Robotic single-incision transabdominal and transvaginal surgery: Initial experience with intersecting robotic arms

Monika E. Hagen, Oliver J. Wagner, Ihsan Inan, Philippe Morel, Jean Fasel, Garth Jacobsen, Adam Spivack, Kari Thompson, Brian Wong, Lauren Fischer, Mark Talamini, Santiago Horgan

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Single-incision laparoscopic and natural orifice translumenal endoscopic surgery (NOTES) are technically challenging methods. Robotics might have the potential to overcome such hurdles with computer technology. Methods: The da Vinci® Standard and S System (Intuitive, Sunnyvale, USA) were used in human cadavers and pigs to perform single-incision transabdominal and transvaginal surgery. Robotic arms were crossed and control-switched to achieve intuitive control. Results: It was possible to perform robotic single-incision laparoscopy in the typical, intuitive fashion. Transvaginal set-up, including docking of the system and introduction of instruments into the abdominal cavity, was possible but no useful manipulation could be performed. Conclusions: While robotic NOTES with the da Vinci surgical system was not successful, robotic single-incision surgery is feasible using the above set-up. This new approach seems to offer the advantages of single-incision surgery while maintaining the intuitive control of robotic surgery. Clinical application appears justified.

Original languageEnglish (US)
Pages (from-to)251-255
Number of pages5
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume6
Issue number3
DOIs
StatePublished - Sep 1 2010

Keywords

  • Da Vinci
  • Laparoscopy
  • Minimally invasive surgery
  • NOTES
  • One-port umbilical surgery
  • Robotic surgery
  • Single access surgery
  • Single incision laparoscopic surgery

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

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