PROGRESS OF ROBOTIC SYSTEM APPLICATION IN VASCULAR SURGERY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIA Senhao , XIONG Jiang , WEI Ren , GUO Wei.

Department of Vascular Surgery, General Hospital of Chinese PLA, Beijing, 100853, P.R.China. Corresponding author: GUO Wei, E-mail: pla301dml@vip.sina.com;

Corresponding author：

Keywords：

Robotic system; Minimally invasive surgery; Endovascular interventional treatment; Vascular surgery

DOI：

10.7507/1002-1892.20130302

Video：

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Objective To review the progress of the robotic applications in vascular surgery. Methods Recent literature about the robotic applications in vascular surgery was reviewed and analyzed. Results Robotic system is composed of surgery robotic system and endovascular interventional robotic system. The time of aortic clamping and anastomosis is reduced considerably during the robotic-assisted aorta bypass surgery, and the dissection of aorta is completed successfully in totally robotic approach. Endovascular interventional robotic system has good performance in navigation and stability, and shows apparent advantages in passing special anatomical segment and complicated lesion. However, the robotic systems are still limited in application for high cost. The problem of tactile feedback should also be solved quickly. Conclusion Robotic systems have apparent advantages and good prospect in vascular surgery. Nevertheless, it still require many clinical trials to formulate the indication and contraindication, to establish standard procedure, to assess the long-term effectiveness of the robotic systems and so on.

Citation： JIA Senhao,XIONG Jiang,WEI Ren,GUO Wei.. PROGRESS OF ROBOTIC SYSTEM APPLICATION IN VASCULAR SURGERY. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(11): 1395-1399. doi: 10.7507/1002-1892.20130302 Copy

1.	Ayala Yáñez R, Olaya Guzmán EJ, Haghenbeck Altamirano FJ. Robotics in gynecology. Background, feasibility and applicability. Ginecol Obstet Mex, 2012, 80(6): 409-416.
2.	Steenwyk B, Lyerly R 3rd. Advancements in robotic-assisted thoracic surgery. Anesthesiol Clin, 2012, 30(4): 699-708.
3.	杨明, 高长青, 肖苍松, 等. 机器人微创房间隔缺损修补术54例. 中国体外循环杂志, 2011, 9(4): 214-216.
4.	周汉新, 余小舫, 李富荣, 等. 遥控宙斯机器人胆囊切除术的临床应用. 中华医学杂志, 2005, 85(3): 154-157.
5.	Anderson KM, Ruckle HC, Baldwin DD. Robotic-assisted surgery and the evolution of the radical prostatectomy. Minerva Urol Nefrol, 2012, 64(2): 97-122.
6.	Sim HG, Yip SK, Cheng CW. Equipment and technology in surgical robotics. World J Urol, 2006, 24(2): 128-135.
7.	Tan GY, Goel RK, Kaouk JH, et al. Technological advances in robotic-assisted laparoscopic surgery. Urol Clin North Am, 2009, 36(2): 237-249, ix.
8.	Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature, 2001, 413(6854): 379-380.
9.	Hanly EJ, Talamini MA. Robotic abdominal surgery. Am J Surg, 2004, 188(4A Suppl): 19S-26S.
10.	Oleynikov D. Robotic surgery. Surg Clin North Am, 2008, 88(5): 1121-1130, viii.
11.	Challacombe BJ, Khan MS, Murphy D, et al. The history of robotics in urology. World J Urol, 2006, 24(2): 120-127.
12.	Desgranges P, Bourriez A, Javerliat I, et al. Robotically assisted aorto-femoral bypass grafting: lessons learned from our initial experience. Eur J Vasc Endovasc Surg, 2004, 27(5): 507-511.
13.	Nio D, Diks J, Linsen MA, et al. Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: early clinical experience. Eur J Vasc Endovasc Surg, 2005, 29(6): 586-590.
14.	Stádler P, Matous P, Vitásek P, et al. Robot-assisted aortoiliac reconstruction: A review of 30 cases. J Vasc Surg, 2006, 44(5): 915-919.
15.	Diks J, Nio D, Jongkind V, et al. Robot-assisted laparoscopic surgery of the infrarenal aorta : the early learning curve. Surg Endosc, 2007, 21(10): 1760-1763.
16.	Stádler P. Role of the robot in totally laparoscopic aortic repair for occlusive and aneurysmal disease. Acta Chir Belg, 2009, 109(3): 300-305.
17.	Kolvenbach R, Schwierz E, Wasilljew S, et al. Total laparoscopically and robotically assisted aortic aneurysm surgery: a critical evaluation. J Vasc Surg, 2004, 39(4): 771-776.
18.	Coggia M, Javerliat I, Di Centa I, et al. Total laparoscopic bypass for aortoiliac occlusive lesions: 93-case experience. J Vasc Surg, 2004, 40(5): 899-906.
19.	Cau J, Ricco JB, Marchand C, et al. Total laparoscopic aortic repair for occlusive and aneurysmal disease: first 95 cases. Eur J Vasc Endovasc Surg, 2006, 31(6): 567-574.
20.	Novotný T, Dvorák M, Staffa R. The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. J Vasc Surg, 2011, 53(2): 414-420.
21.	Wisselink W, Cuesta MA, Gracia C, et al. Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: a report of two cases. J Vasc Surg, 2002, 36(5): 1079-1082.
22.	Lin JC, Reddy DJ, Eun D, et al. Robotic-assisted laparoscopic dissection of the infrarenal aorta and iliac artery: a technical description and early results. Ann Vasc Surg, 2009, 23(3): 298-302.
23.	Lin JC, Kaul SA, Bhandari A, et al. Robotic-assisted aortic surgery with and without minilaparotomy for complicated occlusive disease and aneurysm. J Vasc Surg, 2012, 55(1): 16-22.
24.	ŠTádler P, Dvořáček L, Vitásek P, et al. The application of robotic surgery in vascular medicine. Innovations (Phila), 2012, 7(4): 247-253.
25.	Luke P, Knudsen BE, Nguan CY, et al. Robot-assisted laparoscopic renal artery aneurysm reconstruction. J Vasc Surg, 2006, 44(3): 651-653.
26.	Pietrabissa A, Morelli L, Ferrari M, et al. Mixed reality for robotic treatment of a splenic artery aneurysm. Surg Endosc, 2010, 24(5): 1204.
27.	Lin JC, Eun D, Shrivastava A, et al. Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair. Ann Vasc Surg, 2009, 23(2): 255. e19-21.
28.	Mehrabi A, Yetimoglu CL, Nickkholgh A, et al. Development and evaluation of a training module for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery. Surg Endosc, 2006, 20(9): 1376-1382.
29.	Jongkind V, Diks J, Yeung KK, et al. Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease. Vascular, 2011, 19(1): 1-7.
30.	Chun KR, Schmidt B, Kokturk B, et al. Catheter ablation-new developments in robotics. Herz, 2008, 33(8): 586-589.
31.	Fu Y, Liu H, Huang W, et al. Steerable catheters in minimally invasive vascular surgery. Int J Med Robot, 2009, 5(4): 381-391.
32.	Ernst S. Robotic approach to catheter ablation. Curr Opin Cardiol, 2008, 23(1): 28-31.
33.	Tillander H. Magnetic guidance of a catheter with articulated steel tip. Acta radiol, 1951, 35(1): 62-64.
34.	Ram W, Meyer H. Heart catheterization in a neonate by interacting magnetic fields: a new and simple method of catheter guidance. Cathet Cardiovasc Diagn, 1991, 22(4): 317-319.
35.	Faddis MN, Blume W, Finney J, et al. Novel, magnetically guided catheter for endocardial mapping and radiofrequency catheter ablation. Circulation, 2002, 106(23): 2980-2985.
36.	Faddis MN, Chen J, Osborn J, et al. Magnetic guidance system for cardiac electrophysiology: a prospective trial of safety and efficacy in humans. J Am Coll Cardiol, 2003, 42(11): 1952-1958.
37.	Riga C, Bicknell C, Hamady MS, et al. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino), 2011, 52(3): 353-362.
38.	Saliba W, Cummings JE, Oh S, et al. Novel robotic catheter remote control system: feasibility and safety of transseptal puncture and endocardial catheter navigation. J Cardiovasc Electrophysiol, 2006, 17(10): 1102-1105.
39.	Saliba W, Reddy VY, Wazni O, et al. Atrial fibrillation ablation using a robotic catheter remote control system: initial human experience and long-term follow-up results. J Am Coll Cardiol, 2008, 51(25): 2407-2411.
40.	Kanagaratnam P, Koa-Wing M, Wallace DT, et al. Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath. J Interv Card Electrophysiol, 2008, 21(1): 19-26.
41.	Bismuth J, Kashef E, Cheshire N, et al. Feasibility and safety of remote endovascular catheter navigation in a porcine model. J Endovasc Ther, 2011, 18(2): 243-249.
42.	Pappone C, Vicedomini G, Manguso F, et al. Robotic magnetic navigation for atrial fibrillation ablation. J Am Coll Cardiol, 2006, 47(7): 1390-1400.
43.	Iyengar S, Gray WA. Use of magnetic guidewire navigation in the treatment of lower extremity peripheral vascular disease: report of the first human clinical experience. Catheter Cardiovasc Interv, 2009, 73(6): 739-744.
44.	Riga C, Bicknell C, Cheshire N, et al. Initial clinical application of a robotically steerable catheter system in endovascular aneurysm repair. J Endovasc Ther, 2009, 16(2): 149-153.
45.	Carrell T, Dastur N, Salter R, et al. Use of a remotely steerable “robotic” catheter in a branched endovascular aortic graft. J Vasc Surg, 2012, 55(1): 223-225.
46.	Bismuth J, Duran C, Stankovic M, et al. A first-in-man study of the role of flexible robotics in overcoming navigation challenges in the iliofemoral arteries. J Vasc Surg, 2013, 57(2 Suppl): 14S-19S.
47.	Riga CV, Bicknell CD, Wallace D, et al. Robot-assisted antegrade in-situ fenestrated stent grafting. Cardiovasc Intervent Radiol, 2009, 32(3): 522-524.
48.	Riga CV, Rolls A, Rippel R, et al. Advantages and limitations of robotic endovacular catheters for carotid artery stenting. J Cardiovasc Surg (Torino), 2012, 53(6): 747-753.

1. Ayala Yáñez R, Olaya Guzmán EJ, Haghenbeck Altamirano FJ. Robotics in gynecology. Background, feasibility and applicability. Ginecol Obstet Mex, 2012, 80(6): 409-416.
2. Steenwyk B, Lyerly R 3rd. Advancements in robotic-assisted thoracic surgery. Anesthesiol Clin, 2012, 30(4): 699-708.
3. 杨明, 高长青, 肖苍松, 等. 机器人微创房间隔缺损修补术54例. 中国体外循环杂志, 2011, 9(4): 214-216.
4. 周汉新, 余小舫, 李富荣, 等. 遥控宙斯机器人胆囊切除术的临床应用. 中华医学杂志, 2005, 85(3): 154-157.
5. Anderson KM, Ruckle HC, Baldwin DD. Robotic-assisted surgery and the evolution of the radical prostatectomy. Minerva Urol Nefrol, 2012, 64(2): 97-122.
6. Sim HG, Yip SK, Cheng CW. Equipment and technology in surgical robotics. World J Urol, 2006, 24(2): 128-135.
7. Tan GY, Goel RK, Kaouk JH, et al. Technological advances in robotic-assisted laparoscopic surgery. Urol Clin North Am, 2009, 36(2): 237-249, ix.
8. Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature, 2001, 413(6854): 379-380.
9. Hanly EJ, Talamini MA. Robotic abdominal surgery. Am J Surg, 2004, 188(4A Suppl): 19S-26S.
10. Oleynikov D. Robotic surgery. Surg Clin North Am, 2008, 88(5): 1121-1130, viii.
11. Challacombe BJ, Khan MS, Murphy D, et al. The history of robotics in urology. World J Urol, 2006, 24(2): 120-127.
12. Desgranges P, Bourriez A, Javerliat I, et al. Robotically assisted aorto-femoral bypass grafting: lessons learned from our initial experience. Eur J Vasc Endovasc Surg, 2004, 27(5): 507-511.
13. Nio D, Diks J, Linsen MA, et al. Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: early clinical experience. Eur J Vasc Endovasc Surg, 2005, 29(6): 586-590.
14. Stádler P, Matous P, Vitásek P, et al. Robot-assisted aortoiliac reconstruction: A review of 30 cases. J Vasc Surg, 2006, 44(5): 915-919.
15. Diks J, Nio D, Jongkind V, et al. Robot-assisted laparoscopic surgery of the infrarenal aorta : the early learning curve. Surg Endosc, 2007, 21(10): 1760-1763.
16. Stádler P. Role of the robot in totally laparoscopic aortic repair for occlusive and aneurysmal disease. Acta Chir Belg, 2009, 109(3): 300-305.
17. Kolvenbach R, Schwierz E, Wasilljew S, et al. Total laparoscopically and robotically assisted aortic aneurysm surgery: a critical evaluation. J Vasc Surg, 2004, 39(4): 771-776.
18. Coggia M, Javerliat I, Di Centa I, et al. Total laparoscopic bypass for aortoiliac occlusive lesions: 93-case experience. J Vasc Surg, 2004, 40(5): 899-906.
19. Cau J, Ricco JB, Marchand C, et al. Total laparoscopic aortic repair for occlusive and aneurysmal disease: first 95 cases. Eur J Vasc Endovasc Surg, 2006, 31(6): 567-574.
20. Novotný T, Dvorák M, Staffa R. The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. J Vasc Surg, 2011, 53(2): 414-420.
21. Wisselink W, Cuesta MA, Gracia C, et al. Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: a report of two cases. J Vasc Surg, 2002, 36(5): 1079-1082.
22. Lin JC, Reddy DJ, Eun D, et al. Robotic-assisted laparoscopic dissection of the infrarenal aorta and iliac artery: a technical description and early results. Ann Vasc Surg, 2009, 23(3): 298-302.
23. Lin JC, Kaul SA, Bhandari A, et al. Robotic-assisted aortic surgery with and without minilaparotomy for complicated occlusive disease and aneurysm. J Vasc Surg, 2012, 55(1): 16-22.
24. ŠTádler P, Dvořáček L, Vitásek P, et al. The application of robotic surgery in vascular medicine. Innovations (Phila), 2012, 7(4): 247-253.
25. Luke P, Knudsen BE, Nguan CY, et al. Robot-assisted laparoscopic renal artery aneurysm reconstruction. J Vasc Surg, 2006, 44(3): 651-653.
26. Pietrabissa A, Morelli L, Ferrari M, et al. Mixed reality for robotic treatment of a splenic artery aneurysm. Surg Endosc, 2010, 24(5): 1204.
27. Lin JC, Eun D, Shrivastava A, et al. Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair. Ann Vasc Surg, 2009, 23(2): 255. e19-21.
28. Mehrabi A, Yetimoglu CL, Nickkholgh A, et al. Development and evaluation of a training module for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery. Surg Endosc, 2006, 20(9): 1376-1382.
29. Jongkind V, Diks J, Yeung KK, et al. Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease. Vascular, 2011, 19(1): 1-7.
30. Chun KR, Schmidt B, Kokturk B, et al. Catheter ablation-new developments in robotics. Herz, 2008, 33(8): 586-589.
31. Fu Y, Liu H, Huang W, et al. Steerable catheters in minimally invasive vascular surgery. Int J Med Robot, 2009, 5(4): 381-391.
32. Ernst S. Robotic approach to catheter ablation. Curr Opin Cardiol, 2008, 23(1): 28-31.
33. Tillander H. Magnetic guidance of a catheter with articulated steel tip. Acta radiol, 1951, 35(1): 62-64.
34. Ram W, Meyer H. Heart catheterization in a neonate by interacting magnetic fields: a new and simple method of catheter guidance. Cathet Cardiovasc Diagn, 1991, 22(4): 317-319.
35. Faddis MN, Blume W, Finney J, et al. Novel, magnetically guided catheter for endocardial mapping and radiofrequency catheter ablation. Circulation, 2002, 106(23): 2980-2985.
36. Faddis MN, Chen J, Osborn J, et al. Magnetic guidance system for cardiac electrophysiology: a prospective trial of safety and efficacy in humans. J Am Coll Cardiol, 2003, 42(11): 1952-1958.
37. Riga C, Bicknell C, Hamady MS, et al. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino), 2011, 52(3): 353-362.
38. Saliba W, Cummings JE, Oh S, et al. Novel robotic catheter remote control system: feasibility and safety of transseptal puncture and endocardial catheter navigation. J Cardiovasc Electrophysiol, 2006, 17(10): 1102-1105.
39. Saliba W, Reddy VY, Wazni O, et al. Atrial fibrillation ablation using a robotic catheter remote control system: initial human experience and long-term follow-up results. J Am Coll Cardiol, 2008, 51(25): 2407-2411.
40. Kanagaratnam P, Koa-Wing M, Wallace DT, et al. Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath. J Interv Card Electrophysiol, 2008, 21(1): 19-26.
41. Bismuth J, Kashef E, Cheshire N, et al. Feasibility and safety of remote endovascular catheter navigation in a porcine model. J Endovasc Ther, 2011, 18(2): 243-249.
42. Pappone C, Vicedomini G, Manguso F, et al. Robotic magnetic navigation for atrial fibrillation ablation. J Am Coll Cardiol, 2006, 47(7): 1390-1400.
43. Iyengar S, Gray WA. Use of magnetic guidewire navigation in the treatment of lower extremity peripheral vascular disease: report of the first human clinical experience. Catheter Cardiovasc Interv, 2009, 73(6): 739-744.
44. Riga C, Bicknell C, Cheshire N, et al. Initial clinical application of a robotically steerable catheter system in endovascular aneurysm repair. J Endovasc Ther, 2009, 16(2): 149-153.
45. Carrell T, Dastur N, Salter R, et al. Use of a remotely steerable “robotic” catheter in a branched endovascular aortic graft. J Vasc Surg, 2012, 55(1): 223-225.
46. Bismuth J, Duran C, Stankovic M, et al. A first-in-man study of the role of flexible robotics in overcoming navigation challenges in the iliofemoral arteries. J Vasc Surg, 2013, 57(2 Suppl): 14S-19S.
47. Riga CV, Bicknell CD, Wallace D, et al. Robot-assisted antegrade in-situ fenestrated stent grafting. Cardiovasc Intervent Radiol, 2009, 32(3): 522-524.
48. Riga CV, Rolls A, Rippel R, et al. Advantages and limitations of robotic endovacular catheters for carotid artery stenting. J Cardiovasc Surg (Torino), 2012, 53(6): 747-753.

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PROGRESS OF ROBOTIC SYSTEM APPLICATION IN VASCULAR SURGERY

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