Trans-oral robotic surgery tors

Faculty Medicine Year: 2013
Type of Publication: Theses Pages: 113
Authors:
BibID 11787957
Keywords : Surgery hearing    
Abstract:
Background: Robots have become incorporated into daily life over the last half century. Today, everyone living in the developed world benefits from the advances in robotics in everyday life. While robots are commonly employed in the healthcare laboratory setting, they have been more slowly integrated into clinical medicine. Over the last two decades, research in surgical robotics has been continually increasing with a geometric rise in the number of manuscripts published each year. Surgical robotics is an evolving field aiming to take advantage of the features of robotics that have made them so valuable in other industries. A surgical robot is defined as a powered device under computerized control that can be programmed to manipulate tools and to perform surgical tasks. An active robot is capable of carrying out its entire programmed procedure without additional input from the surgeon. After the robot is in place and the task is programmed, the surgeon’s role becomes an overseer and troubleshooter in case the robot malfunctions or becomes misaligned during the procedure. A semi active robot is one that requires input from the operator to perform a procedure. The advantages of these systems are many because they overcome many of the obstacles of laparoscopic surgery. They increase dexterity, restore proper hand-eye coordination and an ergonomic position, and improve visualization . In addition, these systems make surgeries that were technically difficult or unfeasible previously, now possible greatly enhances the surgeon’s ability to identify and dissect anatomic structures as well as to construct microanastomoses. There are several disadvantages to these systems. First of all, robotic surgery is a new technology and its uses and efficacy have not yet been well established. Another disadvantage of these systems is their cost. With a price tag of a million dollars, their cost is nearly prohibitive. Another disadvantage is the size of these systems. Both systems have relatively large footprints and relatively cumbersome robotic arms. One of the potential disadvantages identified is a lack of compatible instruments and equipment. Lack of certain instruments increases reliance on tableside assistants to perform part of the surgery. Robotic Surgery has evolved into a conventional tool for removal of an ever-burgeoning array of head and neck cancer cases. Presently, a group has uncovered that robotic surgery is capable of ably treating cancer arising in the constricted, inaccessible region past the tongue above the larynx. Several sufferers were found to not require any additional treatment with radiotherapy or chemotherapy and majority of them were able to normally eat and speak as before Objectives: The aim of this work is to highlight the development and evolution of Trans-Oral Robotic Surgery TORS review current robotic systems, discuss their advantages and disadvantages and also review the current status of TORS and the possible role of TORS surgery in the future. 
   
     
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