• Title/Summary/Keyword: 수술로봇

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Da Vinci Robot-Assisted Pulmonary Lobectomy in Early Stage Lung Cancer - 3 cases report - (조기 폐암에서 다빈치 로봇을 이용한 폐엽절제술 - 3예 보고 -)

  • Haam, Seok-Jin;Lee, Kyo-Joon;Cho, Sang-Ho;Kim, Hyung-Joong;Jeon, Se-Eun;Lee, Doo-Yun
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.659-662
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    • 2008
  • Video-assisted pulmonary lobectomy was introduced in the early 1990's by several authors, and the frequency of video-assisted thoracic surgery (VATS) lobectomy for lung cancer has been slowly increasing because of its safety and oncologic acceptability in patients with early stage lung cancer However, VATS is limited by 2D imaging, an unsteady camera platform, and limited maneuverability of its instruments. The da Vinci Surgical System was recently introduced to overcome these limitations. It has a 3D endoscopic system with high resolution and magnified binocular views and EndoWrist instruments. We report three cases of da Vinci robot system-assisted pulmonary lobectomy in patients with early stage lung cancer.

Robot-assisted Thymectomy with the 'da Vinci' Surgical System in a Patient with Myasthenia Gravis -A case report- (중증 근무력증 환자에서 da Vinci 로봇을 이용한 흉선절제술 -1예 보고-)

  • Yi, Jung-Hoon;Jeong, Sang-Seok;Woo, Jong-Soo;Cho, Gwang-Jo;Bang, Jung-Hee;Choi, Pill-Jo;Park, Kwon-Jae
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.557-561
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    • 2010
  • In the treatment of myasthenia gravis, thymectomy is generally accepted as the standard of therapy. For thymectomy, there have been various conventional open approaches including sternal splitting, but recently minimally invasive approaches have been increasingly applied. A 28-year-old man presenting with weakness of both hands and fatigability was diagnosed as having myasthenia gravis with thymic hyperplasia. He underwent a robot-assisted thymectomy with the 'da Vinci' surgical system. Through the right thoracic cavity, two thirds of the thymic gland was dissected, and the remainder was resected through the left; these procedures took, respectively, 1 hour and 30 minutes. The patient was discharged on the 8th postoperative day without complications. The minimally invasive approach with the 'da Vinci' surgical system is emerging as a popular choice and various advantages have been reported. Here we report the first successful case of robot-assisted thymectomy.

The Present and Future of Robotic Surgery (로봇수술의 현재와 미래)

  • Rha, Koon-Ho
    • Proceedings of the KIEE Conference
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    • 2008.10b
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    • pp.68-70
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    • 2008
  • Since the beginning of the 21st century, the emergence of innovative technologies made further advances in minimal access surgery possible. Robotic surgery and telepresence surgery effectively addressed the limitations of laparoscopic procedures, thus revolutionizing minimal access surgery. Surgical robots provide surgeons with to technologically advanced vision and hand skills. As a result, such systems are expected to revolutionize the field of surgery. In that time, much progress has been made in integrating robotic technologies with surgical instrumentation. However, robotic surgery will not only require special training, but it will also change the existing surgical training pattern and reshape the learning curve by offering new solutions, such as robotic surgical simulators and robotic telementoring. This article provides an introduction to medical robotic technologies, develops a possible classification, reviews the evolution of a surgical robot, and discusses future prospects for innovation. In the future, surgical robots should be smaller, less expensive, easier to operate, and should seamlessly integrate emerging technologies from a number of different fields. We believe that, in the near future as robotic technology continues to develop, almost all kinds of endoscopic surgery will be performed by this technology.

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Medical Image Registration Methods for Intra-Cavity Surgical Robots (인체 공동 내부 수술용 로봇을 위한 이미지 레지스트레이션 방법)

  • An, Jae-Bum;Lee, Sang-Yoon
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.9
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    • pp.140-147
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    • 2007
  • As the use of robots in surgeries becomes more frequent, the registration of medical devices based on images becomes more important. This paper presents two numerical algorithms for the registration of cross-sectional medical images such as CT (Computerized Tomography) or MRI (Magnetic Resonance Imaging) by using the geometrical information from helix or line fiducials. Both registration algorithms are designed to be used for a surgical robot that works inside a cavity of human body. This paper also reports details about the fiducial pattern that includes four helices and one line. The algorithms and the fiducial pattern were tested in various computer-simulated situations, and the results showed excellent overall registration accuracy.

Analysis of microsurgery task for developing microsurgery manipulator (미세수술용 매니퓰레이터의 개발을 위한 미세수술 작업 분석)

  • 송세경;김완수;조형석
    • 제어로봇시스템학회:학술대회논문집
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    • 1997.10a
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    • pp.1631-1634
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    • 1997
  • Since surgery is usually a difficult task because of physiological tremor, eye strain, and tremor, contagious and radioactive hazard, it is necessary to develop micro-surgery telerobotic system using improved tools suitable for their specific tasks. Nowadays the growth of interest on microsurgery and medical applications of robotics has been so rapid. But the medical robots are only practical applications of the industrial robots. This paper identifies five general areas of advanced microsurgery based on the current technological background and expertise, and analyzes the motion, tool and accuracy with respect to microsurgery task, and proposed the criteria to evaluate micro-surgical manipulator. The analysis of microusrgery can be heplful to clarify some basic concept and design of micro-surgical manipulators. With these data we will alos propose an efficient in-parallel-platform manipulator having special kinematic structrue structure suitable for microsurgery.

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Numerical Algorithms of Image Registration for Intra-Cavity Surgical Robots (인체 공동 내부 수술용 로봇을 위한 이미지기반 레지스트레이션 알고리즘)

  • Lee, Sang-Yoon;Shin, Seung-Ha;An, Jae-Bum;Joo, Jin-Man
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.714-719
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    • 2004
  • This paper presents two numerical algorithms for registration of cross-sectional medical images such as CT (Computerized Tomography) or MRI (Magnetic Resonance Imaging) by using geometrical information from helix or line fiducials. The registration algorithms are designed to be used for a surgical robot working inside cavities of human body. A cylindrical device with a combination of line and helix fiducials were also devised and is supposed to be attached to the end-effector of surgical robot. The algorithms and the fiducial pattern were tested in various computer-simulated situations, and the results indicate excellent overall registration accuracy.

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Control of a Master/Slave Combined Surgical Robot for Total Hip Arthroplasty (마스터/슬레이브 복합형 고관절 전치환 수술로봇의 제어)

  • Heo, Gwan-Hoe;Gwon, Dong-Su;Kim, Sang-Yeon;Lee, Jeong-Ju;Yun, Yong-San
    • Journal of Institute of Control, Robotics and Systems
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    • v.8 no.9
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    • pp.788-794
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    • 2002
  • To improve surgical result of total hip arthroplasty (THA), there has been some approaches using a robotic milling system, which can make a precise cavity in the femur. Usually, to carve a femur, the surgical robot is controlled by a pre-programmed tool-path regardless of a surgeon's experience and Judgment. This paper presents a control method of a surgical robot for THA, which can be used as an advanced surgical tool. With a master/slave combined surgical robot, surgeon can directly control the motion and velocity of a surgical robot. The master/slave-combined robot is controlled to display a specific admittance for a surgeon's force to the surgical robot velocity. To prevent the over-carving of a femur, virtual hard wall is displayed on the surgical boundary. To evaluate the proposed control method of the master/slave-combined surgical robot, 2-DOF master/slave-combined manipulator is used in experiment.