Minimally Invasive Surgery

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Christopher P. Kellner - One of the best experts on this subject based on the ideXlab platform.

  • Minimally Invasive Surgery for Intracerebral Hemorrhage.
    Current neurology and neuroscience reports, 2018
    Co-Authors: Eliza H. Hersh, Yakov Gologorsky, Alex G Chartrain, J Mocco, Christopher P. Kellner
    Abstract:

    Recent success in preliminary clinical studies evaluating various forms of Minimally Invasive Surgery for spontaneous intracerebral hemorrhage (ICH) has renewed interest in the surgical treatment of this disease process. In December of 2016, phase 2 of the Minimally Invasive Surgery Plus Rt-PA for ICH Evacuation (MISTIE) study demonstrated that this form of stereotactic thrombolysis safely reduces clot burden and may improve functional outcome 6 months after injury. A smaller arm of this study, the Intraoperative Stereotactic Computer Tomography-Guided Endoscopic Surgery (ICES) study, also demonstrated feasibility and good functional outcome for endoscopic Minimally Invasive evacuation. Early-phase clinical studies evaluating various forms of Minimally Invasive Surgery for intracerebral hemorrhage evacuation have shown safety and feasibility with a preliminary signal towards improved functional long-term outcome. Results from phase 3 studies addressing various Minimally Invasive techniques are imminent and will shape how intracerebral hemorrhage is treated.

Allison M Okamura - One of the best experts on this subject based on the ideXlab platform.

  • haptic feedback in robot assisted Minimally Invasive Surgery
    Current Opinion in Urology, 2009
    Co-Authors: Allison M Okamura
    Abstract:

    Purpose of Review Robot-assisted Minimally Invasive Surgery (RMIS) holds great promise for improving the accuracy and dexterity of a surgeon while minimizing trauma to the patient. However, widespread clinical success with RMIS has been marginal. It is hypothesized that the lack of haptic (force and tactile) feedback presented to the surgeon is a limiting factor. This review explains the technical challenges of creating haptic feedback for robot-assisted Surgery and provides recent results that evaluate the effectiveness of haptic feedback in mock surgical tasks.

Jenny Dankelman - One of the best experts on this subject based on the ideXlab platform.

  • Haptics in Minimally Invasive Surgery: A Review
    Minim Invasive Ther, 2008
    Co-Authors: E P W Van Der Putten, Richard H. M. Goossens, Jack J. Jakimowicz, Jenny Dankelman
    Abstract:

    This article gives an overview of research performed in the field of haptic information feedback during Minimally Invasive Surgery (MIS). Literature has been consulted from 1985 to present. The studies show that currently, haptic information feedback is rare, but promising, in MIS. Surgeons benefit from additional feedback about force information. When it comes to grasping forces and perceiving slip, little is known about the advantages additional haptic information can give to prevent tissue trauma during manipulation. Improvement of haptic perception through augmented haptic information feedback in MIS might be promising.

  • Man-Machine Aspects of Minimally Invasive Surgery
    Annual Reviews in Control, 1998
    Co-Authors: Henk G. Stassen, Jenny Dankelman, Kees A. Grimbergen, Dirk W. Meijer
    Abstract:

    Abstract Minimally Invasive Surgery is at this moment one of the outstanding developments in Surgery. In this type of Surgery the actual operation is performed through a number of small incisions in the skin. In the operations special instruments are inserted via trocars, i. e. tubes which allow the surgeon to bring instruments or sensors into the body. The view at the operating field comes from a laparoscope, a camera presenting a two-dimensional image on a monitor. The Minimally Invasive surgical technique has many potentional benefits for the patients. However, compared to open Surgery there are severe disadvantages for the surgeon, such as the loss of three-dimensional visual feed back and proprioception, the disturbed eye-hand coordination, and the poor ergonomic design of the surgical instrumentation, and of the working place. At this moment the differences beween open and Minimally Invasive Surgery can mainly be ascribed to differences in the manual control task. In this paper, the man-machine aspects of the traditional open operation process will be compared with those of the Minimally Invasive Surgery process. Especially the consequences of the restricted perception in Minimally Invasive Surgery will be discussed. Some future developments will be discussed.

Eliza H. Hersh - One of the best experts on this subject based on the ideXlab platform.

  • Minimally Invasive Surgery for Intracerebral Hemorrhage.
    Current neurology and neuroscience reports, 2018
    Co-Authors: Eliza H. Hersh, Yakov Gologorsky, Alex G Chartrain, J Mocco, Christopher P. Kellner
    Abstract:

    Recent success in preliminary clinical studies evaluating various forms of Minimally Invasive Surgery for spontaneous intracerebral hemorrhage (ICH) has renewed interest in the surgical treatment of this disease process. In December of 2016, phase 2 of the Minimally Invasive Surgery Plus Rt-PA for ICH Evacuation (MISTIE) study demonstrated that this form of stereotactic thrombolysis safely reduces clot burden and may improve functional outcome 6 months after injury. A smaller arm of this study, the Intraoperative Stereotactic Computer Tomography-Guided Endoscopic Surgery (ICES) study, also demonstrated feasibility and good functional outcome for endoscopic Minimally Invasive evacuation. Early-phase clinical studies evaluating various forms of Minimally Invasive Surgery for intracerebral hemorrhage evacuation have shown safety and feasibility with a preliminary signal towards improved functional long-term outcome. Results from phase 3 studies addressing various Minimally Invasive techniques are imminent and will shape how intracerebral hemorrhage is treated.

Daniel J. Robertson - One of the best experts on this subject based on the ideXlab platform.

  • Minimally Invasive Surgery in the neonate: review of current evidence
    Seminars in perinatology, 2004
    Co-Authors: Keith E. Georgeson, Daniel J. Robertson
    Abstract:

    Minimally Invasive Surgery has been one of the most important surgical advances in the last 15 years. The development of smaller instruments has allowed pediatric surgeons to apply this rapidly evolving technology to neonates. Congenital neonatal deformities including tracheoesophageal fistula, patent ductus arteriosus, duodenal atresia and anorectal malformations are now being managed with Minimally Invasive Surgery. This article summarizes the status of these techniques in neonates.