A New Operative Telesurgical System: Telelap Alf-X – Experimental Study on Animal Model Pages 12-15
Valentina Larocca1, Francesco Marino1, Antonio De Filippis1, Stefano Gidaro2 and Achille Lococo1
1Department of Thoracic Surgery, “Spirito Santo” Hospital, Pescara, Italy; 2Department of Biomedical and Experimental Science, University of Chieti, Chieti, Italy
DOI: http://dx.doi.org/10.12970/2311-1755.2014.02.01.2Download PDF
Abstract: Objective: To report the first surgical thoracic major procedure performed using a new robotic telesurgical device (TELE-LAP ALF-X) in the ovine model.
Materials: The new operative-system has two innovative peculiarities: tactile perception (similar to tactile feedback of thoracoscopy) and eye tracking (the immediate and perfect synchronization between the surgeon eyes and the Robot-camera).
Results: After a careful setting of the robotic device, we have performed a lower-right lobectomy under complete robotic-assistance. The operative time was similar to the traditional thoracoscopy. In particular after the resection of inferior pulmonary ligament, we have isolated and closed firstly the lower pulmonary vein, then the bronchus followed by the arterial branches. The vascular and bronchial resections as well as the completion of the fissure were performed with standard endoscopic staplers introduced through an utility 4cm-sized incision. The specimen was placed in an endoscopic retrieval-bag and removed through the minithoracotomy. Finally, albeit the limitations due to different anatomical landmarks, a mediastinal lymph nodal dissection was also completed. Overall operation time was 180 minutes (with estimated blood loss of 100ml). The cooperation between the “first-operator” (placed at computer-console) and the “second-operator” (placed at the surgical-theatre) was optimal and no technical difficulties occurred.
Conclusions: According to this first experimental experience, we may assume that robotic thoracic procedures, using Tele-Lap Alf-X system, could be technical feasible in the ovine model. Although more “in vivo” experimental data are needed, we believe that robot-assisted telesurgery approach could be reasonable an innovative contribution in the near future also in human model.
Keywords: Thoracic surgery, robotic surgery, Telelap Alf-X, experimental study, animal model. Read more