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Robotic surgery in ear nose and throat

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Abstract

The arrival of a commercial surgical robotic platform at our institution has raised the question of its application and usefulness within the department of otolaryngology head and neck surgery. In order to answer this question, we sought to perform a qualitative review to examine the evolution of commercial surgical robotics and examine present and future applications of this emerging technology within our specialty. The main objective of this study is to examine the development and application of robotic surgery in otolaryngology, head and neck surgery. The study includes a qualitative systematic review. We have reviewed research papers and studies that specifically relate to the use of robots in otorhinolaryngology. More specifically, we have attempted to review those studies that have significantly added to the development of this field. In summary, we have examined eight animal studies, six cadaveric studies, nine human trials. Robotic surgery in ENT is a safe and feasible option. In certain procedures, it offers significant benefits over conventional surgery. Instrument and robotic arm size, and costs are limiting factors that prevent the use of robots being applied to many additional ENT procedures. We feel the development of new speciality-specific robots will yield a new era in the common use of robotics in ENT.

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References

  1. Capek K, Lidové noviny. Prague, 24 December 1933

  2. Robotics, Wikapedia. http://en.wikipedia.org/wiki/Robotics. Accessed 22 June 2009

  3. Herron DM, Marohn M (2008) A consensus document on robotic surgery. Surg Endosc 22:313–325 (discussion 311–312)

    Article  CAS  PubMed  Google Scholar 

  4. Gybels J, Vandermeulen D, Suetens P, Marchal G, Wilms G (1990) A prototype medical workstation for computer-assisted stereotactic neurosurgery. Stereotact Funct Neurosurg 54–55:493–496

    Article  PubMed  Google Scholar 

  5. Drake JM, Joy M, Goldenberg A, Kreindler D (1991) Computer- and robot-assisted resection of thalamic astrocytomas in children. Neurosurgery 29:27–33

    Article  CAS  PubMed  Google Scholar 

  6. Schroeck FR, de Sousa CA, RA Kalman et al (2008) Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Urology 71:597–601

    Article  PubMed  Google Scholar 

  7. Buckingham RA, Buckingham RO (1995) Robots in operating theatres. BMJ 311:1479–1482

    CAS  PubMed  Google Scholar 

  8. Brett PN, Baker DA, Reyes L, Blanshard J (1995) An automatic technique for micro-drilling a stapedotomy in the flexible stapes footplate. Proc Inst Mech Eng [H] 209:255–262

    CAS  Google Scholar 

  9. Intuitive S (2005) About Intuitive, Sunnyvale, CA. http://www.intuitivesurgical.com/corporate/companyprofile/index.aspx. Accessed 22 June 2009

  10. Robotic surgery, Brown University, Providence, RI. http://robotics.cs.brown.edu/. Accessed 22 June 2009

  11. Breitenstein S, Nocito A, Puhan M, Held U, Weber M, Clavien PA (2008) Robotic-assisted versus laparoscopic cholecystectomy: outcome and cost analyses of a case-matched control study. Ann Surg 247:987–993

    Article  PubMed  Google Scholar 

  12. Nguyen NT, Hinojosa MW, Finley D, Stevens M, Paya M (2004) Application of robotics in general surgery: initial experience. Am Surg 70:914–917

    PubMed  Google Scholar 

  13. Dasgupta P, Kirby RS (2008) The current status of robot-assisted radical prostatectomy. Asian J Androl 11:90–93

    Article  PubMed  Google Scholar 

  14. Meehan JJ, Sandler A (2008) Pediatric robotic surgery: a single-institutional review of the first 100 consecutive cases. Surg Endosc 22:177–182

    Article  PubMed  Google Scholar 

  15. Mohr FW, Falk V, Diegeler A et al (2001) Computer-enhanced “robotic” cardiac surgery: experience in 148 patients. J Thorac Cardiovasc Surg 121:842–853

    Article  CAS  PubMed  Google Scholar 

  16. Gharagozloo F, Margolis M, Tempesta B (2008) Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg 85:1880–1885 (discussion 1885–1886)

    Article  PubMed  Google Scholar 

  17. Haus BM, Kambham N, Le D, Moll FM, Gourin C, Terris DJ (2003) Surgical robotic applications in otolaryngology. Laryngoscope 113:1139–1144

    Article  PubMed  Google Scholar 

  18. Weinstein GS, O’Malley BW Jr, Hockstein NG (2005) Transoral robotic surgery: supraglottic laryngectomy in a canine model. Laryngoscope 115:1315–1319

    Article  PubMed  Google Scholar 

  19. Hockstein NG, Weinstein GS, O’Malley BW Jr (2005) Maintenance of hemostasis in transoral robotic surgery. ORL J Otorhinolaryngol Relat Spec 67:220–224

    PubMed  Google Scholar 

  20. McLeod IK, Mair EA, Melder PC (2005) Potential applications of the da Vinci minimally invasive surgical robotic system in otolaryngology. Ear Nose Throat J 84:483–487

    PubMed  Google Scholar 

  21. O’Malley BW Jr, Weinstein GS, Hockstein NG (2006) Transoral robotic surgery (TORS): glottic microsurgery in a canine model. J Voice 20:263–268

    Article  PubMed  Google Scholar 

  22. O’Malley BW Jr, Weinstein GS, Snyder W, Hockstein NG (2006) Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 116:1465–1472

    Article  PubMed  Google Scholar 

  23. O’Malley BW Jr, Weinstein GS (2007) Robotic anterior and midline skull base surgery: preclinical investigations. Int J Radiat Oncol Biol Phys 69:S125–S128

    PubMed  Google Scholar 

  24. O’Malley BW Jr, Weinstein GS (2007) Robotic skull base surgery: preclinical investigations to human clinical application. Arch Otolaryngol Head Neck Surg 133:1215–1219

    Article  PubMed  Google Scholar 

  25. Hockstein NG, Nolan JP, O’Malley BW Jr, Woo YJ (2005) Robot-assisted pharyngeal and laryngeal microsurgery: results of robotic cadaver dissections. Laryngoscope 115:1003–1008

    Article  PubMed  Google Scholar 

  26. Terris DJ, Haus BM, Gourin CG, Lilagan PE (2005) Endo-robotic resection of the submandibular gland in a cadaver model. Head Neck 27:946–951

    Article  PubMed  Google Scholar 

  27. Hanna EY, Holsinger C, DeMonte F, Kupferman M (2007) Robotic endoscopic surgery of the skull base: a novel surgical approach. Arch Otolaryngol Head Neck Surg 133:1209–1214

    Article  PubMed  Google Scholar 

  28. Ozer E, Waltonen J (2008) Transoral robotic nasopharyngectomy: a novel approach for nasopharyngeal lesions. Laryngoscope 118:1613–1616

    Article  PubMed  Google Scholar 

  29. Rahbar R, Ferrari LR, Borer JG, Peters CA (2007) Robotic surgery in the pediatric airway: application and safety. Arch Otolaryngol Head Neck Surg 133:46–50 (discussion 50)

    Article  PubMed  Google Scholar 

  30. McLeod IK, Melder PC (2005) Da Vinci robot-assisted excision of a vallecular cyst: a case report. Ear Nose Throat J 84:170–172

    PubMed  Google Scholar 

  31. Weinstein GS, O’Malley BW Jr, Snyder W, Hockstein NG (2007) Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol 116:19–23

    PubMed  Google Scholar 

  32. Solares CA, Strome M (2007) Transoral robot-assisted CO2 laser supraglottic laryngectomy: experimental and clinical data. Laryngoscope 117:817–820

    Article  PubMed  Google Scholar 

  33. Weinstein GS, O’Malley BW Jr, Snyder W, Sherman E, Quon H (2007) Transoral robotic surgery: radical tonsillectomy. Arch Otolaryngol Head Neck Surg 133:1220–1226

    Article  PubMed  Google Scholar 

  34. Mukhija VK, Sung CK, Desai SC, Wanna G, Genden EM (2009) Transoral robotic assisted free flap reconstruction. Otolaryngol Head Neck Surg 140:124–125

    Article  PubMed  Google Scholar 

  35. Hillel AT, Kapoor A, Simaan N, Taylor RH, Flint P (2008) Applications of robotics for laryngeal surgery. Otolaryngol Clin North Am 41:781–791 (vii)

    Article  PubMed  Google Scholar 

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The authors declare no conflict of interest.

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Correspondence to Amit Parmar.

Appendix

Appendix

See Tables 1 and 2

Table 1 Results from PubMed and Medline searches
Table 2 Time line of surgical robotic development

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Parmar, A., Grant, D.G. & Loizou, P. Robotic surgery in ear nose and throat. Eur Arch Otorhinolaryngol 267, 625–633 (2010). https://doi.org/10.1007/s00405-009-1022-8

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  • DOI: https://doi.org/10.1007/s00405-009-1022-8

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