P D Bhatia1, D A Bottoni1, R A Malthaner2. 1. Division of Thoracic Surgery, London Health Sciences Centre, 800 Commissioners Rd. East, Suite E2-124, London, ON, N6A 5W9, Canada. 2. Division of Thoracic Surgery, London Health Sciences Centre, 800 Commissioners Rd. East, Suite E2-124, London, ON, N6A 5W9, Canada. Richard.Malthaner@lhsc.on.ca.
Abstract
BACKGROUND: We evaluated a robotic telesurgical platform in managing thoracic trauma in an animal model. STUDY DESIGN: The da Vinci(®) robot was used to evaluate and treat a random number of blinded injuries in ten porcine thoraces. RESULTS: Ninety-five percent of injuries were correctly identified. The median survey time was 20.5 min (range 16-63 min). The mean time to repair lung lacerations was 19.8 min (range 14-27.5 min) and to evacuate the hemothoraces, it was 5.3 min (range 4.5-6.5 min). Diaphragmatic lacerations required repositioning of the ports and the robot. Only two out of five lacerations were successfully repaired (mean time 38.8 min, range 32.5-45 min). All aortic injuries were correctly identified. One subject died of a pre-existing pneumonia. CONCLUSIONS: A robotic telesurgical approach to the evaluation of stable thoracic trauma patients is safe and feasible in a porcine model. Diaphragmatic injuries can be repaired but require repositioning of the robot.
BACKGROUND: We evaluated a robotic telesurgical platform in managing thoracic trauma in an animal model. STUDY DESIGN: The da Vinci(®) robot was used to evaluate and treat a random number of blinded injuries in ten porcine thoraces. RESULTS: Ninety-five percent of injuries were correctly identified. The median survey time was 20.5 min (range 16-63 min). The mean time to repair lung lacerations was 19.8 min (range 14-27.5 min) and to evacuate the hemothoraces, it was 5.3 min (range 4.5-6.5 min). Diaphragmatic lacerations required repositioning of the ports and the robot. Only two out of five lacerations were successfully repaired (mean time 38.8 min, range 32.5-45 min). All aortic injuries were correctly identified. One subject died of a pre-existing pneumonia. CONCLUSIONS: A robotic telesurgical approach to the evaluation of stable thoracic traumapatients is safe and feasible in a porcine model. Diaphragmatic injuries can be repaired but require repositioning of the robot.
Authors: R Rayman; K Croome; N Galbraith; R McClure; R Morady; S Peterson; S Smith; V Subotic; A Van Wynsberghe; S Primak Journal: Int J Med Robot Date: 2006-09 Impact factor: 2.547
Authors: R Scott McClure; Bob Kiaii; Richard J Novick; Reiza Rayman; Stuart Swinamer; Kojiro Kodera; Alan H Menkis Journal: Can J Surg Date: 2006-06 Impact factor: 2.089
Authors: F Pons; L Lang-Lazdunski; X de Kerangal; O Chapuis; P M Bonnet; R Jancovici Journal: Eur J Cardiothorac Surg Date: 2002-07 Impact factor: 4.191