DEVELOPMENT OF ROBOTIC ENDOSURGERY AND ITS CLINICAL APPLICATION

(1)我们已经开发了一个指尖视图控制系统和多功能腹腔镜探头，并成功地在几个临床情况下采用。我们还完成了几个内窥镜手术模拟视频，用于医学生和年轻医生的教育。(2)指尖视图控制系统是在腹腔镜手术期间使用的机器人内窥镜视图控制系统。通过镊子手柄上的控制开关移动视野，使其能够实现八个不同的方向、放大和缩小以及恢复默认设置。由于内窥镜本身实际上不会移动（CCD会移动），因此内窥镜保持器也不会移动，因此不会因移动保持器臂而造成事故的风险。该系统不仅节省了手术台周围的空间，还可以防止保持器臂妨碍外科医生的工作，并防止内窥镜干扰腔内的镊子。(3)多功能腹腔镜探头具有3种不同的功能：冲洗、抽吸和电烙。使用该探针，手术时间短，避免了频繁插入和拔出探针引起的并发症。由于该探头可重复使用，另一个优点是其成本效益，因为该探头可重复使用。(4)我们的项目也有一些未来的前景，一个低成本的电子手术系统，仍在开发中的奥林巴斯公司。通过使用指尖视图控制系统，电子手术使用电信设备（ISDN，互联网等）。可能很快就会实现。

(1) We have developed a finger tip view control system and multifunctional laparoscopic probe, and successfully adopted it in several clinical situations. We have also completed several endoscopic surgical simulation videos for the education of medical students and young doctors.(2) The finger tip view control system is a robotic endoscopic view control system used during laparoscopic surgery. The field of view is moved by a control switch on the handle of the forceps, making it possible for eight different directions, in and out zooming, and restoration of the default settings. Since the scope itself doesn't actually move (the CCD does), the scope holder doesn't move either, so there is no risk of an accident caused by moving the holder arm. This system not only saves space around the operating table, it keeps the holder arm from getting in the surgeon's way and prevents the scope from interfering with the forceps inside the cavity.(3) The multifunctional laparoscopic probe has 3 different functions : irrigation, suction, and electrocautery. By using this probe, operating time was shorter and complications caused by the frequent inserting and extracting of probes was avoided. Because this probe is reusable, another advantage was its cost effectiveness, as this probe is reusable.(4) Our project also has some future prospects for a low cost telesurgery system which is still undergoing development by Olympus Co. By using the finger tip view control system, telesurgery using telecommunications equipment (ISDN, Internet etc.) may soon be achievable.