DISCUSS ROBOTIC SURGERY.power point presentation

The Robots and Surgeon

1. Dr.MOSES C
GENERAL SURGERY UNIT
FEDERAL TEACHING HOSPITAL,GOMBE

2. INTRODUCTION
CLASSIFICATION
APPLICATIONS
BENEFITS
LIMITATIONS
CONCLUSION
REFERENCE

3. ROBOTS-Programmable device doing complex
actions autonomously with speed and precision
ROBOTIC SURGERY-“ ROBOT ASSISTED
SURGERY”-with the Surgeon in control

4. Robotic surgery help to overcome the surgical
limitations of traditional and minimally
invasive laparoscopic surgery which are
dexterity enhancing deficient

5. 1985-The PUMA 560 Robot was used to place
needle for CT-Guided Brain Biopsy
1988-The RoboDocwas used in Hip replacement
to core femoral shaft
In 1992-The Probotwas used in Robotic TURP
IN 1994-The AESOP AND ZEUS
2000-DA VINCI

7. SUPERVISORY CONTROL ROBOTIC SYSTEM
TELESURGICAL SYSTEM
SHARED CONTROL ROBOTIC SYSTEM

8. Surgeon overseas the operation and issue
high level command
Robots execute the motion autonomously
Three steps/process 1.planning
2.Registration 3. navigation
The RoboDoc, The Probot, Radiosurgical

9. Surgeon is in complete control
Surgeon sits at a user control consol with
joysticks and camera feed
Robots directly follows instruction
The davinci, zeus and AESOP

12. Robots can decide to resist the surgeons
intended movement
Work space is split into several working areas
safe,close, boundaries and forbidden
Haptic feedback is applied in forbidden areas
ACROBOT

13. Mimic human arm design
Motors/actuators-function as muscles
Joints-increase joints increase in Degree of
freedom
prismatic and revolute DOF
End effector-grasping

18. Gastrointestinal surgeries; Zeus , Da vinci
Cardiac Surgery; Bypass by Da vinci
Urology; Da vinciused to remove Prostate
gland in cancer, ProbotTURP
Orthopedic; RoboDoc
Radiosurgery; cyberknife

20. Gynaecology; one of the fastest growing field
for Robotic surgery
Paediatric and Thoracic surgery

23. Good mechanical precision
Untiring and stable
Can work in hardzadous condition
Tremors corrections
Telesurgery
Haptic corrective feedback

24. The question of Safety and cost
Learning curves
Ethical issues
Full autonomy far-fetched
Telesurgical latency

25. Advantages;
Humans-
good judgement, easy to train, improvised,
easy communication
Robotic-
mechanical precision, untiring and stable,
multiple modal sensory integrations, working
in harzadousenvironment

26. Disadvantages
Human-limited mechanical precision,
fatique, tremors, inattention, limited
quantitative abilities
Robot-No judement, no qualitative ability,

27. Integration of preoperative and intraoperative
video imaging CT and MRI to enable suggeon
dissect and identify pathology better
SOCRATES-a device that allow surgeons in
remote areas connect to operating rooms and
share videos and audio using a telestrator to
highlight anatomy and control AESOP
The role is limited only by imaginations and
cost

28. Robotic surgery has proven its value
especially in areas inaccessible by other
minimally invasive surgery bringing surgery
into digital age as well as expanding surgical
procedure beyond limit of human ability

29. ‘Principles and Practice of Robotic Surgery’
Anthony J. Costello et.al, Enhance Digital
version.
‘Robotic Surgery’ technical seminar
presentation by A.Sai Charan 2008
Robotic surgery by Sathishkumar
G([email protected] )
Principles of Robotic surgery by ABHISHEK
Pandey, slideshare