A workspace analysis method to support intraoperative trocar placement in minimally invasive robotic surgery (MIRS)

摘要

This paper presents a new method to calculate and display an approximated workspace of a surgical robot in nearly realtime. Displaying this information on a screen in the operation room could support the surgeon during intraoperative trocar placement for teleoperated minimally invasive robotic surgery (MIRS). We give a short overview on existing trocar placement procedures in teleoperated MIRS and describe the possibilities and limitations of workspace analysis methods to support the surgeon during trocar placement. Our new method uses MIRS-specific simplifications to reduce the search space and enable the creation of a reduced workspace map. It was implemented for the DLR MiroSurge system. The implementation can create a reduced workspace map and display a mesh representation of the map in less than 2 seconds. We give a short outlook on how this method could be embedded in trocar placement procedures in the operation theater and what our future plans are with this method.