IJCM  Vol.3 No.2 , March 2012
Evolutions and Future Directions of Surgical Robotics: A Review
ABSTRACT
Although the robotics firstly appeared as an entertainment form, its capabilities have continuously advanced from the world’s first industrial robot to the surgical robotic systems which are today capable of performing many surgical maneuvers unaided. However, these surgical robots are not autonomous systems; they are designed to complete a surgeon’s abilities and converting surgeon’s movements into incredibly steady and accurate robotic movements that finally manipulate surgical instruments to assist delicate operations. This novel type of surgery is carried out in the form of minimally invasive surgical procedure and has offered valuable alternatives to enhance traditional open surgery approach. Although the surgical robotic systems began as external robots, technological progresses are directing the surgical robotic systems to endoluminal robots which consist of doing surgical maneuvers by navigating of robot through lumens of human body. Here, we will briefly review different applications of robotic systems in various fields of medicine. Then, we will discuss minimally invasive surgical systems and their role in progressing of minimally invasive surgery as a modern surgery method. By thoroughly investigating a considerable amount of published materials about the minimally invasive surgical technologies, we will study the recent research activities and commercially available samples of surgical robotic systems.

Cite this paper
S. Najarian and E. Afshari, "Evolutions and Future Directions of Surgical Robotics: A Review," International Journal of Clinical Medicine, Vol. 3 No. 2, 2012, pp. 75-82. doi: 10.4236/ijcm.2012.32017.
References
[1]   S. P. Dharia and T. Falcone, “Robotics in Reproductive Medicine,” Fertility and Sterility, Vol. 84, No. 1, 2005, pp. 1-11. doi:10.1016/j.fertnstert.2005.02.015

[2]   S. Najarian and E. Afshari, “Applications of Robots in Surgery,” In: A. Shukla and R. Tiwart, Ed., Intelligent Medical Technologies and Biomedical Engineering: Tools and Applications, IGI Global Publishers, New York, 2010, pp. 241-259. doi:10.4018/978-1-61520-977-4.ch012

[3]   S. Najarian, M. Fallahnejad and E. Afshari, “Advances in Medical Robotic Systems with Specific Applications in Surgery—A Review,” Journal of medical engineering and technology, Vol. 35, No. 1, 2011, pp. 19-33. doi:10.3109/03091902.2010.535593

[4]   M. Mack, “Minimally Invasive and Robotic Surgery,” Opportunities for Medical Research, Vol. 285, No. 5, 2001, pp. 568-572.

[5]   E. P. Westebring-van der Putten, R. H. Goossens, J. J. Jakimowicz and J. Dankelman, “Haptics in Minimally Invasive Surgery—A Review,” Minimally Invasive Therapy and Allied Technology, Vol. 17, No. 1, 2008, pp. 3-16.

[6]   E. Iversen, H. H Sears and S. C. Jacobsen, “Artificial Arms Evolve from Robots, or Vice Versa?” IEEE Control Systems Magazine, Vol. 25, No. 1, 2005, pp. 16-20. doi:10.1109/MCS.2005.1388792

[7]   J. Makaran, D. Dittmer, R. Buchal and D. MacArthur, “The SMART(R) Wrist-Hand Orthosis (WHO) for Quadriplegic Patients,” Journal of Prosthetics and Orthotics, Vol. 5, No. 3, 1993, pp. 73-76. doi:10.1097/00008526-199307000-00002

[8]   J. L. Emken, J. H. Wynne, S. J. Harkema and D. J. Reinkensmeyer, “A Robotic Device for Anipulating Human Stepping,” IEEE Transations on Robotics, Vol. 22, No. 1, 2006, pp. 185-189.

[9]   H. I. Krebs, B. T. Volpe, D. Williams, J. Celestino, S. K. Charles, D. Lynch and N. Hogan, “Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, Vol. 15, No. 3, 2007, pp. 327-335. doi:10.1109/TNSRE.2007.903899

[10]   R. D. Howe and Y. Matsuoka, “Robotics for Surgery,” Annual Review of Biomedical Engineering, Vol. 1, 1999, pp. 211-240. doi:10.1146/annurev.bioeng.1.1.211

[11]   I. M. Varkarakis, S. Rais-Bahrami, L. R. Kavoussi and D. Stoianovici, “Robotic Surgery and Telesurgery in Urology,” Urology, Vol. 65, No. 5, 2005, pp. 840-846. doi:10.1016/j.urology.2004.10.040

[12]   J. Dargahi and S. Najarian, “Human Tactile Perception as a Standard for Artificial Tactile Sensing—A Review,” International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 1, No. 1, 2004, pp. 23-35. doi:10.1002/rcs.3

[13]   J. Dargahi and S. Najarian, “Advances in Tactile Sensors Design/Manufacturing and Its Impact on Robotics Application, a Review,” Indus Robot, Vol. 32, No. 3, 2005, pp. 268-281. doi:10.1108/01439910510593965

[14]   S. Najarian, J. Dargahi and A. Abouei, “Artificial Tactile Sensing in Biomedical Engineering,” McGraw-Hill, New York, 2009.

[15]   S. M. Hosseini, S. M. T. Kashani, S. Najarian, F. Panahi, S. R. M. Naeini and A. Mojra, “A Medical Tactile Sensing Instrument for Detecting Embedded Objects, with Specific Application for Breast Examination,” International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 6, No. 1, 2010, pp. 73-82.

[16]   S. M. Hosseini, S. Najarian, S. Motaghinasab and J. Dargahi, “Detection of Tumours Using a Computational Tactile Sensing Approach,” International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 2, No. 4, 2006, pp. 333-340. doi:10.1002/rcs.112

[17]   E. Afshari, S. Najarian and N. Simforoosh, “Application of Artificial Tactile Sensing Approach in Kidney-Stone-Removal Laparoscopy,” Journal of Biomedical Materials and Engineering, Vol. 20, 2010, pp. 261-267.

[18]   A. A. Mehrizi, S. Najarian and M. Moini, “Modeling, Constructing, and Testing of a Novel Tactile System to Detect Arterial Stenosis by Imitating Surgeon’s Palpation,” International journal of Academic Research, Vol. 2, No. 6, 2010, pp. 120-125.

[19]   J. K?ssi and M. Luostarinen, “Virtual Reality Laparoscopic Simulator as Aid in Surgical Resident Education: Two Years’ Experience,” Scandinavian Journal of Surgery, Vol. 98, No. 1, 2009, pp. 48-54.

[20]   T. Waseem, “Technologic Advances in Robotic Surgery,” Advances in Surgery, Vol. 15, No. 9, 2005, pp. 559-561.

[21]   H. Y. Yao, “Touch Magnifying Instrument Applied to Minimally Invasive Surgery,” M.Sc. Thesis, McGill University, Quebec, 2004.

[22]   D. Camarillo, T. Drummel and J. Salisbury, “Robotic Technology in Surgery: Past, Present and Future,” The American Journal of Surgery, Vol. 188, No. 4, 2004, pp. 2S-15S. doi:10.1016/j.amjsurg.2004.08.025

[23]   S. Schostek, C. N. Ho, D. Kalanovic and M. O. Schurr, “Artificial Tactile Sensing in Minimally Invasive Surgery—A New Technical Approach,” Minimally Invasive Therapy and Allied Technology, Vol. 15, No. 5, 2006, pp. 296-304. doi:10.1080/13645700600836299

[24]   V. Velanovich, “Laparoscopic vs Open Surgery: A Preliminary Comparison of Quality-of-Life Outcomes,” Surgical Endoscopy, Vol. 14, No. 1, 2000, pp. 16-21. doi:10.1007/s004649900003

[25]   J. J. Kjer, “Laparoscopy after Previous Abdominal Surgery,” Acta Obstetricia et Gynecologica Scandinavica, Vol. 66, No. 2, 1987, pp. 159-161. doi:10.3109/00016348709083039

[26]   R. Anthony, B. Lanfranco, et al., “Robotic Surgery a Current Perspective,” Annals of Surgery, Vol. 239, No. 1, 2004, pp. 14-21.

[27]   D. Stoianovici, R. Webster and L. Kavoussi, “Robotic Tools for Minimally Invasive Urologic Surgery,” Complications of Urologic Laparoscopic Surgery: Recognition, Management and Prevention, Informa Healthcare, 2002, pp. 1-17.

[28]   J. Kourambas and G. M. Preminger, “Advances in Camera, Video, and Imaging Technologies in Laparoscopy,” The Urologic Clinics of North America, Vol. 28, No. 1, 2001, pp. 5-14. doi:10.1016/S0094-0143(01)80002-1

[29]   G. S. Litynski, “Erich Mühe and the Rejection of Laparoscopic Cholecystectomy, a Surgeon Ahead of His Time,” Journal of Society of Laparoendoscopic Surgeons, Vol. 2, No. 4, 1998, pp. 341-346.

[30]   M. J. Haddad, “Minimally Invasive Surgery, the Cutting Edge,” Journal of Pediatric Surgical Specialties, Vol. 2, No. 3, 2008.

[31]   S. H. Farkoush and S. Najarian, “Can Surgeon’s Hand Be Replaced with a Smart Surgical Instrument in Esophagectomy?” Med Hypotheses, Vol. 73, No. 5, 2009, pp. 735-740. doi:10.1016/j.mehy.2009.02.045

[32]   S. M. Khoorjestan, N. Simforoosh, S. Najarian and S. H. Farkoush, “Design and Modeling of a Novel Flexible Surgical Instrument Applicable in Minimally Invasive Surgery,” International Journal of Natural and Engineering Sciences, Vol. 4, No. 1, 2010, pp. 49-56.

[33]   E. Afshari, S. Najarian, N. Simforoosh and S. H. Farkoush, “Design and Fabrication of a Novel Tactile Sensory System Applicable in Artificial Palpation,” Minimally Invasive Therapy and Allied Technology, Vol. 20, No. 1, 2011, pp. 22-29. doi:10.3109/13645706.2010.518739

[34]   N. Villorte, D. Glauser, P. Flury and C. W. Burckhardt, “Conception of Stereotactic Instruments for the Neurosurgical Robot Minerva,” 14th Annual International Conference of the IEEE Engineers in Medicine and Biology Society, Paris, 29 October-1 November 1992.

[35]   B. L. Davies, R. D. Hibberd, M. J. Coptcoat and J. E. Wickham, “A Surgeon Robot Prostatectomy—A Laboratory Evaluation,” Journal of Medical Engineering & Technology, Vol. 13, No. 6, 1989, pp. 273-277. doi:10.3109/03091908909016201

[36]   G. N. Box and M. Gong, “Multispecialty Applications of Robotic Technology,” In: V. R. Patel, Ed., Robotic Urologic Surgery, Springer-Verlag, London, 2007, pp. 15-22. doi:10.1007/978-1-84628-704-6_3

[37]   C. W. Burckhardt, P. Flury and D. Glauser, “Stereotactic Brain Surgery,” IEEE Engineering in Medicine and Biology, Vol. 14, No. 3, 1995, pp. 314-317. doi:10.1109/51.391771

[38]   S. H. Nishihara, N. Sugano, T. Nishii T, et al., “Comparison Between Hand Rasping and Robotic Milling for Stem Implantation in Cementless Total Hip Arthroplasty,” The Journal of Arthroplasty, Vol. 21, No. 7, 2006. doi:10.1016/j.arth.2006.01.001

[39]   S. E. Park and C. T. Lee, “Comparison of Robotic-Assisted and Conventional Manual Implantation of a Primary Total Knee Arthroplasty,” The Journal of Arthroplasty, Vol. 22, No. 7, 2007. doi:10.1016/j.arth.2007.05.036

[40]   L. Mettler, M. Ibrahim and W. Jonat, “One Year of Experience Working with the Aid of a Robotic Assistant (the Voice-Controlled Optic Hold Aesop) in Gynecological Endoscopic Surgery,” Human Reproduction, Vol. 3, No. 10, 1998, pp. 2748-2750.

[41]   A. Carpentier, D. Loulmet, B. Aupecle, et al., “Computer Assisted Open Heart Surgery. First Case Operated on with Success,” Comptes Rendus de l’Académie des Sciences—Series III, Vol. 321, No. 5, 1998, pp. 437-442.

[42]   G. H. Ballantyne and F. Moll, “The da Vinci Telerobotic Surgical System: The Virtual Operative Field and Telepresence Surgery,” Surgical Clinics of North America, Vol. 83, No. 6, 2003, pp. 1293-1304. doi:10.1016/S0039-6109(03)00164-6

[43]   Academy of Medical Specialties, “Time Line of Advances in Robotic Surgery,” 2011. http://imaams.org/?p=1239.

[44]   M. J. H. Lum, D. C. W. Friedman, G. Sankaranarayanan, H. King, K. Fodero, R. Leuschkeand, et al., “The Raven: Design and Validation of a Telesurgery System,” The International Journal of Robotics Research, Vol. 28, No. 9, 2009, pp. 1183-1197. doi:10.1177/0278364909101795

[45]   R. Konietschke, Ul. Hagn, M. Nickl, S. Jorg, A. Tobergte, G. Passig, et al., “The DLR MiroSurge—A Robotic System for Surgery,” IEEE International Conference on Robotics and Automation, Kobe, 12-17 May 2009. doi:10.1109/ROBOT.2009.5152361

[46]   A. Muacevic, B. Wowra and M. Reiser, “CyberKnife: Review of First 1000 Cases at a Dedicated Therapy Center,” International Journal of Computer Assisted Radiology and Surgery, Vol. 3, No. 5, 2008, pp. 447-456. doi:10.1007/s11548-008-0246-1

[47]   A. K. H. Chong, A. C. F. Taylor, A. M. Miller and P. V. Desmond, “Initial Experience with Capsule Endoscopy at a Major Referral Hospital,” Medical Journal Australia, Vol. 178, No. 11, 2003, pp. 537-540.

[48]   Q. Haiming, Y. Jinrui, X. Zhang and H. Chen, “Wireless Tracking and Locating System for In-Pipe Robot,” Sensors and Actuators A, Vol. 159, No. 1, 2010, pp. 117-125. doi:10.1016/j.sna.2010.02.021

[49]   R. Carta, B. Lenaerts, J. Thone, G. Tortora, P. Valdastri, A. Menciassi, et al., “Wireless Power Supply as Enabling Technology towards Active Locomotion in Capsular Endoscopy,” Proceedings of Eurosensors XXII, Dresden, 7-10 September, 2008, p. 482.

[50]   M. Quirini, R. J. Webster, A. Menciassi and P. Dario, “Design of a Pill-Sized 12-Legged Endoscopic Capsule Robot,” International Conference on Robotics and Automation, Roma, 10-14 April 2007, pp. 1856-1862

[51]   M. Simi, P. Valdastri, C. Quaglia, A. Menciassi and P. Dario, “Design, Fabrication and Testing of an Endocapsule with Active Hybrid Locomotion for the Exploration of the Gastrointestinal Tract”, IEEE Transactions on Mechatronics, Vol. 15, No.2, 2010, pp. 170-180. doi:10.1109/TMECH.2010.2041244

[52]   P. Dario, “A Novel Platform for ScarlessRobotic Surgery: the ARAKNES,” 2011. http://www.araknes.org/

[53]   S. H. Farkoush and S. Najarian, “Can Surgeon’s Hand Be Replaced with a Smart Surgical Instrument in Esophagectomy?” Medical Hypotheses, Vol. 73, No. 5, 2009, pp. 735-740.

 
 
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