Evidence map›Paper›PMID 35028888›Full record

ArticleInternational journal of computer assisted radiology and surgery2022

Development and experiments of a continuum robotic system for transoral laryngeal surgery.

Fan Feng, Yuan Zhou, Wuzhou Hong, KeYong Li, Le Xie

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Article in International journal of computer assisted radiology and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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  4. Laser nasal surgery (Review).Experimental and therapeutic medicine · 2023
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Fan FengInstitute of Forming Technology & Equipment, Shanghai Jiao Tong University, Shanghai, 200030, China.ORCID http://orcid.org/0000-0001-6377-6496
Yuan ZhouDepartment of Otolaryngology Head and Neck Surgery, Shanghai General Hospital of Shanghai Jiao Tong University, Shanghai, 201620, China.
Wuzhou HongInstitute of Forming Technology & Equipment, Shanghai Jiao Tong University, Shanghai, 200030, China.
KeYong LiDepartment of Otolaryngology Head and Neck Surgery, Shanghai General Hospital of Shanghai Jiao Tong University, Shanghai, 201620, China.
Le XieInstitute of Forming Technology & Equipment, Shanghai Jiao Tong University, Shanghai, 200030, China. lexie@sjtu.edu.cn.

Funding

National Natural Science Foundation of China 51911540479National Natural Science Foundation of China 61973211National Natural Science Foundation of China 62133009National Natural Science Foundation of China M-0221Science and Technology Commission of Shanghai Municipality 21550714200
6 · The paper itself

Abstract

purposeCurrently, self-retaining laryngoscopic surgery is not suitable for some patients, and there are dead zones relating to surgical field exposure and operation. The quality of the surgery can also be affected by the long periods of time required to complete it. Teleoperated continuum robots with flexible joints are expected to solve these issues. However, at the current stage of developing transoral robotic surgery systems, their large size affects the precision of surgical operative actions and there are high development and treatment costs.

methodsWe fabricated a flexible joint based on selective laser melting technology and designed a shallow neural network-based kinematic modeling approach for a continuum surgical robot. Then, human model and animal experiments were completed by master-slave teleoperation to verify the force capability and dexterity of the robot, respectively.

resultsAs verified by human model and animal experiments, the designed continuum robot was demonstrated to achieve transoral laryngeal surgical field exposure without laryngoscope assistance, with sufficient load capability to finish the biopsy of vocal fold tissue in living animals.

conclusionThe designed continuum robotic system allows the biopsy of vocal fold tissue without laryngoscope assistance. Its stiffness and dexterity indicate the system's potential for applications in the diagnosis and treatment of vocal fold nodules and polyps. The limitations of this robotic system as shown in the experiments were also analyzed.

Indexed as

LarynxRobotic Surgical ProceduresSurgery, Computer-AssistedAnimalsHumansLaryngoscopyVocal CordsContinuum manipulatorEndoscopic surgerySelf-retaining laryngoscopySurgical roboticsTransoral robotic surgery

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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.