Готові списки джерел за темами / Robot for Endoscopic Dissection

Добірка наукової літератури з теми "Robot for Endoscopic Dissection"

Автор: Grafiati
Опубліковано: 14 березня 2023

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Статті в журналах з теми "Robot for Endoscopic Dissection"

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Kume, Keiichiro, Nobuo Sakai, and Toru Ueda. "Development of a Novel Gastrointestinal Endoscopic Robot Enabling Complete Remote Control of All Operations: Endoscopic Therapeutic Robot System (ETRS)." Gastroenterology Research and Practice 2019 (November 4, 2019): 1–5. http://dx.doi.org/10.1155/2019/6909547.

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Background and Objective. The master and slave transluminal endoscopic robot and other flexible endoscopy platforms are designed primarily for the remote control of forceps, with manipulation of the endoscope itself still dependent on conventional techniques. We have developed an endoscopic therapeutic robot system (ETRS) that provides complete remote control of all forceps and endoscope operations. Method. We carried out endoscopic submucosal dissection (ESD) in porcine stomachs using the ETRS. All procedures were completed with the endoscopist seated at the console the entire time. Results. Total en bloc resection was achieved in all 7 cases with no complications. The mean total procedure time was 36.14±14.98 min, the mean size of the resected specimen was 3.39±0.66 cm×3.03±0.63 cm, and the mean dissection time was 14.91±8.61 min. Conclusion. We successfully used the ETRS to perform completely remote-controlled ESD in porcine stomachs.
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Kim, Sang Hyun, Hyuk Soon Choi, Jae Min Lee, Bora Keum, Byung Gon Kim, Daehie Hong, Yoon Tae Jeen, and Hoon Jai Chun. "Gastric endoscopic submucosal dissection using a detachable assistant robot." Journal of Clinical Oncology 40, no. 4_suppl (February 1, 2022): 318. http://dx.doi.org/10.1200/jco.2022.40.4_suppl.318.

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318 Background: Effective traction and counter-traction for visualizing the dissection plane in endoscopic submucosal dissection (ESD) is difficult to be achieved with a conventional endoscope. We developed a robotic assistive traction device for flexible endoscopy that provides multi-directional traction during ESD. We compared its safety and efficiency in ESD between experienced and novice endoscopists. Methods: Robotic ESD was performed by experienced and novice endoscopist groups (n = 2, each). The outcomes included time to complete each ESD step, total procedure time, size of the dissected mucosa, rate of en bloc resection, and major adverse events. Furthermore, incision and dissection speeds were compared between groups. Results: Twenty gastric lesions were resected from nine live pigs. The submucosal incision speed was significantly faster in the expert group than in the novice group (P = 0.002). There was no significant difference in the submucosal dissection speed between the groups (P = 0.365). No complications were reported in either group. Conclusions: When the robot was assisting in the ESD procedure, the dissection speed improved significantly, especially in the novice surgeons. Our robotic device can provide simple, effective, and safe multidirectional traction during ESD.
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Kim, Sang Hyun, Bora Keum, Hyuk Soon Choi, Yoon Tae Jeen, and Hoon Jai Chun. "Effect of robot-assisted gastric ESD in difficult ESD locations." Journal of Clinical Oncology 41, no. 4_suppl (February 1, 2023): 355. http://dx.doi.org/10.1200/jco.2023.41.4_suppl.355.

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355 Background: Since its introduction, endoscopic submucosal dissection (ESD) has become a standard treatment for early malignant lesions of stomach. However, ESD is technically demanding and it bears a high risk of complication for beginners. The difficulty of the ESD technique tends to depend on the location of the lesion. We compared and analyzed the efficacy of the ESD assistive robot that we developed in the location where stomach ESD is considered difficult. Methods: We have developed an automated simulator that can implement gastric ESD locations. An EndoGel (Sunarrow, Tokyo, Japan) was attached to the simulator to implement a virtual gastric location where ESD is difficult. "Difficult ESD locations" were selected in consideration of the location where a lot of muscle damage and frequent blind dissections occurred when conventional ESD was performed. An experienced endoscopist performed ten robot-assisted ESDs or conventional ESDs in 3 difficult and 3 easy positions, respectively. Results: While there was no significant difference in dissection speed of robot ESD and conventional ESD in easy positions, the submucosal dissection speed was remarkably faster in robotic ESD than in conventional ESD in difficult positions (P < 0.05). In difficult positions, there was significantly more muscle damage in conventional ESD than in robotic ESD. (P < 0.05). Conclusions: Dissection speed was greatly improved when assistive robots aided gastric ESD procedures in difficult locations. Our robotic device can thus provide simple, effective, and safe multidirectional traction during gastric ESD in difficult location.
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Kume, K., T. Kuroki, M. Shingai, and M. Harada. "Endoscopic submucosal dissection using the endoscopic operation robot." Endoscopy 44, S 02 (November 8, 2012): E399—E400. http://dx.doi.org/10.1055/s-0032-1310251.

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Lee, Hang Lak. "Endoscopic Submucosal Dissection Using Endoscopic Robot: Endoscopist’s Future Destination." Gut and Liver 13, no. 4 (April 17, 2019): 381–82. http://dx.doi.org/10.5009/gnl19120.

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Kim, Sang Hyun, Hyuk Soon Choi, Jae Min Lee, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, et al. "Colonic endoscopic submucosal dissection using a novel robotic system." Journal of Clinical Oncology 40, no. 4_suppl (February 1, 2022): 111. http://dx.doi.org/10.1200/jco.2022.40.4_suppl.111.

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111 Background: Appropriate tissue tension and clear visibility of the dissection area using traction are essential for effective and safe endoscopic submucosal dissection (ESD). We developed a robotic assistive traction device for colonoscopy.This is a preclinical animal study to evaluate the performance of colorectal ESD using novel robotic system. Methods: Experienced endoscopist performed ESD on ex vivo porcine colon ten times using a robot and ten times by the conventional method. The outcome measures were operating time (from starting incision to finishing dissection), completeness of resection, procedure-related adverse events, and limitations of arm manipulation in a narrow working space as assessed by counting the frequency of blind cutting.We also conducted an in vivo feasibility study on live pig. Results: Total of twenty colonic lesions were resected from ex vivo porcine colon. The submucosal dissection speed was significantly faster in robotic ESD than in conventional ESD (P = 0.002). Adverse events such as perforation were also significantly higher in the conventional group. In the in vivo feasibility study, robot was attached to the colonoscope and inserted into the proximal colon. ESD was performed successfully. Conclusions: When the robot was assisting in the ESD procedure, the dissection speed improved significantly. Our robotic device can thus provide simple, effective, and safe multidirectional traction during colonic ESD.
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Kim, Sang Hyun, Bora Keum, Hyuk Soon Choi, Yoon Tae Jeen, Hoon Jai Chun, and Daehie Hong. "Colorectal endoscopic submucosal dissection using a concealable robotic add-on device: A comparative in vivo feasibility study." Journal of Clinical Oncology 41, no. 4_suppl (February 1, 2023): 128. http://dx.doi.org/10.1200/jco.2023.41.4_suppl.128.

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128 Background: Appropriate tissue tension and clear visibility of the dissection area using traction are essential for effective and safe colonic endoscopic submucosal dissection (ESD). In this preclinical ex vivo and in vivo animal study, we developed a concealable robotic-assisted traction device and evaluated its performance in colorectal ESD. Methods: An experienced endoscopist performed ESD on an ex vivo porcine colon 18 times using our robot and 18 times using the conventional method. The outcome measures were procedure time, dissection speed, procedure-related adverse events, and blind dissection rate. We also conducted an in vivo feasibility study in live pigs. Robotic ESD was performed by experienced and novice endoscopist groups (n = 2, each). The outcomes included time to complete each ESD step, total procedure time, size of the dissected mucosa, rate of en bloc resection, and major adverse events. Results: Thirty-six colonic lesions were resected from ex vivo porcine colon samples. The total procedure time was significantly shorter in robotic ESD (RESD) than in conventional ESD (CESD) (20.1±4.1 vs. 34.3±8.3; P < 0.05). The submucosal dissection speed was significantly higher in the RESD group than in the CESD group (36.8±9.2 vs. 18.1±4.7; P < 0.05). The blind dissection rate was also significantly lower in the robotic group (12.8±3.4% vs. 35.1±3.9%; P < 0.05). In an in vivo feasibility study, the robot was attached to the colonoscope and successfully inserted into the proximal colon without damaging the colonic wall, and ESD was successfully performed. There was no significant difference in the submucosal dissection speed between the groups (P = 0.465). Conclusions: When the concealable robot assisted the colonic ESD procedure, the dissection speed and safety profile improved significantly. Thus, our robotic device can provide a simple, effective, and safe multidirectional traction during colonic ESD. When the robot was assisting in the ESD procedure, the dissection speed improved significantly, especially in the novice endoscopists.
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Kim, Sang-Hyun, Hyuk-Soon Choi, Bora Keum, and Hoon-Jai Chun. "Robotics in Gastrointestinal Endoscopy." Applied Sciences 11, no. 23 (November 30, 2021): 11351. http://dx.doi.org/10.3390/app112311351.

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Recent advances in endoscopic technology allow clinicians to not only detect digestive diseases early, but also provide appropriate treatment. The development of various therapeutic endoscopic technologies has changed the paradigm in the treatment of gastrointestinal diseases, contributing greatly to improving the quality of life of patients. The application of robotics for gastrointestinal endoscopy improves the maneuverability and therapeutic ability of gastrointestinal endoscopists, but there are still technical limitations. With the development of minimally invasive endoscopic treatment, clinicians need more sophisticated and precise endoscopic instruments. Novel robotic systems are being developed for application in various clinical fields, to ultimately develop into minimally invasive robotic surgery to lower the risk to patients. Robots for endoscopic submucosal dissection, autonomous locomotive robotic colonoscopes, and robotic capsule endoscopes are currently being developed. In this review, the most recently developed innovative endoscopic robots were evaluated according to their operating mechanisms and purpose of use. Robotic endoscopy is an innovative treatment platform for future digestive endoscopy.
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Ho, Khek-Yu. "Robotics in gastrointestinal endoscopy." Journal of Digestive Endoscopy 03, S 05 (January 2012): 074–76. http://dx.doi.org/10.4103/0976-5042.95039.

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AbstractThe application of robotics in gastrointestinal endoscopy is a much anticipated technological advancement that is attracting an enormous amount of interest from innovators and end-users alike. Emerging robotics-enhanced endoscopy platforms for performance of various endoscopic interventional procedures are already in development and some are expected to be in the pipeline for commercialization in another few years’ time. In particular, the Master And Slave Transluminal Endoscopic Robot (MASTER) developed by a collaboration between the National University of Singapore and the Nanyang Technological University, Singapore is already in human trials for an endoluminal procedure, endoscopic submucosal dissection (ESD). The results on trials performed on five patients with early gastric neoplasia have demonstrated the feasibility and safety of using the system for such procedure, while also shortening the procedure time. This article will highlight the advantages of robotics innovations in gastrointestinal endoscopy, with the MASTER as an example, and explore some of the many possibilities for future applications of robotics-enhanced endoscopy.
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Takeshita, Nobuyoshi, Khek Ho, Soo Phee, Jennie Wong, and Philip Chiu. "Feasibility of performing esophageal endoscopic submucosal dissection using master and slave transluminal endoscopic robot." Endoscopy 49, S 01 (January 9, 2017): E27—E28. http://dx.doi.org/10.1055/s-0042-121486.

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Дисертації з теми "Robot for Endoscopic Dissection"

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Brehm, Andreas B. [Verfasser]. "Technological contributions to endoscopic submucosal dissection / Andreas B. Brehm." Aachen : Shaker, 2015. http://d-nb.info/108076268X/34.

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Arai, Fumihito, Naoto Sakamoto, Taro Osada, Naoki Muramatsu, Tetsuro Matsumoto, and Tomohiro Kawahara. "Development of a Decoupling Wire Driven Exoskeletal Microarm for Endoscopic Submucosal Dissection." IEEE, 2010. http://hdl.handle.net/2237/14482.

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Klein, Martina Inge. "Performance, workload, stress, and coping profiles in first year medical students' interaction with the endoscopic/laparoscopic and robot-assisted minimally invasive surgical techniques." Cincinnati, Ohio : University of Cincinnati, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc_num=ucin1211928499.

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Анотація:
Thesis (Ph.D.)--University of Cincinnati, 2008.
Advisor: Joel Warm. Title from electronic thesis title page (viewed Sep.9, 2008). Keywords: endoscopy; laparoscopy;robotic surgery, stress; workload; coping; DSSQ; MRQ; CITS. Includes abstract. Includes bibliographical references.
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KLEIN, MARTINA INGE. "Performance, Workload, Stress, and Coping Profiles in First Year Medical Students' Interaction with the Endoscopic/Laparoscopic and Robot-Assisted Minimally Invasive Surgical Techniques." University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1211928499.

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Pioche, Mathieu. "Optimisation de la technique de dissection sous muqueuse à l’aide d’un bistouri à jet d’eau haute-pression pulsée pour le traitement endoscopique des tumeurs superficielles du tube digestif." Thesis, Lyon 1, 2015. http://www.theses.fr/2015LYO10166/document.

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Dans cette thèse, nous avons travaillé sur les différents versants de la technique de dissection sous-muqueuse et les problèmes que pose ce geste quasi chirurgical dans des unités d'endoscopie initialement médicales. Tout d'abord, nous avons travaillé sur la formation à la technique en développant un modèle d'apprentissage sur colon de bovin plus adapté à la situation européenne où les lésions colo-rectales sont les plus fréquentes. Ce modèle de rectum de bovin, simple à trouver et à préparer permet une formation dans des conditions plus proches de la paroi colique humaine que celles offertes par l'estomac de cochon. Un travail à plus grande échelle évaluant les bénéfices d'une aide à l'apprentissage par un logiciel interactif dédié mené sur ce modèle avec 37 étudiants français et japonais est en cours d'analyse et sera publié prochainement. Ensuite, nous avons réfléchi à la stratégie de la procédure pour la rendre plus simple en évaluant précocement la technique du tunnel pour la dissection des lésions œsophagiennes. Cette stratégie permet de maintenir une traction sur les bords lésionnels et nous offrent une sorte de triangulation en élargissant physiquement la zone de travail. Cette stratégie est devenue un standard pour les résections œsophagiennes dans de nombreuses équipes. Enfin, nous avons travaillé conjointement avec la société Nestis® au développement d'un outil permettant d'optimiser la procédure de dissection sous-muqueuse en associant les bénéfices des bistouris bi fonction (injectant et coupant avec le même outil}, de la haute pression pulsée et des solutions macromoléculaires visqueuses. Le système Nestis® permet pour la première fois cette association et a démontré son intérêt en termes de sécurité et de performance par rapport à la méthode classique utilisant l'aiguille et un bistouri électrique conventionnel. Avec cet outil bi fonction, il n'est plus nécessaire de changer d'instrument puisque toutes les étapes de la procédure sont désormais réalisées avec un seul et même outil. D'autres projets sont déjà prévus avec ce matériel pour étudier ses bénéfices et sa sécurité en dissection colique humaine qui est réputée comme la plus difficile compte tenu de la finesse de la paroi. Enfin, ce matériel offre la possibilité d'injecter sous pression des principes actifs qui pourrait dans le futur permettre de prévenir la survenue de sténoses œsophagiennes ou diriger la cicatrisation. Nous avons ainsi travailler avec la pharmacie de l'hôpital Edouard Herriot pour stabiliser la solution macromoléculaires de mélange de glycérol pour permettre son utilisation en pratique quotidienne
First of all, we worked on the training for unexperienced operators by developing a bovine colon model more adapted to the European situation where colo-rectal lesions are the most common. This model of rectum from bovine, easy to find and to prepare allows training in conditions most close to the human colonic wall than those offered by the pig stomach. Furthermore, such models allows to teach the initial skills but avoiding the risk of adverse events for the first procedures in humans. A future work evaluating the benefits of a learning support by a dedicated interactive software on this model with 37 french and Japanese students is now being analyzed and will be reported soon. Then we thought about the strategy of the procedure in order to make it more simple using the tunnel technique to perform ESD for the esophageal lesions. This strategy helps to maintain traction on the edges and offers a sort of triangulation physically expanding the working space. This strategy has become a standard for esophageal resections in many teams and we still work to improve its efficacy. Finally, we worked jointly with Nestis® Company to develop a tool to optimize the submucosal dissection procedure by combining the benefits of the catheters bi function (injecting and cutting with the same tool), but adding high pulsed pressure and capability to inject viscous macromolecular solutions. The Nestis® system allows for the first time this association and demonstrated his interest in terms of security and performance compared with the conventional method using the needle and a conventional electrocautery device. With this bi function tool, it is not necessary to change instrument frequently since all stages of the procedure are now done with a single device. Other projects are already included with this material to explore its benefits and its safety in human colonic dissection that is deemed as the most difficult due to the thinner wall. Finally, this material offers the possibility to inject pressurized active drugs which could be used in the future to prevent the occurrence of esophageal strictures or to direct healing. We also worked with the hospital Edouard Herriot pharmacy to stabilize the solution glycerol mix to allow its use in daily practice in our unit
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Caravaca, Mora Oscar Mauricio. "Development of a novel method using optical coherence tomography (OCT) for guidance of robotized interventional endoscopy." Thesis, Strasbourg, 2020. http://www.theses.fr/2020STRAD004.

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Il manque actuellement aux médecins une nouvelle méthode qui rationalise le traitement peu invasif pour en faire des procédures à opérateur unique, assistées par une caractérisation précise des tissus in situ et en temps réel, en situation de prise de décisions dans la gestion du cancer colorectal. Une solution prometteuse à ce problème a été développée par l'équipe AVR (Automatique, Vision et Robotique) du laboratoire ICube, au sein de laquelle l'endoscope interventionnel flexible (fabriqué par Karl Storz) a été entièrement robotisé, permettant ainsi à un seul opérateur de télémanipuler indépendamment l'endoscope et deux instruments thérapeutiques insérables, grâce à unité de contrôle commune. Cependant, l'endoscope flexible assisté par robot est soumis aux mêmes limites de précision diagnostique que les systèmes d'endoscopie standards. Il a été démontré que l'OCT endoscopique présente un potentiel pour l'imagerie des troubles de la voie gastro-intestinale et pour la différenciation de tissus sains des tissus malades. Actuellement, l'OCT se limite à l'imagerie de l'œsophage humain, qui présente une géométrie simple et un accès facile. Ni l'OCT, ni l'endoscope robotisé ne peuvent résoudre à eux seuls les limites de la norme actuelle de soins pour la prise en charge d’un cancer du côlon. La combinaison de ces deux technologies et le développement d'une nouvelle plate-forme pour la détection et le traitement précoce du cancer constituent l'objet principal de cette thèse, avec la vision de développer une console d'imagerie OCT et une sonde de haute technologie intégrée à l'endoscope robotisé. Ce système permet d'obtenir des images de l'intérieur du gros intestin pour la caractérisation des tissus et l'assistance au traitement, permettant ainsi à un seul opérateur d'effectuer une intervention peu invasive en mode télémanipulation
There exists an unmet clinical need to provide doctors with a new method that streamlines minimally invasive endoscopic treatment of colorectal cancer to single operator procedures assisted by in-situ and real-time accurate tissue characterization for informed treatment decisions. A promising solution to this problem has been developed at the ICube laboratory, in which the flexible interventional endoscope (Karl Storz) was completely robotized, so allowing a single operator to independently telemanipulate the endoscope and two insertable therapeutic instruments with a joint control unit. However, the robot-assisted flexible endoscope is subject to the same diagnostic accuracy limitations as standard endoscopy systems. It has been demonstrated that endoscopic optical coherence tomography (OCT) has a good potential for imaging disorders in the gastrointestinal tract and differentiating healthy tissue from diseased. Neither OCT, nor the robotized endoscope can solve the limitations of current standard of care for colon cancer management alone. Combining these two technologies and developing a new platform for early detection and treatment of cancer is the main interest of this work, with the aim of developing a state-of-the-art OCT imaging console and probe integrated with the robotized endoscope. The capabilities of this new technology for imaging of the interior of the large intestine were tested in pre-clinical experiments showing potential for improvement in margin verification during minimally invasive endoscopic treatment in the telemanipulation mode
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Mourão, Francisco José Ribeiro. "Endoscopic Submucosal Dissection for Gastric Superficial lesions." Master's thesis, 2014. https://repositorio-aberto.up.pt/handle/10216/73169.

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Mourão, Francisco José Ribeiro. "Endoscopic Submucosal Dissection for Gastric Superficial lesions." Dissertação, 2014. https://repositorio-aberto.up.pt/handle/10216/73169.

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"Design and motion control of a tendon-sheath-driven endoscopic robot." 2014. http://repository.lib.cuhk.edu.hk/en/item/cuhk-1291596.

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Анотація:
Xu, Wenjun.
Thesis M.Phil. Chinese University of Hong Kong 2014.
Includes bibliographical references (leaves 94-103).
Abstracts also in Chinese.
Title from PDF title page (viewed on 27, October, 2016).
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Martins, Miguel Pedro Araújo. "How endoscopic submucosal dissection for gastrointestinal lesions is being implemented? Results from an international survey." Master's thesis, 2020. https://hdl.handle.net/10216/128919.

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Introdução e objetivos: As lesões superficiais gastrointestinais podem ser tratadas por musectomia (EMR) e/ou disseção endoscópica da submucosa (ESD). Estas técnicas são usadas frequentemente nos países asiáticos, mas a experiência é mais limitada nos países ocidentais. O objetivo deste estudo foi avaliar a implementação atual da ESD nos países ocidentais. Métodos: Gastroenterologistas ocidentais (n = 279) com artigos publicados entre 2005 e 2017 relacionados com EMR/ESD foram solicitados a preencher um questionário online, no período de Dezembro 2017 até Fevereiro 2018. Resultados: Um total de 58 gastroenterologistas (21%) completou o inquérito. Trinta realizaram ESD esofágica (52%); 45 gástrica (78%); 36 co- loretal (62%); e 6 duodenal (10%). A mediana do número total de lesões ressecadas por endoscopista foi 190, sendo que, em 2016, a mediana de lesões tratadas por cada gastroenterologista foi 41 (7 [IQR 1-21] no esófago, 6 [IQR 4-16] no estômago e 28 [5-63] no cólon e reto). A taxa de ressecção em bloco foi de 97% nas lesões esofágicas; 95% nas lesões gástricas e 84% nas lesões coloretais, com uma proporção de casos R0 de 88, 91 e 81%, respetivamente. A taxa de casos curados foi de 69, 70 e 67%, respetivamente. A taxa de complicações graves (perfuração e he- morragia tardia) foi maior na ESD coloretal (12% dos casos vs. 6% no esófago e 7% no estômago). A maioria das lesões esofagogástricas eram adenocarcinomas intramucosos (59% no esófago; 47% no estômago), enquanto as lesões coloretais eram maioritariamente adenomas (59%). Conclusões: Este estudo mostra uma disseminação da ESD na europa por um maior número de centros e gastrenterologistas. Os nossos resultados sugerem uma utilização e eficácia global de acordo com as recomendações europeias.
Background and Study Aim: Superficial gastrointestinal (GI) neoplasms can be treated with endoscopic mucosal resection (EMR) and/or endoscopic submucosal dissection (ESD). These techniques are widely used in Eastern countries; however, its use in the West is limited. The aim of this study was to evaluate the current implementation of ESD in Western countries. Methods: Western endoscopists (n = 279) who published papers related to EMR/ESD between 2005 and 2017 were asked to complete an online survey from December 2017 to February 2018. Results: A total of 58 endoscopists (21%) completed the survey. Thirty performed ESD in the esophagus (52%), 45 in the stomach (78%), 36 in the colorectum (62%), and 6 in the duodenum (10%). The median total number of lesions ever treated per endoscopist was 190, with a median number per endoscopist in 2016 of 41 (7 [IQR 1-21], 6 [IQR 4-16], and 28 [5-63] in the esophagus, in the stomach, and in the colon and rectum, respectively). En bloc resection rates were 97% in the esophagus, 95% in the stomach, and 84% in the colorectum. Complete resection (R0) was achieved in 88, 91, and 81%, respectively. Curative rates were 69, 70, and 67%, respectively. Major complications (perforation or delayed bleeding) occurred more often in colorectal ESD (12 vs. 6% in the esophagus and 7% in the stomach). In the upper GI tract, the majority of resected lesions were intramucosal adenocarcinoma (59% in the esophagus; 47% in the stomach), while in the colorectum the majority were adenomas (59%). Conclusion: ESD seems to be performed by a large number of centers and endoscopists. Our results suggest that ESD is being successfully implemented in Western countries, achieving a good rate of efficacy and safety according to European guidelines.
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Книги з теми "Robot for Endoscopic Dissection"

1

Fukami, Norio, ed. Endoscopic Submucosal Dissection. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2041-9.

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2

Endoscopic sinonasal dissection guide. New York: Thieme, 2011.

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3

Hosemann, Werner. A dissection course on endoscopic endonasal sinus surgery. Tuttlingen: Endo-Press, 2006.

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4

Casiano, Roy R. Endoscopic Sinonasal Dissection Guide. Thieme Medical Publishers, Incorporated, 2011.

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5

Casiano, Roy. Endoscopic Sinus Surgery Dissection Manual. CRC Press, 2002. http://dx.doi.org/10.1201/b14044.

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6

Casiano, Roy. Endoscopic Sinus Surgery Dissection Manual. Taylor & Francis Group, 2019.

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7

Casiano, Roy. Endoscopic Sinus Surgery Dissection Manual. Taylor & Francis Group, 2002.

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8

Fukami, Norio. Endoscopic Submucosal Dissection: Principles and Practice. Springer, 2014.

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9

Fukami, Norio. Endoscopic Submucosal Dissection: Principles and Practice. Springer, 2014.

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10

Fukami, Norio. Endoscopic Submucosal Dissection: Principles and Practice. Springer, 2017.

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Більше джерел

Частини книг з теми "Robot for Endoscopic Dissection"

1

Sapci, Ipek, and Emre Gorgun. "Endoscopic Submucosal Dissection." In Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery, 9–15. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15273-4_2.

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2

Benlice, Cigdem, and Emre Gorgun. "Endoscopic Mucosal Dissection." In Advanced Colonoscopy and Endoluminal Surgery, 159–68. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48370-2_16.

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3

El Hajj, Ihab I., and Norio Fukami. "Endoscopic Submucosal Dissection." In Gastrointestinal Endoscopy, 179–90. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2032-7_9.

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4

Yamamoto, Hironori, Tsuneo Oyama, and Takuji Gotoda. "Endoscopic submucosal dissection." In Esophageal cancer and barrett's esophagus, 177–88. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118655153.ch19.

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5

Nagar, Anil Bernard. "Endoscopic Submucosal Dissection." In Clinical Gastroenterology, 47–59. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-50610-4_4.

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6

Catalano, Filippo. "Endoscopic Submucosal Dissection." In Gastric Cancer: the 25-year R-Evolution, 283. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-73158-8_39.

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7

Sumiyama, Kazuki, and Hisao Tajiri. "History of ESD." In Endoscopic Submucosal Dissection, 3–8. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2041-9_1.

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8

Oyama, Tsuneo. "Endoscopic Submucosal Dissection for Superficial Esophageal Cancer." In Endoscopic Submucosal Dissection, 85–94. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2041-9_10.

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9

Ono, Hiroyuki. "ESD Technique: Stomach." In Endoscopic Submucosal Dissection, 95–101. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2041-9_11.

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10

Yahagi, Naohisa. "ESD for Colorectal Lesions." In Endoscopic Submucosal Dissection, 103–13. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2041-9_12.

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Тези доповідей конференцій з теми "Robot for Endoscopic Dissection"

1

Lehman, A. C., N. A. Wood, J. Dumpert, D. Oleynikov, and S. M. Farritor. "Towards Autonomous Robot-Assisted Natural Orifice Translumenal Endoscopic Surgery." In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-66614.

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Анотація:
Natural Orifice Translumenal Endoscopic Surgery (NOTES) promises to reduce the invasiveness of surgical procedures by accessing the peritoneal cavity through a natural orifice. Current tools for performing NOTES are based on the flexible endoscopy platform, and are significantly limited in imaging and manipulation by the size and geometry of the natural lumen. For NOTES to revolutionize minimally invasive surgery, new approaches are necessary that enable the surgeon to perform procedures with vision and dexterity equivalent to laparoscopic procedures. An image-guided, two-armed, dexterous miniature NOTES robot has been developed that can be placed into the peritoneal cavity through a transgastric incision. Using this robot, the surgeon has effectively demonstrated tissue dissection in non-survivable animal model procedures. A next step in the development of miniature in vivo robots is the automation of routinely performed, low level surgical tasks. This paper details work towards autonomous tissue dissection using the NOTES robot. As a first step, visual tracking and robot control methods are being developed.
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2

Cheung, L. W., K. C. Lau, Flora F. Leung, Donald N. F. Ip, Henry G. H. Chow, Philip W. Y. Chiu, and Y. Yam. "Distal Joint Rotation Mechanism for Endoscopic Robot Manipulation." In The Hamlyn Symposium on Medical Robotics: "MedTech Reimagined". The Hamlyn Centre, Imperial College London London, UK, 2022. http://dx.doi.org/10.31256/hsmr2022.74.

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Анотація:
Robot-assisted Minimally Invasive Surgery (MIS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) are commonly adopted in Gastro-Intestinal (GI) cancer treatment with Endoscopic Submucosal Dissection (ESD). While using fully flexible cable- driven robots brings benefits to patients such as lower rate of complications and shorter healing time, the engineering challenges, for example, size and stiffness, manufacturability and sensorless environment, limit functionalities of robotic instruments and surgery performance. The rolling feature, rotation along the wrist of the instrument, is a good-to-have feature for surgical procedures with orientational and positional requirements such as tractioning and suturing with graspers. In traditional laparoscopy, rolling can be achieved by rotating the long straight rod of the instruments, which is straightforward and effective. However, this is not commonly found in cable-driven endoscopic robotic systems due to mechanical limit for linear-to-rolling motion conversion at distal-end and unmodelled friction resisting torque transmission from proximal-end. Generally, researchers have three approaches to this problem. First, rotate the endoscope or overtube and the instrument together [1] [2]. However, this is not favorable to both surgeon and patient since rotating a twisted endoscope inside a patient’s body requires a large amount of torque and rubbing would create discomfort to the patient. Second, rotate the torque coil or backbone of the instrument [3] [4]. Because friction inside the endoscope is unpredicted and rotation is coupled with roll, pitch, and yaw motion, sophisticated modeling, shape/orientation sensing feedback may be required for robotic automation. Third, develop a distal mechanism to convert cable linear motion into axial rotation [5] [6]. With this method, the coupling problem is solved and power transmission efficiency is improved but a larger and more complicated design is required, and an extra-rigid segment is usually unavoidable. The performance depends greatly on design and implementation. This paper aims to demonstrate a scalable distal joint rotation mechanism for continuum endoscopic robots that can increase instrument dexterity and manipulability to ease the work of surgeons.
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3

Kim, SH, HS Choi, KW Lee, HJ Jeon, JM Lee, ES Kim, B. Keum, YT Jeen, HS Lee, and HJ Chun. "Endoscopic Submucosal Dissection using Detachable Assistant Robot: Comparative in Vivo Feasibility Study." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724416.

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4

Lau, K. C., Y. Hu, Y. Y. Leung, C. C. Y. Poon, P. W. Y. Chiu, J. Y. W. Lau, and Y. Yam. "Design and Development of a Task Specific Robot for Endoscopic Submucosal Dissection of Early Gastrointestinal Cancers." In 2014 International Symposium on Optomechatronic Technologies (ISOT). IEEE, 2014. http://dx.doi.org/10.1109/isot.2014.57.

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5

Moura, DB, N. Nunes, M. Flor de Lima, C. Chálim Rebelo, MP Santos, V. Costa Santos, AC Rego, JR Pereira, N. Paz, and MA Duarte. "Double Dissection at the Cecum - Endoscopic Submucosal Dissection." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724732.

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6

Cecinato, P., M. Lucarini, F. Azzolini, F. Bassi, and R. Sassatelli. "UNDERWATER TECHNIQUE IMPROVES DISSECTION SPEED IN COLORECTAL ENDOSCOPIC SUBMUCOSAL DISSECTION." In ESGE Days 2022. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1744868.

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7

Cecinato, P., M. Campanale, M. Lucarini, F. Azzolini, F. Bassi, and R. Sassatelli. "Underwater Endoscopic Submucosal Dissection and Hybrid Endoscopic Submucosal Dissection as Rescue Technique in Difficult Naive Colorectal Cases." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724729.

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8

Esaki, M., R. Ichijima, S. Suzuki, C. Kusano, H. Ikehara, and T. Gotoda. "SELF-COMPLETION ENDOSCOPIC SUBMUCOSAL DISSECTION FOR COLORECTAL NEOPLASMS." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704195.

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9

Mans, L., AM Bucalau, P. Eisendrath, L. Verset, P. Demetter, V. Huberty, A. Demols, J. Devière, and A. Lemmers. "ENDOSCOPIC SUBMUCOSAL DISSECTION OF A SUSPICIOUS ESOPHAGEAL LESION." In ESGE Days 2018 accepted abstracts. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1637090.

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10

Agudo, B., D. De Frutos, J. Santiago, I. González, M. González-Haba, A. Garrido, P. Matallanos, et al. "ENDOSCOPIC LINE-ASSISTED COMPLETE CLOSURE OF LARGE COLONIC PERFORATION DURING ENDOSCOPIC SUBMUCOSAL DISSECTION." In ESGE Days 2019. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1681365.

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Звіти організацій з теми "Robot for Endoscopic Dissection"

1

Liu, Mingqing, Yangyu Zhang, Yueqi Wang, He Zhu, and Hong Xu. Effect of prophylactic closure on adverse events after colorectal endoscopic submucosal dissection: A meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2020. http://dx.doi.org/10.37766/inplasy2020.5.0037.

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2

Xu, Xing, Guoliang Zheng, Zhichao Zheng, and Na Gao. Long-term outcomes and clinical safety of expanded indication early gastric cancer treated with endoscopic submucosal dissection versus surgical resection: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2021. http://dx.doi.org/10.37766/inplasy2021.5.0011.

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