access (SPA) surgery. In: IEEE/RSJ International Conference on Intelligent Robots and Systems. IROS 2009, pp. 5546–5552, 2009.

  24. Zhao, J., B. Feng, M. H. Zheng, and K. Xu. Surgical robots for SPL and NOTES: a review. Minim. Invasive Ther. Allied Technol. 24:8–17, 2015.

    Article  PubMed  Google Scholar 

  25. Zornig, C., H. Mofid, A. Emmermann, M. Alm, H. A. von Waldenfels, and C. Felixmuller. Scarless cholecystectomy with combined transvaginal and transumbilical approach in a series of 20 patients. Surg. Endosc. 22:1427–1429, 2008.

    CAS  Article  PubMed  Google Scholar 

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Acknowledgment

This work is funded by the Innovation and Technology Commission of HKSAR (Project No.: ITS/149/13FX) and Bio-Medical Engineering (HK) Limited.

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Affiliations

  1. Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong

    K. L. Yung & S. W. Chung

  2. Bio-Medical Engineering (HK) Limited, Cyperport, Hong Kong

    J. L. K. Cheung & S. Singh

  3. NISI (HK) Limited, Cyperport, Hong Kong

    C. K. Yeung

Authors
  1. K. L. Yung
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  2. J. L. K. Cheung
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  3. S. W. Chung
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  4. S. Singh
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  5. C. K. Yeung
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Corresponding author

Correspondence to C. K. Yeung.

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Associate Editor K. Jane Grande-Allen oversaw the review of this article.

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Yung, K.L., Cheung, J.L.K., Chung, S.W. et al. A Single-Port Robotic Platform for Laparoscopic Surgery with a Large Central Channel for Additional Instrument. Ann Biomed Eng 45, 2211–2221 (2017). https://doi.org/10.1007/s10439-017-1865-x

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  • DOI: https://doi.org/10.1007/s10439-017-1865-x

Keywords

  • Minimally invasive surgery
  • Cannula
  • Anchoring
  • Laparoscopic surgery