Ordorica-Flores R, Nieto-Zermeño J, Minor MA, Aguirre VIR

Language: Spanish
References: 9
Page: 06-11
PDF size: 352.96 Kb.

ABSTRACT

Introduction: Technological advances are certainly key events in the development of medicine andin particular the field of endoscopic surgery. The use of robotic systems has allowed improving the surgeon’s movements during operations. In 1991 appears in the world’s first robot assistant for this surgery, the AESOP robot, its function is to hold the laparoscope and move during it. Conceptualize “Self Surgery” as a system of devices for endoscopic surgery assistants with which the surgeon interacts directly with most of the time they are static or limp.
Objective: We present the implementation and testing of an original surgical instrument that allows self-management by the surgeon of the camera during the
Material and Methods: To make the handling of the optical system used a mechatronic system that consists of a harness, which is placed on the shoulders of the surgeon and has three degrees of freedom, one active and two passive, has a slide laparosocopio , where the subject and keeps the laparoscope during the procedure. To perform laparoscopic exploration and navigation requires six basic movements: right, left, up, down, enter, leave together describing an inverted cone inside the cavity.
Results: The surgeon used his posture and movements visually established in conjunction with the mechatronic assistant work area. The procedure was performed in 60 minutes, there were no complications. The six children were discharged to home 24 hours after the procedure.
Discussion: Currently, very few hospitals in our country have the technology for robotic handling of the camera. The mechatronic system shown demonstrated its use in pediatric surgery Nissen “solo surgery”, is easily attached before and during surgery. The experience gained and technology developed will establish new methods of navigation are moreadaptable to the environment and the maneuverability of the surgeon to perform surgical work better

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