Introduction
Overview of the significance of surgical robots.
Since hemorrhagic shock and polytrauma are the most common causes of main fatality in conflict, the military needed to provide skilled surgical care based on damage control surgery as soon as possible following major trauma.
Surgical robots have come a long way from their use in entertainment in antiquity to the FDA-approved platforms of today, such as Senhance, Hugo, and da Vinci, which prioritize cost-effectiveness while providing better vision and agility.
Historical Development of Surgical Robots
Early innovations and milestones.
The PUMA 560 robotic surgical arm was utilized in a neurosurgical biopsy in 1985, which was the first recorded case of robot-assisted surgery. This marked the beginnings of surgical robotics’ breakthroughs and milestones.
The development of minimally invasive surgery (MIS) and later robot-assisted MIS (RAMIS) was made possible by this incident, which also brought about improvements in surgeon ergonomics, 3D vision, and tool control.
Current Technological Landscape
Description of current surgical robots and their features.
These robots’ designs emphasize intuitive operation for surgeons, incorporating parts such as robot arms, controllers, endoscopes, and surgical equipment. Showcasing its advantages over traditional methods, the primary needs of surgical robots include decreased pain and discomfort compared to traditional treatments, as well as shorter hospitalization and rehabilitation times.
Comparative analysis of traditional vs. robotic-assisted surgery.
Research on mandibular contouring surgery demonstrates that, in comparison to conventional surgery, robot-assisted surgery provides better bone shaving precision and increased safety. Although open radical prostatectomy (ORP) has shorter operating times and cheaper expenses, robot-assisted radical prostatectomy (RARP) is thought to be a safer and less invasive option for treating prostate cancer, resulting in a shorter hospital stay following surgery.
Impact on Healthcare
The modernization and integration of robotic technology into the healthcare profession has been expedited. The surgical robots of today come with a number of characteristics and technological innovations in the healthcare industry.
According to recent research, these robots are characterised by attributes including high cost, enormous size, limited movement, and absence of tactile input. Over the past few decades, robotic surgery has developed, strengthening the surgical toolkit and giving surgeons access to cutting-edge instruments that enhance dexterity and accessibility and, in turn, decrease human error and limitations in complex cases.
Additionally, the development of robot-assisted minimally invasive surgery (RAMIS), which provides surgeons with superior ergonomics, increased degrees of freedom, and improved eyesight, has further improved surgical techniques and advanced the area of surgery
Future Prospects.
Emerging trends: autonomous robots, telesurgery.
Emerging innovations in surgical robotics that are changing the face of healthcare delivery include telesurgery and autonomous robots. Robotic technology is helping telesurgery advance to provide safe, equitable, and high-quality surgical care, particularly in underserved and rural places.
A semi-autonomous system that separates user interaction from robot execution and makes use of physics-based simulators has been developed to address communication limitations and delays in telesurgery. This system ensures that surgical tasks are performed seamlessly even in the face of latency issues, demonstrating robustness and efficiency in a variety of surgical scenarios.
These developments improve patient access to high-quality surgical care while opening the door for on-demand technical support and advice from skilled surgeons via telementoring.
Anticipated advancements and potential impact on healthcare.
Expected developments in surgical robots have the potential to completely transform healthcare by increasing accuracy, reducing invasiveness, and improving patient outcomes. Algorithm integration with robotic systems facilitates decision-making in real-time during procedures, guaranteeing the best possible care. The broad use of these technologies is hampered by issues with informed consent, patient expectations, and affordability.
Robotics may improve surgical operations, but their widespread application in plastic surgery is hampered by their high prices and challenges in staff training. Improvements in robotic-assisted surgery help patients as well as surgeons, and they may pave the way for future developments in the field and improvements in other surgical specializations.
Conclusion
The evolution of surgical robots has revolutionized surgical care by enhancing precision, reducing invasiveness, and improving patient outcomes. Despite challenges such as high costs and the need for extensive training, the benefits of robotic-assisted surgery are significant.
Future advancements, including autonomous robots and telesurgery, promise to further enhance surgical capabilities and accessibility. As technology advances, surgical robots will increasingly play a crucial role in improving healthcare across various medical specialties.
Reference
Akshaya, N, Shetti., Bhaskaran, Ashokan., Mangesh, Hivre., Rachita, G, Mustilwar. (2023). From scalpels to algorithms: The next step in surgical advancement. International journal of pharmaceutical chemistry and analysis, 10(2):61-65. doi: 10.18231/j.ijpca.2023.012
Alice, J., Race., Santiago, Horgan. (2021). Overview of Current Robotic Technology. 1-17. doi: 10.1007/978-3-030-78217-7_1
Catherine, H., Frenkel. (2023). Telesurgery’s Evolution During the Robotic Surgery Renaissance and a Systematic Review of its Ethical Considerations.. Surgical Innovation,-15533506231169073 . doi: 10.1177/15533506231169073
Davies BL, Ng W, Hibberd RD. Prostatic resection: an example of safe robotic surgery. Robotica. 1993;11:561–566.
Dr., S., Hemajothi. (2022). Use of Medical Robots in Allowing Surgeons to More Dexterous Manipulate Surgical Instruments or Catheters Inside the Patient’s Body During Minimally Invasive Surgeries. Technoarete Transactions on Industrial Robotics and Automation Systems, 2(3) doi: 10.36647/ttiras/02.03.a006
Elida, Tulcan., Erwin-Christian, Lovasz. (2022). Research on Robots Used in Surgical Applications. Robotica & Management, 27(1):37-40. doi: 10.24193/rm.2022.1.7
Giovanni, Dapri. (2022). Robotics in surgery and clinical application. 3-21. doi: 10.1016/b978-0-12-821750-4.00001-3
Jian, Ning, Zhang., Jialin, Liu. (2022). [Robotics Helps Usher in a New Era of Neurosurgery].. 53 4(4):554-558. doi: 10.12182/20220760205
Katarzyna, Rojek., Rafał, Bakalarczyk., Paweł, Majewski. (2023). Revolutionizing radical prostatectomy – a comparative study of traditional and modern automated surgical techniques. Journal of Education, Health and Sport, 24(1):75-79. doi: 10.12775/jehs.2023.24.01.007
Lixiao, Yang., Zhengsong, Hou., Wei, Tang., Sinan, Zhu., Qi, Bao., Jiabin, Tong., Xiuwen, Ding. (2023). [Development of Surgical Robots in Recent Years].. Chinese journal of medical instrumentation, 47 1(1):1-12. doi: 10.3969/j.issn.1671-7104.2023.01.001
Mariyammal, S., Haris, P.., Sasi, M., P.., Babu, D.., G., A.., T., R., C.., S., M., Sreedharan, V.., Ramakrishnan, P., K.. (2022). Rise of robots in surgical territory. International Journal of Research in Medical Sciences, doi: 10.18203/2320-6012.ijrms20220036
N, K, Chandra. (2023). Future Directions for Surgical Advancements. 219-230. doi: 10.1007/978-3-031-31168-0_6
Pablo, Eduardo, Garcia, Kilroy., Karen, Shakespear, Koenig., Bajo, Andrea., Wiggers, Robert, T., Joan, Savall., Johnson, Eric, Mark. (2020). Surgical Robotic System.
Paul HA, Bargar WL, Mittlestadt B, et al. Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop Relat Res. 1992;285:57–66.
Talila, Elias, Wayessa,, Ababu, lakew, Gesite,, Seifu, Hailu, Garedew. (2023). The evolution of robotic surgery. 179-188. doi: 10.1201/9781003164609-20
Trevor, Birkenholtz. (2023). Advancements in Robotic-Assisted Surgery: Enhancing Precision and Minimizing Invasiveness. doi: 10.31219/osf.io/w9pm7
Youngjin, Moon., Dong, Ho, Lee., Jaesoon, Choi., Hong, Bumshik. (2020). Surgery robot surgery robot system and handheld medical device.
Zajtchuk R, Rellamy RF, Grande CM. Anesthesia and perioperative care of the combat casualty. Part IV – surgical combat casualty care. Textbook of Military Medicine. Washington, DC: Office of the Surgeon General; 1995.