[Mechatronic in functional endoscopic sinus surgery. First experiences with the daVinci Telemanipulatory System].
[Mechatronic in functional endoscopic sinus surgery. First experiences with the daVinci Telemanipulatory System].
复制标题
[功能性内窥镜鼻窦手术中的机电一体化。
DOI：
--
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Falk
中科院分区：
文献类型：
--
作者：
G. Strauß;Dirk Winkler;S. Jacobs;C. Trantakis;Andreas Dietz;F. Bootz;Jürgen Meixensberger;Falk
背景
BACKGROUND
This study examines the advantages and disadvantages of a commercial telemanipulator system (daVinci, Intuitive Surgical, USA) with computer-guided instruments in functional endoscopic sinus surgery (FESS).
METHODS
We performed five different surgical FESS steps on 14 anatomical preparation and compared them with conventional FESS. A total of 140 procedures were examined taking into account the following parameters: degrees of freedom (DOF), duration , learning curve, force feedback, human-machine-interface.
RESULTS
Telemanipulatory instruments have more DOF available then conventional instrumentation in FESS. The average time consumed by configuration of the telemanipulator is around 9+/-2 min. Missing force feedback is evaluated mainly as a disadvantage of the telemanipulator. Scaling was evaluated as helpful. The ergonomic concept seems to be better than the conventional solution.
DISCUSSION
Computer guided instruments showed better results for the available DOF of the instruments. The human-machine-interface is more adaptable and variable then in conventional instrumentation. Motion scaling and indexing are characteristics of the telemanipulator concept which are helpful for FESS in our study.