Robot-Assisted Endoscopic Resection: Current Status and Future Directions
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Therapeutic endoscopic resection has gained favor for its ability to achieve high en bloc and histologically complete resection rates via a minimally invasive approach. The main technical difficulties faced by interventionists are first the lack of traction causing suboptimal visualization of the dissection field and second, the lack of triangulation using existing therapeutic apparatuses. These challenges can be overcome with the use of robots and the multiple degrees of freedom afforded by the robotic wrists. Nevertheless, complications such as bleeding and perforation can occur. It is hence beneficial for the robotic device to be equipped with additional abilities such as suturing. Once the robotic prototypes have been fully optimized and marketed, a structured program should be instituted to ensure proper and adequate training of the end-users. The future of robotics should then explore the possibility of developing a soft robot or a robot with more natural human-like movements. A robot with a force feedback mechanism would be superior and improve safety. Eventually, a supervised autonomous robot may perform interventions with greater precision and accuracy than an expert procedurist. This review describes the benefits of robot-assisted endoscopic resections, recent developments aimed at managing iatrogenic complications and future directions for robotic endoscopy.
Abstract
Therapeutic endoscopic resection has gained favor for its ability to achieve high en bloc and histologically complete resection rates via a minimally invasive approach. The main technical difficulties faced by interventionists are first the lack of traction causing suboptimal visualization of the dissection field and second, the lack of triangulation using existing therapeutic apparatuses. These challenges can be overcome with the use of robots and the multiple degrees of freedom afforded by the robotic wrists. Nevertheless, complications such as bleeding and perforation can occur. It is hence beneficial for the robotic device to be equipped with additional abilities such as suturing. Once the robotic prototypes have been fully optimized and marketed, a structured program should be instituted to ensure proper and adequate training of the end-users. The future of robotics should then explore the possibility of developing a soft robot or a robot with more natural human-like movements. A robot with a force feedback mechanism would be superior and improve safety. Eventually, a supervised autonomous robot may perform interventions with greater precision and accuracy than an expert procedurist. This review describes the benefits of robot-assisted endoscopic resections, recent developments aimed at managing iatrogenic complications and future directions for robotic endoscopy.
참고문헌 (21)
- Saito Y, "Robot assisted tumor resection devices", Expert Rev Med Devices, 14, pp.657~662 (2017)
- ASGE, "ASGE", SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery White Paper October 2005, 2006, pp.63, 199~203
- Ashrafian H, "The evolution of robotic surgery : surgical and anaesthetic aspects", Br J Anaesth, 119, pp.i72~i84 (2017)
- Phee SJ, "Master and slave transluminal endoscopic robot(MASTER)for natural orifice transluminal endoscopic surgery(NOTES)", Conf Proc IEEE Eng Med Biol Soc, 2009, pp.1192~1195 (2009)
- Jennie Y Y Wong, "Robotics for Advanced Therapeutic Colonoscopy", Clinical Endoscopy, 51(6), pp.552~557 (2018), 대한소화기내시경학회
- Phee SJ, "Natural orifice transgastric endoscopic wedge hepatic resection in an experimental model using an intuitively controlled master and slave transluminal endoscopic robot(MASTER)", Surg Endosc, 24, pp.2293~2298 (2010)
- Wang Z, "Endoscopic submucosal dissection of gastric lesions by using a master and slave transluminal endoscopic robot : an animal survival study", Endoscopy, 44, pp.690~694 (2012)
- Ho KY, "Endoscopic submucosal dissection of gastric lesions by using a master and slave transluminal endoscopic robot(MASTER)", Gastrointest Endosc, 72, pp.593~599 (2010)
- Phee SJ, "Robot-assisted endoscopic submucosal dissection is effective in treating patients with early-stage gastric neoplasia", Clin Gastroenterol Hepatol, 10, pp.1117~1121 (2012)
- Chiu PW, "Feasibility of full-thickness gastric resection using master and slave transluminal endoscopic robot and closure by Overstitch : a preclinical study", Surg Endosc, 28, pp.319~324 (2014)
- Tay G, "Use of the Endo-Master robot-assisted surgical system in transoral robotic surgery : a cadaveric study", Int J Med Robot, 14, pp.e1930~ (2018)
- 김병곤, "A Pilot Study of Endoscopic Submucosal Dissection Using an Endoscopic Assistive Robot in a Porcine Stomach Model", Gut and Liver, 13(4), pp.402~408 (2019), 거트앤리버 소화기연관학회협의회[DOI]
- Cao L, "Sewing up the wound: a robotic suturing system for flexible endoscopy", IEEE Robot Autom Mag (2020)
- Collins JW, "Utilising the Delphi process to develop a proficiency-based progression train-the-trainer course for robotic surgery training", Eur Urol, 75, pp.775~785 (2019)
- LaViers A, "Make robot motions natural", Nature, 565, pp.422~424 (2019)
- Calisti M, "Fundamentals of soft robot locomotion", J R Soc Interface, 14, pp.20170101~ (2017)
- Shi Y, "Research of the master-slave robot surgical system with the function of force feedback", Int J Med Robot, 13, pp.e1826~ (2017)
- Zhao B, "A sensorless force-feedback system for robotassisted laparoscopic surgery", Comput Assist Surg (Abingdon), 24(Suppl 1), pp.36~43 (2019)
- Wagner CR, "The benefit of force feedback in surgery: examination of blunt dissection", Presence(Camb), 16, pp.252~262 (2007)
- Ashrafian H, "A novel modification of the Turing test for artificial intelligence and robotics in healthcare", Int J Med Robot, 11, pp.38~43 (2015)
- Shademan A, "Supervised autonomous robotic soft tissue surgery", Sci Transl Med, 8, pp.337ra64~ (2016)