Author : Ernest Hall
ISBN-13 : 978-953-307-070-4
Number of pages : 678
Robotics has increasingly become accepted in the past 20 years as a viable solution to many applications in surgery, particularly in the field of Minimally Invasive Surgery (MIS)Taylor & Stoianovici (2003). Minimally Invasive Surgery represents the future of many types of medical interventions such as keyhole neurosurgery or transluminal endoscopic surgery. These procedures involve insertion of surgical instruments such as needles and endoscopes into human body through small incision/ body cavity for biopsy and drug delivery. However, nearly all surgical instruments for these procedures are inserted manually and they are lack of dexterity in small constrained spaces. As a consequence, there is a long learning curve for surgeons to use them properly and thus risks for patients. Many research efforts have been made to improve the functionalities of current instruments by designing active instruments (endoscope, needles) using robotic mechanisms during the last decades, such as snake robot for throat surgery Simaan et al. (2004) or active cannula Webster et al. (2009). Studies are currently underway to evaluate the value of these new devices. Usually these robots are micro size and very flexible so that they can pass the constrained space for fine manipulations. Furthermore, how to steer these robots into targets safely during the insertion usually needs additional sensors, such as MRI imaging and US imaging, and path planning algorithms are also needed to be developed for the intervention.
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