693 521

Cited 0 times in

로봇재건수술을 위한 미세수술 훈련

Other Titles
 Robotic Microsurgery Training for Robot Assisted Reconstructive Surgery 
Authors
 홍종원  ;  신동우  ;  이동원  ;  이원재 
Citation
 Archives of Hand and Microsurgery, Vol.24(4) : 358-367, 2019 
Journal Title
Archives of Hand and Microsurgery
ISSN
 2586-3290 
Issue Date
2019
Keywords
Microsurgery ; Robotics ; Anastomosis ; Training
Abstract
Purpose: Recent advances in robotic surgery have affected not only surgery for visceral organs but also head and neck
cancer surgery and microsurgery. The authors intended to analyze and share experience gained from performing microanastomosis
training in a new robotic surgery system.
Methods: Robotic microanastomosis training was performed using Da Vinci Xi. The robot arm used two black diamond
forceps, one Potts scissor, and one vision camera. First, basic robotic surgery skills were trained with Da Vinci Skill Simulator
training. Actual microanastomosis practice was performed using artificial blood vessel, chicken wing and porcine
leg.
Results: Three simulation training sessions were performed and five vessel anastomosis were performed. A total of 8 vascular
anastomosis were performed, and anastomosis for one vessel took 31-57 minutes. The number of sutures used was
more than one initially due to suture material damage, but one suture was used after four anastomosis. In the anastomosis
time analysis with porcine legs, the actual anastomosis process took 2 minutes 15 seconds±41 seconds per stitch. The
vascular anastomosis interval took more time than vascular anastomosis itself due to robot arm change and camera movement.
Conclusion: Robotic microsurgery training was not difficult process for surgeons who had undergone conventional microsurgery.
However, more training was needed to replace the robot arm and move the camera. In the long term, mechanical
improvements in diamond forceps and camera resolution were necessary. In order to master robotic microsurgery,
surgeons must get used to robotic surgery system through simulation training.
Files in This Item:
T201904705.pdf Download
DOI
10.12790/ahm.2019.24.4.358
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Dongwoo(신동우)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174529
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links