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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2006

01-05-2006

Advantages of advanced laparoscopic systems

Authors: J. Heemskerk, R. Zandbergen, J. G. Maessen, J. W. M. Greve, N. D. Bouvy

Published in: Surgical Endoscopy | Issue 5/2006

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Abstract

Background

Conventional laparoscopy offers great benefits to our patients, but suffers from major technical drawbacks. Advanced laparoscopic systems are being developed adressing some of these drawbacks.

Methods

We performed a training-box based study, performing laparoscopic tasks using conventional laparoscopy and advanced laparoscopic systems in order to assess the influence of these technical drawbacks in order to predict where the biggest advantages of newly developed surgical systems can be expected.

Results

The most significant technical drawbacks were two-dimensional vision, disturbed eye-hand target axis and (possibly to a lesser extent) the rigid instruments with a limited five degrees of freedom.

Conclusion

Major advances in advanced laparoscopy might only be expected using console-based robot-arm manipulated systems like the daVinci surgical system, or a combination of a high-quality 3-dimensional vision system, restoration of the eye-hand-target axis and the use of an advanced handheld instrument offering seven degrees of freedom such as the Radius surgical system.
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Metadata
Title
Advantages of advanced laparoscopic systems
Authors
J. Heemskerk
R. Zandbergen
J. G. Maessen
J. W. M. Greve
N. D. Bouvy
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0456-3

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