Mr. PRAKASH.R.PATIL VTU NO. 2BL06EE017 GUIDANCE : PROF. SUJATA.M.BAGI

IINTRODUCTION DDEFINITION OF ROBOTIC SURGERY TTYPES OF ROBOT RROBOTS IN MEDICINE DDAVINCI ROBOTIC SYSTEM DDAVINCI SYSTEM OR SCHEMATIC TTOTAL INTERGRATION OF SURGICAL CARE OOPERATAING ROOM AADVANTAGES DDISADVANTAGES AAPPLICATION CCONCLUSION RREFERENCE

TThe term “Robot " was coined by the Czech playright Karel Capek in 1921 in his play Rossom's Universal Robots. IIn 1985 a ROBOT, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance. RRobots were first introduced in 1987 with the first laparoscopic surgery.

 R R obotic surgery is Microsurgery in which the surgeon performs surgery by manipulating the hands of a robot AAny mechanica device that operates automatically with human like skill

 Passive ◦ Retractor system ◦ Position the tool and then hold  Active ◦ Robot would actively move the tool upon the surgeons command

 PUMA 560  ZEUS Surgical System  DaVinci Robotic sytstem

 Magnified (12x), stereoscopic 3Dvision  Robotic wrist with 6 degrees of freedom  Movements are scaled,filtered,translated

Simulation & Training Pre-operative Warmup Intra-operative navigation Pre-operative planning Surgical Rehearsal Remote Surgery Minimally Invasive & Open Surgery

Operating Room of the Future

SShorter hospital stay RReduced Trauma to the body LLess anesthesia LLess Blood loss LLess post- operative pain LLess pain LLess risk of infection LLess scarring FFaster recovery and return to daily activities

HHuman presence FFault consequence TTime CCost EEfficiency &Compatibility

 General surgery  Cardiology  Gastrointestinal surgery  Gynecology  Neurosurgery  Orthopedics  Radiosurgery

 The rate of discovery of new technology is outpacing the ability of business, society, and healthcare to integrate and apply  Robotic surgery is but one example of such technology that MAY reduce operative morbidity, hospital stay, and recovery, while POTENTIALLY improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE?

1. Gomez G. Sabiston Textbook of Surgery. 17th ed. Philadelphia, Pa: Elsevier Saunders; Emerging Technology in surgery: informatics, electronics, robotics. 2. Ballantyne GH. The pitfalls of laparoscopic surgery: challenges for robotics and telerobotic surgery. Surg Laparosc Endosc Percutan Tech. 2002;12:1–5. [PubMed]PubMed 3. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results. Surg Endosc. 2002;16:1389–1402. [PubMed]PubMed 4. Darzi SA, Munz Y. The impact of minimally invasive surgical techniques. Annu Rev Med. 2004;55:223–237. [PubMed]PubMed 5. Hashizume M, Tsugawa K. Robotic surgery and cancer: the present state, problems and future vision. Jpn J Clin Oncol. 2004;34:227–237. [PubMed]PubMed

Do Robots Dream ?