Download or read book The Training and Assessment of Surgical Skills in Robot Assisted Surgery written by and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of the surgical robot resulted in increasing technical difficulty of these robot assisted surgeries (RAS). The qualification and certification of RAS skills are still in a preliminary phase within all surgical specialties, also in urology. New methods of training for novice surgeons (residents and fellows) in these highly specialised techniques should be implemented to guarantee patient safety. The challenge for novice surgeons is how to learn new surgical procedures and once the procedure is learned and they become experts how to analyse past performances and subsequently use this as a lesson for the future in order to improve postoperative outcome. In the first part of this these we explored the best methods to educate surgeons in robotic surgery. By using different modalities of training, (i.e., hands-on training combined with theoretical information of learning) we discovered (chapter 2) novice robot surgeons were too positive in the self-assessment of their own surgical skills after a training in RAS. To prevent overconfidence biases the novice surgeons should be provided with feedback (proctoring) to inform them about their results to enhance learning and inform them of their competence levels. Although results (chapter 3) show there is no significant difference in the acquisition of surgical skills between different types of proctoring provided to novice surgeons the participant satisfaction seems to be higher in the “human proctoring” group. Which could result in additional motivation for the participant to continue training in RAS. Additional research (chapter 4) shows residents in urology are allowed to perform RAS during their residency, but criteria for starting RAS differ significantly among the teaching hospitals. This shows there is a need for the implementation of a (multi-step) training and certification program in the Dutch urology residency curriculum.
Download or read book Medical Robotics written by Vanja Bozovic and published by IntechOpen. This book was released on 2008-01-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first generation of surgical robots are already being installed in a number of operating rooms around the world. Robotics is being introduced to medicine because it allows for unprecedented control and precision of surgical instruments in minimally invasive procedures. So far, robots have been used to position an endoscope, perform gallbladder surgery and correct gastroesophogeal reflux and heartburn. The ultimate goal of the robotic surgery field is to design a robot that can be used to perform closed-chest, beating-heart surgery. The use of robotics in surgery will expand over the next decades without any doubt. Minimally Invasive Surgery (MIS) is a revolutionary approach in surgery. In MIS, the operation is performed with instruments and viewing equipment inserted into the body through small incisions created by the surgeon, in contrast to open surgery with large incisions. This minimizes surgical trauma and damage to healthy tissue, resulting in shorter patient recovery time. The aim of this book is to provide an overview of the state-of-art, to present new ideas, original results and practical experiences in this expanding area. Nevertheless, many chapters in the book concern advanced research on this growing area. The book provides critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies. This book is certainly a small sample of the research activity on Medical Robotics going on around the globe as you read it, but it surely covers a good deal of what has been done in the field recently, and as such it works as a valuable source for researchers interested in the involved subjects, whether they are currently “medical roboticists” or not.
Download or read book Modeling and Evaluation for Robot assisted Surgical Training and Intuitive Teleoperation written by Ziheng Wang and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: With the advance of teleoperated robotic platforms, such as the da Vinci surgical systems (Intuitive Surgical Inc., Sunnyvale, CA), robot-assisted surgery (RAS) has revolutionized a wide range of surgical interventions towards a safe, reliable, and minimally invasive approach. The objective of this PhD research is to design and develop computational techniques that are capable of automatically measuring a surgeon’s technical skills, interpreting the inherent difficulty demand of complex human motor control tasks, and providing efficient teleoperation evaluation with regard to the human operator. Specifically, the dissertation aims to (1) develop a human-centric analytical approach to objectively evaluate robot-assisted teleoperation, (2) develop machine learning based approaches for automated surgical skill assessment in basic surgical training tasks while improving the interpretability of the assessment to support efficient acquisition of skills, and (3) develop methods for an transferrable and task independent assessment of the operative difficulty demand and surgical skills by extending analysis to broader scenarios of robotic surgical teleoperation. Based on novel techniques of computational intelligence and human-centric analysis, this PhD research highlights the potential to improve surgical training and intuitive design of teleoperation systems for high performing robot-assisted surgery.
Download or read book Robotic Urologic Surgery written by Vipul R. Patel and published by Springer Science & Business Media. This book was released on 2011-08-31 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic Urologic Surgery, Second Edition is an updated and revised technical manual focusing on the various robotic approaches to robotic urologic surgical procedures. This book provides instructions on how to develop a successful robotics program, learn the various techniques, and improve outcomes. It also aids the reader with helpful hints to avoid pitfalls. Robotic Urologic Surgery, Second Edition includes up-to-date contributions from leading robotic urologic surgeons from around the world. The detailed body of data which this book provides is supported by schematic diagrams and anatomic photographs to illustrate the concept being discussed. Robotic Urologic Surgery, Second Edition is an essential guide for all urologists as a reference to establish a robotics program, refine their surgical technique, and provide information to patients.
Download or read book Surgical Skills Training For Robotic Assisted Surgery written by Juan D. Hernandez and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical Skills Training For Robotic Assisted Surgery.
Download or read book Principles and Practice of Robotic Surgery E Book written by Tony Costello and published by Elsevier Health Sciences. This book was released on 2023-07-04 with total page 691 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood loss, earlier hospital discharge, and faster return to normal activity for the patient. Edited by master surgeon Tony Costello, and with contributions from the world’s best and most experienced robotic surgeons worldwide, Principles and Practice of Robotic Surgery is an up-to-date, all-in-one reference that provides step-by-step instruction for practicing surgeons and those who are entering robotic surgery training. This first-of-its-kind text discusses new technologies and their application in each surgical subspecialty, with hundreds of outstanding illustrations and high-quality videos—making this an ideal resource for the entire OR team. Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines. Includes key topics such as robotic anesthesia, operating room prep and positioning of the equipment, certification for robotic training, and the use of artificial intelligence and virtual reality in the present and potential future use of robotic surgery. Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education. Provides specific docking instructions with tips and tricks for each robotic operation. Offers comprehensive coverage in a magnificently illustrated, single-volume book, with contributions from an international Who’s Who of the world’s best robotic surgeons. Offers numerous procedural videos, including Robotic Prostatectomy: The Patel Approach; Female Pelvic Organ Sparing (POP) and Male Nerve Sparing (NS) RARC; XiXi Operating Room and Surgical Cart setup for TORS, as well as various TORS procedures; Robotic Surgery in Pediatric Otolaryngology Head and Neck Surgery; and more.
Download or read book Technical Skills Assessment in Robotic Surgery written by Mitchell Geoffrey Goldenberg and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Outcome-based assessments form a central component of the new wave of educational reform in surgical residency. Evaluation of technical performance in the operating room is at the heart of the move to competency-based surgical education. Despite the numerous tools available to educators to utilize within a program of assessment, key questions remain unanswered on the application of these assessment scores, particularly around setting standards for high-stakes evaluations, and their impact on clinically meaningful outcomes. This thesis focuses on the use of technical skills assessment tools in robotic surgery, the available methods of standard setting in procedural skill, and the proposal of a novel benchmarking method that uses patients' outcomes to set the standard. Methods: Data were prospectively collected and analyzed using descriptive and inferential statistics (both parametric and non-parametric). Research designs contained within the thesis include: two systematic reviews in accordance with PRISMA guidelines, a case-control study, two methodological manuscripts, and a prospective multicenter cohort study. Contemporary validity frameworks were used throughout to provide validity evidence for all assessment tools. Results: Six studies comprise the thesis. Two systematic reviews collated, summarized, and appraised the existing literature on robotic-assisted surgery technical skills assessment strategies, and the methods used to create absolute standards in procedural technical skill. The case-control pilot study examined a single surgeon's experience with robotic-assisted radical prostatectomy and provided important proof of the predictive relationship between technical skill and patient outcomes. A methodology paper utilized this predictive model to describe a method of standard setting that uses the clinical outcome as the fulcrum around which the technical performance benchmark is set. A prospective multicentre study used a diverse cohort of patients and surgeons to build predictive models using multiple assessment strategies across a number of clinical outcomes. Finally, an additional methodological study took the multiple predictive models to create a final, weighted composite score that can be used to set performance standards that control for important clinicopathological factors. Conclusion: This thesis describes the predictive relationship between technical performance in robotic surgery and patient clinical outcomes, and leverages this association to create a novel method of benchmarking surgical skill.
Download or read book Robotics in Plastic and Reconstructive Surgery written by Jesse C. Selber and published by Springer Nature. This book was released on 2021-07-30 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the current state of robotics in plastic and reconstructive surgery. It examines existing clinical applications, emerging and future applications and evolving technological platforms. Concise yet comprehensive, this book is organized into four sections. It begins with an introduction to robotic microsurgical training and robotic skills assessment, including crowd-sourced evaluation in surgery. Section two explores a variety of robotic clinical application, including robotic breast reconstruction, robotic mastectomy, robotic cleft palate surgery and robotic microsurgery in a urologic private practice. Following this, section three addresses the opportunities and challenges an interested surgeon might face when considering incorporating this technology into their practice. To close, the final section discusses new microsurgical robotic platforms and the potential directions this technology may take in the future. Supplemented with high quality videos and images, Robotics in Plastic and Reconstructive Surgery is an invaluable resource for both plastic surgeons and multi-specialty micro-surgeons.
Download or read book Evaluation of surgical simulation training and transfer of surgical skills in robotic surgery written by and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Robotic General Surgery written by Yuman Fong and published by Lippincott Williams & Wilkins. This book was released on 2024-04-12 with total page 808 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meeting the need for a practical, data-driven reference in this rapidly advancing field, Principles and Practice of Robotic General Surgery, edited by Drs. Yuman Fong, Alessio Pigazzi, Loretta Erhunmwunsee, Dina Podolsky, and Dana Dale Portenier, presents state-of-the-art content for surgeons at all levels of training and expertise. Section One covers the history, platforms, and the organization, operating room architecture, and training issues revolving around robotic surgery; Section Two contains more than two-dozen discipline-based chapters outlining common robotic procedures in general surgery.
Download or read book The Route to Patient Safety in Robotic Surgery written by Lorenzo Grespan and published by Springer. This book was released on 2018-12-13 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of a new technology in a consolidated field has the potential to disrupt usual practices and create a fertile ground for errors. An example is robotic surgery that is now used in most surgical specialties, pushed by technology developers and enthusiastic surgeons. To analyze the potential impact of robotic surgery on patient safety, a consortium of major European Universities started the project SAFROS whose findings are summarized and further elaborated in the three parts of this book. Part one describes safety in complex systems such as surgery, how this may disrupt the traditional surgical workflow, how safety can be monitored, and the research questions that must be posed. Part two of the book describes the main findings of this research, by identifying the risks of robotic surgery and by describing where its ancillary technologies may fail. This part addresses features and evaluation of anatomic imaging and modeling, actions in the operating room, robot monitoring and control, operator interface, and surgical training. Part three of the book draws the conclusions and offers suggestions on how to limit the risks of medical errors. One possible approach is to use automation to monitor and execute parts of an intervention, thus suggesting that robotics and artificial intelligence will be major elements of the operating room of the future.
Download or read book Smart City written by Renata Paola Dameri and published by Springer. This book was released on 2014-06-26 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a comprehensive overview of the various aspects for the development of smart cities from a European perspective. It presents both theoretical concepts as well as empirical studies and cases of smart city programs and their capacity to create value for citizens. The contributions in this book are a result of an increasing interest for this topic, supported by both national governments and international institutions. The book offers a large panorama of the most important aspects of smart cities evolution and implementation. It compares European best practices and analyzes how smart projects and programs in cities could help to improve the quality of life in the urban space and to promote cultural and economic development.
Download or read book Urologic Robotic Surgery in Clinical Practice written by Prokar Dasgupta and published by Springer Science & Business Media. This book was released on 2009-03-01 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotics is one of the hottest topics in medicine today, with an international interest that is exponentially growing. The introduction of robotic technology into modern operating theatres has provoked a revolutionary change in the basic surgical approach, with many advantages over traditional open surgical treatment, including faster recovery and a significantly lower risk of surgical trauma. While the benefits of minimally invasive surgery are apparent, the expansion of laparoscopic surgery throughout the field has been relatively slow due to the steep learning curve and the level of practice and specialism required to perform such procedures. Although revolutionary upon conception, standard laparoscopy involves the surgeon working from monitors with no depth perception and also with a surgical motion that is counter-intuitive. The introduction of robotic technology however, has surpassed the traditional laparoscopic approach by providing full three dimensional vision, intuitive motion and wristed instrumentation with motion scaling. These dramatic innovations have broadened the scope of surgeons that can now perform complex laparoscopy, and while still in its infancy, robotic assisted surgery has begun to infiltrate all fields of surgery. However, while the practical adoption of the techniques and procedures has increased over the last 5 years, the educational resources have not, leaving the only available learning tools as videos, case observation and proctorships. There is therefore a severe market void for such a publication as this, with steadily growing sales around the world of robotic surgical systems. A compact book, overseen by such a respected figure and featuring contributions from the field leaders, is sure to be very successful within the next few years.
Download or read book Computational Modeling Approaches for Task Analysis in Robotic assisted Surgery written by Mahtab Jahanbani Fard and published by . This book was released on 2016 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: The proposed algorithm can effectively model gradual transitions between surgical activities. Additionally, surgical training is undergoing a paradigm shift with more emphasis on the development of technical skills earlier in training. Thus metrics for the skills, especially objective metrics, become crucial. One field of surgery where such techniques can be developed is robotic surgery, as here all movements are already digitalized and therefore easily susceptible to analysis. Robotic surgery requires surgeons to perform a much longer and difficult training process which create numerous new challenges for surgical training. Hence, a new method of surgical skill assessment is required to ensure that surgeons have adequate skill level to be allowed to operate freely on patients. Among many possible approaches, those that provide noninvasive monitoring of expert surgeon and have the ability to automatically evaluate surgeon's skill are of increased interest. Therefore, in this dissertation we develop a predictive framework for surgical skill assessment to automatically evaluate performance of surgeon in RMIS. Our classification framework is based on the Global Movement Features (GMFs) which extracted from kinematic movement data. The proposed method addresses some of the limitations in previous work and gives more insight about underlying patterns of surgical skill levels.
Download or read book Robot Assisted Radical Prostatectomy written by John W. Davis and published by Springer. This book was released on 2016-09-07 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses knowledge gaps in RARP in 3 key sections: 1) Step-by-step approach including multiple technique options and innovations, 2) Patient selection, safety, outcomes, and 3) Preparing the patient for surgery. The order is more based upon knowledge priority rather than a chronologic sequence in which part 3 would go first. Part two allows more summary and commentary on evidence and part three allows some creative content that is otherwise hard to find in one place—medical evaluations, imaging, clinical trials, patient education, etc. This textbook emphasizes content for the advanced skills surgeon in that multiple techniques are presented as well as state of the art evidence. The learning curve is addressed and the authors clarify how this text is useful for learners. The caveat is that they should be careful in patient selection and stick with what their mentors are showing them. With experience, they can then branch out into the many techniques presented here. Robot-Assisted Radical Prostatectomy: Beyond the Learning Curve will also have cross-over appeal for surgical assistants, physician assistants, nurses, and anyone else involved in the surgical care of prostate cancer.
Download or read book Robotic Surgery written by Farid Gharagozloo and published by Springer Nature. This book was released on 2021-03-25 with total page 1548 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of Robotic Surgery was written only a decade after the introduction of robotic technology. It was the first comprehensive robotic surgery reference and represented the early pioneering look ahead to the future of surgery. Building upon its success, this successor edition serves as a complete multi-specialty sourcebook for robotic surgery. It seeks to explore an in-depth look into surgical robotics and remote technologies leading to the goal of achieving the benefits of traditional surgery with the least disruption to the normal functions of the human body. Written by experts in the field, chapters cover the fundamental principles of robotic surgery and provide clear instruction on their clinical application and long term results. Most notably, one chapter on “The Blueprint for the Establishment of a Successful Robotic Surgery Program: Lessons from Admiral Hymen R. Rickover and the Nuclear Navy” outlines the many valuable lessons from the transformative change which was brought about by the introduction of nuclear technology into the conventional navy with Safety as the singular goal of the change process. Robotics represents a monumental triumph of surgical technology. Undoubtedly, the safety of the patient will be the ultimate determinant of its success. The second edition of Robotic Surgery aims to erase the artificial boundaries of specialization based on regional anatomy and serves as a comprehensive multispecialty reference for all robot surgeons. It allows them to contemplate crossing boundaries which are historically defined by traditional open surgery.
Download or read book Robotic Assisted Minimally Invasive Surgery written by Shawn Tsuda and published by Springer. This book was released on 2018-10-31 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.
