Paul J M Wijsman1, Ivo A M J Broeders2, Hylke J Brenkman3, Amir Szold4, Antonello Forgione5, Henk W R Schreuder6, Esther C J Consten2, Werner A Draaisma2, Paul M Verheijen2, Jelle P Ruurda3, Yuval Kaufman7. 1. Deparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands. pjm.wijsman@meandermc.nl. 2. Deparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands. 3. Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. 4. Assia Medical Group, Assuta Medical Center, Tel Aviv, Israel. 5. Department of Surgery, Niguarda Cà Granda Hospital, Milan, Italy. 6. Department of Gynecologic Oncology, UMC Utrecht Cancer Center, Utrecht, The Netherlands. 7. Department of Surgery, Assuta Medical Center, Haifa, Israel.
Abstract
BACKGROUND: Robotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering. These two studies were conducted to prove safe and efficient performance of the core technology. METHODS: A total of 66 various laparoscopic procedures were performed with the AutoLap™ by nine experienced surgeons, in two multi-center studies; 41 cholecystectomies, 13 fundoplications including hiatal hernia repair, 4 endometriosis surgeries, 2 inguinal hernia repairs, and 6 (bilateral) salpingo-oophorectomies. The use of the AutoLap™ system was evaluated in terms of safety, image stability, setup and procedural time, accuracy of imaged-based movements, and user satisfaction. RESULTS: Surgical procedures were completed with the AutoLap™ system in 64 cases (97%). The mean overall setup time of the AutoLap™ system was 4 min (04:08 ± 0.10). Procedure times were not prolonged due to the use of the system when compared to literature average. The reported user satisfaction was 3.85 and 3.96 on a scale of 1 to 5 in two studies. More than 90% of the image-based movements were accurate. No system-related adverse events were recorded while using the system. CONCLUSION: Safe and efficient use of the core technology of the AutoLap™ system was demonstrated with high image stability and good surgeon satisfaction. The results support further clinical studies that will focus on usability, improved ergonomics and additional image-based features.
BACKGROUND: Robotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering. These two studies were conducted to prove safe and efficient performance of the core technology. METHODS: A total of 66 various laparoscopic procedures were performed with the AutoLap™ by nine experienced surgeons, in two multi-center studies; 41 cholecystectomies, 13 fundoplications including hiatal hernia repair, 4 endometriosis surgeries, 2 inguinal hernia repairs, and 6 (bilateral) salpingo-oophorectomies. The use of the AutoLap™ system was evaluated in terms of safety, image stability, setup and procedural time, accuracy of imaged-based movements, and user satisfaction. RESULTS: Surgical procedures were completed with the AutoLap™ system in 64 cases (97%). The mean overall setup time of the AutoLap™ system was 4 min (04:08 ± 0.10). Procedure times were not prolonged due to the use of the system when compared to literature average. The reported user satisfaction was 3.85 and 3.96 on a scale of 1 to 5 in two studies. More than 90% of the image-based movements were accurate. No system-related adverse events were recorded while using the system. CONCLUSION: Safe and efficient use of the core technology of the AutoLap™ system was demonstrated with high image stability and good surgeon satisfaction. The results support further clinical studies that will focus on usability, improved ergonomics and additional image-based features.
Entities:
Keywords:
Active camera control systems; Autolap™; Camera holder; Laparoscopy; Robotic; Steering
Authors: P J M Wijsman; F J Voskens; L Molenaar; C D P van 't Hullenaar; E C J Consten; W A Draaisma; I A M J Broeders Journal: Surg Endosc Date: 2021-05-11 Impact factor: 4.584
Authors: Martin Wagner; Andreas Bihlmaier; F Mathis-Ullrich; B P Müller-Stich; Hannes Götz Kenngott; Patrick Mietkowski; Paul Maria Scheikl; Sebastian Bodenstedt; Anja Schiepe-Tiska; Josephin Vetter; Felix Nickel; S Speidel; H Wörn Journal: Surg Endosc Date: 2021-04-27 Impact factor: 4.584
Authors: Paul J M Wijsman; Lennert Molenaar; Cas D P Van't Hullenaar; Bas S T van Vugt; Wim A Bleeker; Werner A Draaisma; Ivo A M J Broeders Journal: Surg Endosc Date: 2019-02-11 Impact factor: 4.584
Authors: Tommaso Da Col; Guido Caccianiga; Michele Catellani; Andrea Mariani; Matteo Ferro; Giovanni Cordima; Elena De Momi; Giancarlo Ferrigno; Ottavio de Cobelli Journal: Front Robot AI Date: 2021-11-25
Authors: Caspar Gruijthuijsen; Luis C Garcia-Peraza-Herrera; Gianni Borghesan; Dominiek Reynaerts; Jan Deprest; Sebastien Ourselin; Tom Vercauteren; Emmanuel Vander Poorten Journal: Front Robot AI Date: 2022-04-11