Evidence map›Paper›PMID 25249149›Full record

ReviewSurgical endoscopy2015

A state of the art review and categorization of multi-branched instruments for NOTES and SILS.

Ewout A Arkenbout, Paul W J Henselmans, Filip Jelínek, Paul Breedveld

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. A Soft Robotic Sleeve for Safer Colonoscopy Procedures.IEEE robotics and automation letters · 2021
    Article
  5. Article
  6. Review
  7. Mechanical Follow-the-Leader motion of a hyper-redundant surgical instrument: Proof-of-concept prototype and first tests.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2019
    Article
  8. A Hand-Held Non-Robotic Surgical Tool With a Wrist and an Elbow.IEEE transactions on bio-medical engineering · 2019
    Article
  9. Article
  10. Article
  11. The Memo Slide: An explorative study into a novel mechanical follow-the-leader mechanism.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ewout A ArkenboutBio-Inspired Technology Group, Biomechanical Engineering Dept., Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, The Netherlands, E.A.Arkenbout@tudelft.nl.
Paul W J Henselmans
Filip Jelínek
Paul Breedveld

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the advent of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and single incision laparoscopic surgery (SILS), a variety of multitasking platforms have been under development with the objective to allow for bimanual surgical tasks to be performed. These instruments show large differences in construction, enabled degrees of freedom (DOF), and control aspects.

methodsThrough a literature review, the absence of an in-depth analysis and structural comparison of these instruments in the literature is addressed. All the designed and prototyped multitasking platforms are identified and categorized with respect to their actively controlled DOF in their shafts and branches. Additionally, a graphical overview of patents, bench test experiments, and animal and/or human trials performed with each instrument is provided.

resultsThe large range of instruments, various actuation strategies, and different direct and indirect control methods implemented in the instruments show that an optimal instrument configuration has not been found yet. Moreover, several questions remain unanswered with respect to which DOF are essential for bimanual tasks and which control methods are best suited for the control of these DOF.

conclusionsConsidering the complexity of the currently prototyped and tested instruments, future NOTES and SILS instrument development will potentially necessitate a reduction of the available DOF to minimize the control complexity, thereby allowing for single surgeon bimanual task execution.

Indexed as

AnimalsEquipment DesignHumansLaparoscopyNatural Orifice Endoscopic Surgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.