An experimental feasibility study on robotic endonasal telesurgery.
An experimental feasibility study on robotic endonasal telesurgery.
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DOI：
10.1227/neu.0000000000000623
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发表时间：
2015-04
期刊：
影响因子：
4.8
通讯作者：
Russell PT 3rd
中科院分区：
文献类型：
--
作者：
Wirz R;Torres LG;Swaney PJ;Gilbert H;Alterovitz R;Webster RJ 3rd;Weaver KD;Russell PT 3rd
最近专门为鼻腔手术开发了新型机器人。他们可以通过一个鼻孔输送几个细长的触手状的手术器械。在这种机器人系统的许多潜在优势中，有可能进行远距离远程外科手术。描述田纳西州纳什维尔的一名外科医生在大约800公里外的北卡罗来纳州教堂山控制一个机器人完成的一项幽灵垂体肿瘤切除手术。这是第一次使用触手状的同心管机械手进行远程远程外科手术的实验。使用机器人系统进行了两次幻影垂体瘤切除实验-一次是局部切除，一次是远程切除。机器人的命令和视频通过互联网传输。在本地和远程情况下，系统的等待时间都被定量评估，以确定外科医生和机器人之间800公里的影响。我们在远程情况下测量了控制和视频延迟不到100毫秒。从质量上讲，外科医生能够轻松地进行实验，并观察到远程病例和本地病例之间没有明显的差异。使用这种机器人系统进行远距离远程外科手术是可行的。从长远来看，这可能会使专业的颅底外科医生能够通过远程远程手术来帮助更多的患者。
Novel robots have recently been developed specifically for endonasal surgery. They can deliver several thin, tentacle-like surgical instruments through a single nostril. Among the many potential advantages of such a robotic system is the prospect of telesurgery over long distances. To describe a phantom pituitary tumor removal done by a surgeon in Nashville, Tennessee, controlling a robot located approximately 800 km away in Chapel Hill, North Carolina. This is the first remote telesurgery experiment involving tentacle-like concentric tube manipulators. A phantom pituitary tumor removal experiment was conducted twice – once locally and once remotely – using the robotic system. Robot commands and video were transmitted across the Internet. The latency of the system was evaluated quantitatively in both local and remote cases to determine the effect of the 800 km between the surgeon and robot. We measured a control and video latency of less than 100 ms in the remote case. Qualitatively, the surgeon was able to carry out the experiment easily, and observed no discernable difference between the remote and local cases. Telesurgery over long distances is feasible with this robotic system. In the longer term, this may enable expert skull base surgeons to help many more patients by performing surgeries remotely over long distances.