Assistance Strategies for Robotized Laparoscopy
Robotizing laparoscopic surgery not only allows achieving better accuracy to operate when a scale factor is applied between master and slave or thanks to the use of tools with 3 DoF, which cannot be used in conventional manual surgery, but also due to additional informatic support. Relying on computer assistance different strategies that facilitate the task of the surgeon can be incorporated, either in the form of autonomous navigation or cooperative guidance, providing sensory or visual feedback, or introducing certain limitations of movements. This paper describes different ways of assistance aimed at improving the work capacity of the surgeon and achieving more safety for the patient, and the results obtained with the prototype developed at UPC.
KeywordsSurgical robotics Robot laparoscopic surgery Cooperative robotics Virtual feedback Safety in robotics surgery
The authors thank the contribution of Dr Antonio Alcaraz and Lluís Peri of Hospital Clínic, Barcelona, for their assessment along the clinical evaluation process. The ongoing research is partly funded from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 779813 (SARAS).
- 1.Versius homepage. https://cmrsurgical.com/versius/Versius.html. Accessed 2019
- 2.RobSurgical Homepage. https://www.robsurgical.com/bitrack/. Accessed 2019
- 3.Ortmaier, T., Deml, B., Kübler, B., Passig, G., Reintsema, D., Seibold, U.: Robot assisted force feedback surgery. In: Advances in Telerobotics, vol. 31, pp. 361–379. Springer, Heidelberg (2007)Google Scholar
- 5.Trejos, A.L., Patel, R.V., Naish, M.D.: Force sensing and its application in minimally invasive surgery and therapy: a survey. In: Proceedings of the Institution of Mechanical Engineers, Part C: Journal of Mechanical Engineering Science, vol. 224, no. 7, pp. 1435–1454 (2010)Google Scholar
- 6.Zemiti, N., et al.: Force controlled laparoscopic surgical robot without distal force sensing. In: HAL Archives-Ouvertes (2015)Google Scholar
- 7.Zhao, B., Nelson, C.A.: A sensorless force-feedback system for robot-assisted laparoscopic surgery. Comput. Assist. Surg. 1–8 (2019)Google Scholar
- 9.Weede, O., et al.: Towards cognitive medical robotics in minimal invasive surgery. In: ACM International Conference Proceeding Series (2013)Google Scholar
- 10.Muradore, R., et al.: Development of a cognitive robotic system for simple surgical tasks. Int. J. Adv. Robot. Syst. (2015). https://doi.org/10.5772/6013
- 11.Padoy, N.: Machine and deep learning for workflow recognition during surgery. Artif. Intell. Oper. Room 28(2), 82–90 (2019)Google Scholar
- 14.Dong-Han, L., Hwang, W., Lim, S.C.: Interaction force estimation using camera and electrical current without force/torque sensor. IEEE Sens. (2018)Google Scholar
- 15.Sayols, N., Hernansanz, A., Parra, J., Eixarch, E., Gratacós, E., Amat J., Casals, A.: Vision based robot assistance in TTTS fetal surgery. In: IEEE-Engineering in Medicine and Biology Conference (2019)Google Scholar