The history of robot used in the urology and future trends
- VernacularTitle:Робот мэс заслыг урологийн салбарт ашигласан түүх ба ирээдүйн чиг хандлага
- Author:
Ganbold G
1
;
Bayan-Undur D
1
;
Nyamsuren D
1
Author Information
1. First Clinical Hospital, Mongolia
- Publication Type:Review
- Keywords:
robot;
robotic surgery;
urology
- From:Mongolian Medical Sciences
2021;195(1):70-79
- CountryMongolia
- Language:Mongolian
-
Abstract:
However, the use of robots in medicine has only 30 years of history. The application of robots in
surgery originates from the need of modern man to achieve two goals: the telepresence and the
performance of repetitive and accurate tasks. The first ‘‘robot surgeon’’ used on a human patient
was the PUMA 200 in 1985. In the 1990s, scientists developed the concept of ‘‘master–slave’’ robot,
which consisted of a robot with remote manipulators controlled by a surgeon at a surgical workstation.
Despite the lack of force and tactile feedback, technical advantages of robotic surgery, such as 3D
vision, stable and magnified image, Endo Wrist instruments, physiologic tremor filtering, and motion
scaling, have been considered fundamental to overcome many of the limitations of the laparoscopic
surgery. Since the approval of the da Vinci robot by international agencies, American, European, and
Asian surgeons have proved its factibility and safety for the performance of many different robot-assisted surgeries.
Comparative studies of robotic and laparoscopic surgical procedures in general surgery have shown
similar results with regard to perioperative, oncological, and functional outcomes. However, higher
costs and lack of haptic feedback represent the major limitations of current robotic technology to
become the standard technique of minimally invasive surgery worldwide. Therefore, the future of
robotic surgery involves cost reduction, development of new platforms and technologies, creation
and validation of curriculum and virtual simulators, and conduction of randomized clinical trials to
determine the best applications of robotics.
- Full text:2021-195(1)-70-79.pdf