Erschienen in:
01.08.2005
Invited Commentary
verfasst von:
W. Scott Melvin, M.D.
Erschienen in:
World Journal of Surgery
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Ausgabe 8/2005
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Excerpt
Robotic surgical technology remains in its first generation. This report (DOI:10.1007/s00268-005-7776-2) contributes to the known experience with robotic devices in general surgical applications. It clearly demonstrates the safety and efficacy of the instrument, yet it fails to demonstrate superiority of the instruments when compare to standard laparoscopy. This report is in concordance with other direct comparisons of robotic surgical techniques compared to standard laparoscopic procedures. The authors point out that, in spite of their experience with laparoscopic techniques, only a portion of the advantages of robotic surgery are realized because of the primitive “first generation” instrument available for the robot. For example, a robotic cautery is available, but the only alternative energy source for the robot it is an ultrasonic dissector that is unarticulated and cumbersome to use. Advanced laparoscopic instruments, such as a linear vascular stapler, are necessary to perform most advanced procedures. Thus most advanced “robotic” procedures are completed as a “hybrid” procedure, a cross between an advanced laparoscopic technique and robotic surgery. …