Archives of Plastic Surgery

  • 제41권3호
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  • Pages.225-230
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  • 2014
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Robotic Microsurgery Optimization

  • Brahmbhatt, Jamin V. (Personalized Urology & Robotics, The PUR Clinic, South Lake Hospital) ;
  • Gudeloglu, Ahmet (Personalized Urology & Robotics, The PUR Clinic, Memorial Ankara Hospital) ;
  • Liverneaux, Philippe (Department of Hand Surgery, Strasbourg University Hospitals) ;
  • Parekattil, Sijo J. (Personalized Urology & Robotics, The PUR Clinic, South Lake Hospital)
  • 투고 : 2013.02.07
  • 심사 : 2013.07.31
  • 발행 : 2014.05.15
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초록

The increased application of the da Vinci robotic platform (Intuitive Surgical Inc.) for microsurgery has led to the development of new adjunctive surgical instrumentation. In microsurgery, the robotic platform can provide high definition $12{\times}-15{\times}$ digital magnification, broader range of motion, fine instrument handling with decreased tremor, reduced surgeon fatigue, and improved surgical productivity. This paper presents novel adjunctive tools that provide enhanced optical magnification, micro-Doppler sensing of vessels down to a 1-mm size, vein mapping capabilities, hydro-dissection, micro-ablation technology (with minimal thermal spread-$CO_2$ laser technology), and confocal microscopy to provide imaging at a cellular level. Microsurgical outcomes from the use of these tools in the management of patients with infertility and chronic groin and testicular pain are reviewed. All these instruments have been adapted for the robotic console and enhance the robot-assisted microsurgery experience. As the popularity of robot-assisted microsurgery grows, so will its breadth of instrumentation.

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참고문헌

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피인용 문헌

  1. A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery—From Inception to the Future vol.4, pp.None, 2017, https://doi.org/10.3389/fsurg.2017.00066
  2. Robotic-assisted microvascular surgery: skill acquisition in a rat model vol.12, pp.2, 2018, https://doi.org/10.1007/s11701-017-0738-5
  3. Robot‐assisted microvascular anastomosis in head and neck free flap reconstruction: Preliminary experiences and results vol.39, pp.8, 2014, https://doi.org/10.1002/micr.30458
  4. Is robot‐assisted retroperitoneal adrenalectomy safe? An investigation of perioperative hypertensive crisis among hypertensive and normotensive patients vol.17, pp.2, 2021, https://doi.org/10.1002/rcs.2202