ArticleTechniques in coloproctology2018
Direct target NOTES: prospective applications for next generation robotic platforms.
Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Robotics in interventional endoscopy-evolution and the way forward.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024Review
- Robotic Platforms for Therapeutic Flexible Endoscopy: A Literature Review.Diagnostics (Basel, Switzerland) · 2024Review
- Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology.Obstetrics & gynecology science · 2024Article
- Article
- Review
- Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group's practical consensus statements for surgical management of localized and locally advanced rectal cancer.Frontiers in oncology · 2022Article
- Video demonstration of the ColubrisMX ELS robotic system for local excision and suture closure in a preclinical model.Techniques in coloproctology · 2021Article
- Robotic transanal total mesorectal excision: Is the future now?World journal of gastrointestinal surgery · 2021Review
- Transanal endoscopic surgery with a 3D printed device.Techniques in coloproctology · 2021Article
- Robotic-assisted transanal total mesorectal excision for rectal cancer: technique and results from a single institution.Techniques in coloproctology · 2021Article
- SP rTaTME: initial clinical experience with single-port robotic transanal total mesorectal excision (SP rTaTME).Techniques in coloproctology · 2021Article
- Advances and Trends in Pediatric Minimally Invasive Surgery.Journal of clinical medicine · 2020Review
- Clinical adoption of robotics in endoscopy: Challenges and solutions.JGH open : an open access journal of gastroenterology and hepatology · 2020Review
- Robotic transvaginal natural orifice transluminal endoscopic surgery for bilateral salpingo oophorectomy.European journal of obstetrics & gynecology and reproductive biology: X · 2020Article
- Surgical Robot for Intraluminal Access: AnCyborg and bionic systems (Washington, D.C.) · 2020Article
- Robotic-assisted surgical endoscopy: a new era for endoluminal therapies.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019Article
- Assessment of the Versius surgical robotic system for dual-field synchronous transanal total mesorectal excision (taTME) in a preclinical model: will tomorrow's surgical robots promise newfound options?Techniques in coloproctology · 2019Article
- The current state of the transanal approach to the ileal pouch-anal anastomosis.Surgical endoscopy · 2019Review
- Transanal TME: new standard or fad?Journal of the anus, rectum and colon · 2019Review
- Evolution of surgery for rectal cancer: Transanal total mesorectal excision~new standard or fad?~.Journal of the anus, rectum and colon · 2018Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA new era in surgical robotics has centered on alternative access to anatomic targets and next generation designs include flexible, single-port systems which follow circuitous rather than straight pathways. Such systems maintain a small footprint and could be utilized for specialized operations based on direct organ target natural orifice transluminal endoscopic surgery (NOTES), of which transanal total mesorectal excision (taTME) is an important derivative.
methodsDuring two sessions, four direct target NOTES operations were conducted on a cadaveric model using a flexible robotic system to demonstrate proof-of-concept of the application of a next generation robotic system to specific types of NOTES operations, all of which required removal of a direct target organ through natural orifice access. These four operations were (a) robotic taTME, (b) robotic transvaginal hysterectomy in conjunction with (c) robotic transvaginal salpingo-oophorectomy, and in an ex vivo model, (d) trans-cecal appendectomy.
resultsFeasibility was demonstrated in all cases using the Flex
conclusionsA flexible robotic system has the potential to access anatomy along circuitous paths, making it a suitable platform for direct target NOTES. The conceptual operations posed could be considered suitable for next generation robotics once the technology is optimized, and after further preclinical validation.
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Registered trials
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.