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Novel application of simultaneous multi-image display during complex robotic abdominal procedures.

Woo Y, Choi GH, Min BS, Hyung WJ - BMC Surg (2014)

Bottom Line: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation.This function has the potential to increase patient safety and surgical efficiency during an operation.The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul 120-752, Republic of Korea. wjhyung@yuhs.ac.

ABSTRACT

Background: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations. All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center.

Results: The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations.

Conclusion: We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

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Related in: MedlinePlus

Tilpro™ set up. (A) The posterior view of the da Vinci Surgical System input device for endoscopic video output. The surgeon can control the video input from the endoscopic procedures from the surgeon’s console using the touch screen of the control bar (B) and the camera foot pedal (C).
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Figure 1: Tilpro™ set up. (A) The posterior view of the da Vinci Surgical System input device for endoscopic video output. The surgeon can control the video input from the endoscopic procedures from the surgeon’s console using the touch screen of the control bar (B) and the camera foot pedal (C).

Mentions: All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Tilepro software integrates into the robotic platform and permits the surgeon and operating room personnel to view up to three different images; that is, the operative view and images from two different video sources, simultaneously. Before each operation, the video output from the HDTV-compatible CV-180 Video Processor (Olympus, Tokyo, Japan), used for the three endoscopic procedures, was connected to the da Vinci Surgical System’s console (Figure 1A). During intraoperative endoscopy, the surgeon activated the endoscopic images by turning on the multi-input Tilepro program at the surgeon’s console using the video panel (Figure 1B). The surgeon was able to switch the endoscopic images on and off by tapping the camera foot pedal (Figure 1C).


Novel application of simultaneous multi-image display during complex robotic abdominal procedures.

Woo Y, Choi GH, Min BS, Hyung WJ - BMC Surg (2014)

Tilpro™ set up. (A) The posterior view of the da Vinci Surgical System input device for endoscopic video output. The surgeon can control the video input from the endoscopic procedures from the surgeon’s console using the touch screen of the control bar (B) and the camera foot pedal (C).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4008309&req=5

Figure 1: Tilpro™ set up. (A) The posterior view of the da Vinci Surgical System input device for endoscopic video output. The surgeon can control the video input from the endoscopic procedures from the surgeon’s console using the touch screen of the control bar (B) and the camera foot pedal (C).
Mentions: All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Tilepro software integrates into the robotic platform and permits the surgeon and operating room personnel to view up to three different images; that is, the operative view and images from two different video sources, simultaneously. Before each operation, the video output from the HDTV-compatible CV-180 Video Processor (Olympus, Tokyo, Japan), used for the three endoscopic procedures, was connected to the da Vinci Surgical System’s console (Figure 1A). During intraoperative endoscopy, the surgeon activated the endoscopic images by turning on the multi-input Tilepro program at the surgeon’s console using the video panel (Figure 1B). The surgeon was able to switch the endoscopic images on and off by tapping the camera foot pedal (Figure 1C).

Bottom Line: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation.This function has the potential to increase patient safety and surgical efficiency during an operation.The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul 120-752, Republic of Korea. wjhyung@yuhs.ac.

ABSTRACT

Background: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations. All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center.

Results: The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations.

Conclusion: We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

Show MeSH
Related in: MedlinePlus