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http://www.laparoscopyhospital.com/ - World Laparoscopy Hospital offer concentrated course in robotic and laparoscopic surgery designed for maximum laparoscopic learning and skill building, employing surgical videos and pelvic trainers. Participants are encouraged to attend with a colleague from their practice to increase their successful implementation of skills.
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Robot word was coined by Czech writer “Karel Capek” It stands for
artificial humans
Courtesy of Harald Fischer, Institute for Medical Technology and Biophysics, Frankfurt
World Laparoscopy Hospital
September 7, 2001, First transatlantic surgery took place from New York to Strasbourg.
Robotic Surgery Laparoscopic Surgery3 D Vision 2 D VisionMotion scaling Not possibleWrist Articulation Limited Range of MotionFluid Movement Rigid MovementTremor Filter Tremor MagnifiedRemote Sensing Technology Abdominal wall is FulcrumErgonomically Intuitive Poor Ergonomics25X Magnification 10X MagnificationMIES Not possibleHaptic Feedback Limited Tactile FeedbackTelesurgery with teleproctoring Not possible
World Laparoscopy Hospital
REMOTE PROCTOR INTERFACE TILEPRO VIEW IN SURGEON CONSOLE
TELEMENTORING - is remote guidance or teaching
TELEPROCTORING - supervision from a distance using error log technology
Robotic Appendectomy
Robotic Hernia
Hysterectomy and Myomectomy
•Not cost effective over standard laparoscopic approach for simple surgery.•Increased operative time observed•Not necessary where precise is dissection not required•Large Operating room space required•Good Patient Side assistant is required
World Laparoscopy Hospital
Some of the notable features of the Amadeus System are:•Multi-articulating arms,•Sound communication system, •Enhanced vision systems and •Real-time feedback to surgeons to know the impact of their movements while performing surgery.
Walking robot with legs
Miniaturization to extremes
Can roam within human body
Equipped with DNA joints and carbon nano tubes
Specific functions - Repairing/Destroying individual cells 1.63 cm31.63 cm3
Mounted with cameras, Mounted with cameras, temperature sensors, temperature sensors, microphones, micro toolsmicrophones, micro tools
Powered autonomously by ATP Biomolecular ActuatorsWorld Laparoscopy Hospital
• Technology is always good - it is neither angel nor evil• It is up to us to breathe the moral and ethical life into these technologies• We should apply them with empathy and compassion for each and every
patient• Robotic surgery is one example of such technology that reduces operative
morbidity, hospital stay, and recovery, while improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE?
World Laparoscopy Hospital
