DEVELOPMENT OF ROBOTIC ENDOSURGERY AND ITS CLINICAL APPLICATION

机器人超声刀的发展及其临床应用

基本信息

批准号：
09557130
负责人：
SUZUKI Kazuo
金额：
$ 6.59万
依托单位：
Hamamatsu University School of Medicine
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09557130/
关键词：
VIRTUAL REALITY ROBOTIC SURGERY LAPAROSCOPIC SURGERY ENDOSCOPIC SURGICAL PROCEDURE

项目摘要

(1) We have developed a finger tip view control system and multifunctional laparoscopic probe, and successfully adopted it in several clinical situations. We have also completed several endoscopic surgical simulation videos for the education of medical students and young doctors.(2) The finger tip view control system is a robotic endoscopic view control system used during laparoscopic surgery. The field of view is moved by a control switch on the handle of the forceps, making it possible for eight different directions, in and out zooming, and restoration of the default settings. Since the scope itself doesn't actually move (the CCD does), the scope holder doesn't move either, so there is no risk of an accident caused by moving the holder arm. This system not only saves space around the operating table, it keeps the holder arm from getting in the surgeon's way and prevents the scope from interfering with the forceps inside the cavity.(3) The multifunctional laparoscopic probe has 3 different functions : irrigation, suction, and electrocautery. By using this probe, operating time was shorter and complications caused by the frequent inserting and extracting of probes was avoided. Because this probe is reusable, another advantage was its cost effectiveness, as this probe is reusable.(4) Our project also has some future prospects for a low cost telesurgery system which is still undergoing development by Olympus Co. By using the finger tip view control system, telesurgery using telecommunications equipment (ISDN, Internet etc.) may soon be achievable.

(1)我们开发了指尖视图控制系统和多功能腹腔镜探头，并成功应用于多个临床情况。我们还完成了多部内窥镜手术模拟视频，用于医学生和年轻医生的教育。(2)指尖视图控制系统是腹腔镜手术中使用的机器人内窥镜视图控制系统。视野通过镊子手柄上的控制开关移动，可以实现八个不同方向、放大和缩小以及恢复默认设置。由于示波器本身实际上并不移动（CCD 会移动），因此示波器支架也不会移动，因此不存在因移动支架臂而导致事故的风险。该系统不仅节省了手术台周围的空间，还可以防止支架臂妨碍外科医生，并防止内窥镜干扰腔内的镊子。(3) 多功能腹腔镜探头具有 3 种不同的功能：冲洗、抽吸和电灼术。使用该探头，缩短了手术时间，避免了频繁插拔探头带来的并发症。由于该探头是可重复使用的，另一个优点是其成本效益，因为该探头是可重复使用的。(4) 我们的项目还对低成本远程手术系统有一些未来前景，该系统仍在奥林巴斯公司开发中。通过使用指尖视图控制系统，使用电信设备（ISDN、互联网等）的远程手术可能很快就能实现。