ArticleSurgical endoscopy2017
Total mesorectal excision using a soft and flexible robotic arm: a feasibility study in cadaver models.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of the feasibility of sparing the rectoprostatic fascia in male patients undergoing total mesorectal excision for rectal cancer.Techniques in coloproctology · 2024Pooled it
- Gasless transvaginal natural orifice transluminal endoscopic surgery for hysterectomy and salpingectomy on a robot platform with flexible devices in a porcine model.Scientific reports · 2024Article
- Omnidirectional soft pneumatic actuators: a design and optimization framework.Frontiers in robotics and AI · 2024Article
- Origami-inspired folding assembly of dielectric elastomers for programmable soft robots.Microsystems & nanoengineering · 2022Article
- Transanal endoscopic microsurgery: is robotics the way to go?Techniques in coloproctology · 2021Article
- Millimeter-Scale Soft Continuum Robots for Large-Angle and High-Precision Manipulation by Hybrid Actuation.Advanced intelligent systems (Weinheim an der Bergstrasse, Germany) · 2021Article
- Design, characterization and optimization of a soft fluidic actuator for minimally invasive surgery.International journal of computer assisted radiology and surgery · 2020Article
- Soft Robotics in Minimally Invasive Surgery.Soft robotics · 2019Article
- Toward a Variable Stiffness Surgical Manipulator Based on Fiber Jamming Transition.Frontiers in robotics and AI · 2019Article
- Deployable, Variable Stiffness, Cable Driven Robot for Minimally Invasive Surgery.Frontiers in robotics and AI · 2019Article
- The evolution of lower gastrointestinal endoscopy: where are we now?Therapeutic advances in gastrointestinal endoscopyReview
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18 authors.
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Abstract
backgroundSponsored by the European Commission, the FP7 STIFF-FLOP project aimed at developing a STIFFness controllable Flexible and Learn-able manipulator for surgical operations, in order to overcome the current limitations of rigid-link robotic technology. Herein, we describe the first cadaveric series of total mesorectal excision (TME) using a soft and flexible robotic arm for optic vision in a cadaver model.
methodsTME assisted by the STIFF-FLOP robotic optics was successfully performed in two embalmed male human cadavers. The soft and flexible optic prototype consisted of two modules, each measuring 60 mm in length and 14.3 mm in maximum outer diameter. The robot was attached to a rigid shaft connected to an anthropomorphic manipulator robot arm with six degrees of freedom. The controller device was equipped with two joysticks. The cadavers (BMI 25 and 28 kg/m
resultsFollowing mobilization of the left colonic flexure and division of the inferior mesenteric vessels, TME was completed down to the pelvic floor. The STIFF-FLOP robotic optic arm seemed to acquire superior angles of vision of the surgical field in the pelvis, resulting in an intact mesorectum in both cases. Completion times of the procedures were 165 and 145 min, respectively. No intraoperative complications occurred. No technical failures were registered.
conclusionsThe STIFF-FLOP soft and flexible robotic optic arm proved effective in assisting a laparoscopic TME in human cadavers, with a superior field of vision compared to the standard laparoscopic vision, especially low in the pelvis. The introduction of soft and flexible robotic devices may aid in overcoming the technical challenges of difficult laparoscopic procedures based on standard rigid instruments.
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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.