Nasolacrimal duct stenosis-Surgery with a novel robotic endoscope positioning system.


Journal

The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 13 01 2020
revised: 28 05 2020
accepted: 08 07 2020
pubmed: 1 8 2020
medline: 19 8 2021
entrez: 1 8 2020
Statut: ppublish

Résumé

Distal nasolacrimal duct stenosis is usually treated by head and neck surgeons with transnasal endoscopic dacryocystorhinostomy (DCR). The presented clinical study discusses advantages and drawbacks of a robot-assisted endoscope positioning system, which allows for hands-free visualization of the surgical field. Two patients were treated by surgical DCR. The endoscopic positioning system (Medineering Visualization and instrumentation of the surgical field including the relevant anatomical landmarks were feasible. The endoscope position could be controlled with sufficient precision. The surgeon was able to maintain bimanual instrumentation. The endoscope positioning system allows for two-handed surgery, which facilitates the essential steps of the surgical procedure. If the benefit of the system is sufficient for the use in clinical routine, it has to be evaluated in repeated applications.

Sections du résumé

BACKGROUND BACKGROUND
Distal nasolacrimal duct stenosis is usually treated by head and neck surgeons with transnasal endoscopic dacryocystorhinostomy (DCR). The presented clinical study discusses advantages and drawbacks of a robot-assisted endoscope positioning system, which allows for hands-free visualization of the surgical field.
MATERIAL AND METHODS METHODS
Two patients were treated by surgical DCR. The endoscopic positioning system (Medineering
RESULTS RESULTS
Visualization and instrumentation of the surgical field including the relevant anatomical landmarks were feasible. The endoscope position could be controlled with sufficient precision. The surgeon was able to maintain bimanual instrumentation.
CONCLUSION CONCLUSIONS
The endoscope positioning system allows for two-handed surgery, which facilitates the essential steps of the surgical procedure. If the benefit of the system is sufficient for the use in clinical routine, it has to be evaluated in repeated applications.

Identifiants

pubmed: 32735040
doi: 10.1002/rcs.2144
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-5

Subventions

Organisme : Open access funding enabled and organized by Projekt DEAL.

Informations de copyright

© 2020 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.

Auteurs

Felix Boehm (F)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

Daniel T Friedrich (DT)

Department of Otorhinolaryngology, Head and Neck Surgery, Augsburg University Medical Center, Augsburg, Germany.

Fabian Sommer (F)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

Marc-Oliver Scheithauer (MO)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

Jens Greve (J)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

Thomas K Hoffmann (TK)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

Patrick J Schuler (PJ)

Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Surgical Oncology Ulm, i2SOUL Consortium, Ulm, Germany.

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Classifications MeSH