Low-Cost Robotic-Assisted Laparoscope

Authors: Ege Can Onal, Enver Ersen, Meltem Elitas

Abstract:

Laparoscopy is a surgical operation, well known as keyhole surgery. The operation is performed through small holes, hence, scars of a patient become much smaller, patients can recover in a short time and the hospital stay becomes shorter in comparison to an open surgery. Several tools are used at laparoscopic operations; among them, the laparoscope has a crucial role. It provides the vision during the operation, which will be the main focus in here. Since the operation area is very small, motion of the surgical tools might be limited in laparoscopic operations compared to traditional surgeries. To overcome this limitation, most of the laparoscopic tools have become more precise, dexterous, multi-functional or automated. Here, we present a robotic-assisted laparoscope that is controlled with pedals directly by a surgeon. Thus, the movement of the laparoscope might be controlled better, so there will not be a need to calibrate the camera during the operation. The need for an assistant that controls the movement of the laparoscope will be eliminated. The duration of the laparoscopic operation might be shorter since the surgeon will directly operate the camera.

Keywords: Laparoscope, laparoscopy, low-cost, minimally invasive surgery, robotic-assisted surgery.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1317250

References:

[1] A. G. Gallagher, N. McClure, J. McGuigan, K. Ritchie, N. P. Sheehy, “An Ergonomic Analysis of the Fulcrum Effect in the Acquisition of Endoscopic Skills", Endoscopy, vol.1, no. 7, 2007, pp. 617–620.
[2] J. C. Rosser, L. E. Rosser, R. S. Savalgi, “Skill acquisition and assessment for laparoscopic surgery”, Arch. Surg., vol. 132, 1997, pp. 200–204.
[3] D. R.Yates, C. Vaessen, M. Roupret , “From Leonardo to da Vinci: The history of robot-assisted surgery in urology”, BJU Int., vol. 108, no. 11, 2011, pp. 1708-1713.
[4] P. R. Rizun, P. B. McBeth, D. F. Louw, G. R. Sutherland, “Robot-Assisted Neurosurgery”, Seminars in Laparoscopic Surgery, vol. 11, no. 2, June 2004, pp. 99-106.
[5] J. Pransky, "ROBODOC - surgical robot success story", Industrial Robot: An International Journal, vol. 24, no 3, 1997, pp. 231-233.
[6] F. Pugin, P. Bucher, P. Morel, Journal of visceral surgery, 2011.
[7] Sallinen V., Mentula P., “Laparoscopic appendectomy”, Duodecim, vol. 133, no.7, 2017, pp. 660-666.
[8] R. Mirhashemi, B. L. Harlow, E. S. Ginsburg, L. B. Signorello, R. Berkowitz, S. Feldman, "Predicting risk of complications with gynecologic laparoscopic surgery". Obstet Gynecol, vol. 92, no.3, 1998, pp. 327–31.
[9] R. M. Jimenez-Rodríguez, J. J. Segura-Sampedro, "Laparoscopic approach in gastrointestinal emergencies". World Journal of Gastroenterology, vol.22, no.9, 2016, pp 2701.
[10] D. Bhandarkar, G. Mittal, R. Shah, A. Katara, T.E. Udwadia E. "Single-incision laparoscopic cholecystectomy: How I do it?", Journal of Minimal Access Surgery, vol.7, no.1, 2011, pp. 17–23.
[11] F. Corcione, C. Esposito, “Advantages and limits of robot-assisted laparoscopic surgery: preliminary experience”, Surgical Endoscopy and Other Interventional Techniques, vol. 19, no. 1, 2004, pp. 117-119.