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Published in: Surgical Endoscopy 8/2004

01-08-2004 | Original article

The AESOP robot system in laparoscopic surgery: Increased risk or advantage for surgeon and patient?

Authors: B. M. Kraft, C. Jäger, K. Kraft, B. J. Leibl, R. Bittner

Published in: Surgical Endoscopy | Issue 8/2004

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Abstract

Background

The aim of this study was to examine the advantages and risks of the Automated Endoscopic System for Optical Positioning (AESOP) 3000 robot system during uncomplicated laparoscopic cholecystectomies or laparoscopic hernioplasty.

Methods

In a randomized study, we examined two groups of 120 patients each with the diagnosis cholecystolithiasis respectively the unilateral inguinal hernia. We worked with the AESOP 3000, a robotic arm system that is voice-controlled by the surgeon. The subjective and objective comfort of the surgeon as well as the course and length of the operation were measured.

Results

The robot-assisted operations required significantly longer preparation and operation times. With regard to the necessary commands and manual camera corrections, the assistant group was favored. The same was true for the subjective evaluation of the surgical course by the surgeon.

Conclusions

Our study showed that the use of AESOP during laparoscopic cholecystectomy and hernioplasty is possible in 94% of all cases. The surgeon must accept a definite loss of comfort as well as a certain loss of time against the advantage of saving on personnel.
Literature
1.
go back to reference Aiono, S, Gilbert, JM, Soin, B, Finlay, PA, Gordan, A 2002Controlled trial of the introduction of a robotic camera assistant (EndoAssist) for laparoscopic cholecystectomySurg Endosc1612671270CrossRefPubMed Aiono, S, Gilbert, JM, Soin, B, Finlay, PA, Gordan, A 2002Controlled trial of the introduction of a robotic camera assistant (EndoAssist) for laparoscopic cholecystectomySurg Endosc1612671270CrossRefPubMed
2.
go back to reference Allaf, ME, Jackman, SV, Schulam, PG, Cadeddu, JA, Lee, BR, Moore, RG, Kavoussi, LR 1998Laparoscopic visual field: voice vs foot pedal interfaces for control of the AESOP robotSurg Endosc1214151418CrossRefPubMed Allaf, ME, Jackman, SV, Schulam, PG, Cadeddu, JA, Lee, BR, Moore, RG, Kavoussi, LR 1998Laparoscopic visual field: voice vs foot pedal interfaces for control of the AESOP robotSurg Endosc1214151418CrossRefPubMed
3.
go back to reference Arezzo, A, Ulmer, F, Weiss, O, Schurr, MO, Hamad, M, Buess, GF 2000Experimental trial on solo surgery for minimally invasive therapy: comparison of different systems in a phantom modelSurg Endosc14955959CrossRefPubMed Arezzo, A, Ulmer, F, Weiss, O, Schurr, MO, Hamad, M, Buess, GF 2000Experimental trial on solo surgery for minimally invasive therapy: comparison of different systems in a phantom modelSurg Endosc14955959CrossRefPubMed
5.
go back to reference Ballantyne, GH 2002Robotic surgery, telerobotic surgery, telepresence, and telemonitoring: review of early clinical resultsSurg Endosc1613891402CrossRefPubMed Ballantyne, GH 2002Robotic surgery, telerobotic surgery, telepresence, and telemonitoring: review of early clinical resultsSurg Endosc1613891402CrossRefPubMed
6.
go back to reference Begin, E, Gagner, M, Hurteau, R, Santis, S, Pomp, A 1995A robotic camera for laparoscopic surgery: conception and experimental resultsSurg Laparosc Endosc5611PubMed Begin, E, Gagner, M, Hurteau, R, Santis, S, Pomp, A 1995A robotic camera for laparoscopic surgery: conception and experimental resultsSurg Laparosc Endosc5611PubMed
7.
go back to reference Boer, KT, Bruijn, M, Jaspers, JE, Stassen, LP, Erp, WF, Jansen, A, Go, PM, et al. 2002Time–action analysis of instrument positioners in laparoscopic cholecystectomieSurg Endosc16142147CrossRefPubMed Boer, KT, Bruijn, M, Jaspers, JE, Stassen, LP, Erp, WF, Jansen, A, Go, PM,  et al. 2002Time–action analysis of instrument positioners in laparoscopic cholecystectomieSurg Endosc16142147CrossRefPubMed
8.
go back to reference Dunlap, KD, Wanzer, L 1998Is the robotic arm a cost-effective surgical tool?Aorn J68265272PubMed Dunlap, KD, Wanzer, L 1998Is the robotic arm a cost-effective surgical tool?Aorn J68265272PubMed
9.
go back to reference Esumi, G, Tomikawa, M, Hashizume, M, Konishi, K, Shimada, M, Sugimachi, K 2001Current status and future of surgical robotic systemsFukuoka Igaku Zasshi92315318PubMed Esumi, G, Tomikawa, M, Hashizume, M, Konishi, K, Shimada, M, Sugimachi, K 2001Current status and future of surgical robotic systemsFukuoka Igaku Zasshi92315318PubMed
10.
go back to reference Imme, A, Caglia, P, Gandolfo, L, Cavallaro, G, et al. 2002Robotic techniques in laparoscopic surgeryChir Ital54111113PubMed Imme, A, Caglia, P, Gandolfo, L, Cavallaro, G,  et al. 2002Robotic techniques in laparoscopic surgeryChir Ital54111113PubMed
11.
go back to reference Jacobs, LK, Shayani, V, Sackier, JM 1997Determination of the learning curve of the AESOP robotSurg Endosc115455CrossRefPubMed Jacobs, LK, Shayani, V, Sackier, JM 1997Determination of the learning curve of the AESOP robotSurg Endosc115455CrossRefPubMed
12.
go back to reference Kasalicky, MA, Svab, J, Fried, M, Melechovsky, D 2002AESOP 3000—computer-assisted surgery, personal experienceRozhl Chir81346349PubMed Kasalicky, MA, Svab, J, Fried, M, Melechovsky, D 2002AESOP 3000—computer-assisted surgery, personal experienceRozhl Chir81346349PubMed
13.
go back to reference Köninger, J, Butters, M 2001Laparoskopische Leistenhernienchirurgie mit dem RoboterarmMin Invas Chir102730 Köninger, J, Butters, M 2001Laparoskopische Leistenhernienchirurgie mit dem RoboterarmMin Invas Chir102730
14.
go back to reference Kondraske, GV, Hamilton, EC, Scott, DJ, Fischer, CA, Tesfay, ST, Taneja, R, Brown, RJ, et al. 2002Surgeon workload and motion efficiency with robot and human laparoscopic camera controlSurg Endosc1615231527CrossRefPubMed Kondraske, GV, Hamilton, EC, Scott, DJ, Fischer, CA, Tesfay, ST, Taneja, R, Brown, RJ,  et al. 2002Surgeon workload and motion efficiency with robot and human laparoscopic camera controlSurg Endosc1615231527CrossRefPubMed
15.
go back to reference Mettler, L, Ibrahim, M, Jonat, W 1998One year of experience working with the aid of a robotic assistant (the voice-controlled optic holder AESOP) in gynaecological endoscopic surgeryHum Reprod1327482750PubMed Mettler, L, Ibrahim, M, Jonat, W 1998One year of experience working with the aid of a robotic assistant (the voice-controlled optic holder AESOP) in gynaecological endoscopic surgeryHum Reprod1327482750PubMed
16.
go back to reference Moran, ME 1993Stationary and automated laparoscopically assisted technologiesJ Laparoendosc Surg3221227PubMed Moran, ME 1993Stationary and automated laparoscopically assisted technologiesJ Laparoendosc Surg3221227PubMed
17.
go back to reference Niebuhr, H, Born, O 2000Image Tracking System Eine neue Technik für die sichere und kostensparende laparoskopische OperationChirurg71580584CrossRefPubMed Niebuhr, H, Born, O 2000Image Tracking System Eine neue Technik für die sichere und kostensparende laparoskopische OperationChirurg71580584CrossRefPubMed
18.
go back to reference Okada, S, Tanaba, Y, Yamauchi, H, Sato, S 1998Single-surgeon thorackoscopic surgery with a voice-controlled robotLancet3511249CrossRef Okada, S, Tanaba, Y, Yamauchi, H, Sato, S 1998Single-surgeon thorackoscopic surgery with a voice-controlled robotLancet3511249CrossRef
19.
go back to reference Reichenspurner, H, Boehm, DH, Welz, A, Schulze, C, Zwissler, B, Reichart, B 19983D-video- and robot-assisted minimally invasive ASD closure using the port-access techniqueHeart Surg Forum1104106PubMed Reichenspurner, H, Boehm, DH, Welz, A, Schulze, C, Zwissler, B, Reichart, B 19983D-video- and robot-assisted minimally invasive ASD closure using the port-access techniqueHeart Surg Forum1104106PubMed
20.
go back to reference Reichenspurner, H, Boehm, DH, Gulbins, H, Schulze, C, Wildhirt, S, Welz, A, Detter, C, et al. 2000Three-dimensional video and robot-assisted port-access mitral valve operationAnn Thorac Surg6911761182CrossRefPubMed Reichenspurner, H, Boehm, DH, Gulbins, H, Schulze, C, Wildhirt, S, Welz, A, Detter, C,  et al. 2000Three-dimensional video and robot-assisted port-access mitral valve operationAnn Thorac Surg6911761182CrossRefPubMed
21.
go back to reference Turner, DJ, Semm, K 2000The role of computers and robotics in endoscopic surgerySurg Technol Int82327 Turner, DJ, Semm, K 2000The role of computers and robotics in endoscopic surgerySurg Technol Int82327
22.
go back to reference Yavuz, Y, Ystgaard, B, Skogvoll, E, Marvik, R 2000A comparative experimental study evaluating the performance of surgical robots AESOP and EndosistaSurg Laparosc Endosc Percutan Tech10163167CrossRefPubMed Yavuz, Y, Ystgaard, B, Skogvoll, E, Marvik, R 2000A comparative experimental study evaluating the performance of surgical robots AESOP and EndosistaSurg Laparosc Endosc Percutan Tech10163167CrossRefPubMed
Metadata
Title
The AESOP robot system in laparoscopic surgery: Increased risk or advantage for surgeon and patient?
Authors
B. M. Kraft
C. Jäger
K. Kraft
B. J. Leibl
R. Bittner
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9200-z

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