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08.01.2019 Open Access

Enabling single-site laparoscopy: the SPORT platform

Zeitschrift:
Surgical Endoscopy
Autoren:
Barbara Seeliger, Michele Diana, Jelle P. Ruurda, Konstantinos M. Konstantinidis, Jacques Marescaux, Lee L. Swanström
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00464-018-06658-x) contains supplementary material, which is available to authorized users.
This work was partly presented in the Emerging Technology iPoster Session of the 16th World Congress of Endoscopic Surgery, held at the Washington State Convention Center in Seattle, USA, April 11–14, 2018, jointly hosted by SAGES & CAGS.

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Abstract

Background

The Single Port Orifice Robotic Technology (SPORT) Surgical System by Titan Medical Inc. is designed to overcome the inherent challenges of minimally invasive single-access procedures. The aim of this preclinical study was to evaluate the feasibility of various digestive surgery procedures using this novel surgical robotic platform.

Methods

A total of 12 minimally invasive procedures were performed on six pigs (5 cholecystectomies, 3 Nissen fundoplications, 1 splenectomy and 1 hepatic pedicle dissection) and on one human cadaver (1 cholecystectomy and 1 Nissen fundoplication), by four laparoscopic surgeons. The usability of the device was assessed by means of the modified objective structured assessment of technical skills (OSATS) score that was calculated and analyzed by two independent observers on the recorded videos. Surgeon feedback and recommendations were systematically recorded.

Results

All procedures were successfully completed with the SPORT system. In general, surgeons reported to appreciate the intuitive interface and controls, the high-resolution 3D imaging, the dexterity of the end-effectors, and the ergonomic open control platform. Some features requiring optimization were also identified. The modified OSATS score demonstrated a learning curve effect for all device-related tasks.

Conclusions

A variety of abdominal procedures could be safely completed with the current SPORT prototype, in the preclinical setting. This preliminary feasibility experience is promising and encourages further development of single-port robotically assisted surgery.

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Zusatzmaterial
Video 1 Introduction of the CIT through the gel access port, connection of the CIT to the CU, and insertion of two multi-articulated instruments. (MP4 55915 KB)
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