Yonsei Med J.  2007 Jun;48(3):540-545. 10.3349/ymj.2007.48.3.540.

The First Korean Experience of Telemanipulative Robot-Assisted Laparoscopic Cholecystectomy Using the da Vinci System

• Kang CM
• Chi HS
• Hyeung WJ
• Kim KS
• Choi JS
• Lee WJ
• Kim BR

• KMID: 724113
• DOI: http://doi.org/10.3349/ymj.2007.48.3.540

Abstract

With the advancement of laparoscopic instruments and computer sciences, complex surgical procedures are expected to be safely performed by robot assisted telemanipulative laparoscopic surgery. The da Vinci system (Intuitive Surgical, Mountain View, CA, USA) became available at the many surgical fields. The wrist like movements of the instrument's tip, as well as 3-dimensional vision, could be expected to facilitate more complex laparoscopic procedure. Here, we present the first Korean experience of da Vinci robotic assisted laparoscopic cholecystectomy and discuss the introduction and perspectives of this robotic system.

Keyword

da Vinci robotic system; laparoscopy; cholecystectomy

MeSH Terms

Cholecystectomy, Laparoscopic/*instrumentation/*methods
Female
Gallstones/*surgery
Humans
Middle Aged
*Robotics
Surgery, Computer-Assisted/*methods
Treatment Outcome

Figure

• 

  Fig. 1 View of the surgical console.

• 

  Fig. 2 View of the robotic cart.

• 

  Fig. 3 Port site.

• 

  Fig. 4 Gallbladder dissection.

• 

  Fig. 5 Operation view. A surgeon apart from operative field controls the movements of laparoscopic instrument mounted on robotic cart under the 3-dimentional image provided by robot system.

Reference

1. Brasesco OE, Rosin D, Rosenthal RJ. Laparoscopic surgery of the liver and biliary tract. J Laparoendosc Adv Surg Tech A. 2002. 12:91–100.

2. Franklin ME Jr, Rosenthal D, Abrego-Medina D, Dorman JP, Glass JL, Norem R, et al. Prospective comparison of open vs laparoscopic colon surgery for carcinoma. Five-year results. Dis Colon Rectum. 1996. 39(10 Suppl):S35–S46.

3. Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, et al. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991. 161:385–387.

4. Allendorf JD, Bessler M, Whelan RL, Trokel M, Laird DA, Terry MB, et al. Postoperative immune function varies inversely with the degree of surgical trauma in a murine model. Surg Endosc. 1997. 11:427–430.

5. Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Robotic surgery: a current perspective. Ann Surg. 2004. 239:14–21.

6. Shennib H, Bastawisy A, McLoughlin J, Moll F. Robotic computer-assisted telemanipulation enhances coronary artery bypass. J Thorac Cardiovasc Surg. 1999. 117:310–313.

7. Capek K. Playfair N, Selver P, Landes WA, editors. Rossum's Universal Robots. 1923. New York: Doubleday.

8. Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988. 35:153–160.

9. Davies B. A review of robotics in surgery. Proc Inst Mech Eng [H]. 2000. 214:129–140.

10. Satava RM. Surgical robotics: the early chronicles: a personal historical perspective. Surg Laparosc Endosc Percutan Tech. 2002. 12:6–16.

11. Damiano RJ Jr, Ehrman WJ, Ducko CT, Tabaie HA, Stephenson ER Jr, Kingsley CP, et al. Initial United States clinical trial of robotically assisted endoscopic coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2000. 119:77–82.

12. Himpens J, Leman G, Cardiere GB. Telesurgical laparoscopic cholecystectomy. Surg Endosc. 1998. 12:1091.

13. Ballantyne GH, Marescaux J, Giulianotti PC. Primer of robotic & telerobotic surgery. 2004. Philadelphia: Lippincott Williams & Wilkins;135–139.

14. Hashizume M, Shimada M, Tomikawa M, Ikeda Y, Takahashi I, Abe R, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc. 2002. 16:1187–1191.

15. Newlin ME, Mikami DJ, Melvin WC. Initial experience with the four-arm computer-enhanced telesurgery device in foregut surgery. J Laparoendosc Adv Surg Tech A. 2004. 14:121–124.

16. Gutt CN, Oniu T, Mehrabi A, Kashfi A, Sxhemmer P, Buchler MW. Robot-assisted abdominal surgery. Br J Surg. 2004. 91:1390–1397.

17. Hanly EJ, Talamini MA. Robotic abdominal surgery. Am J Surg. 2004. 188(4A Suppl):19–26.