Robotic Surgery: Basic Instrumentation and Troubleshooting

摘要

Robot-assisted surgery has emerged as a viable approach to minimally invasive surgery. A basic knowledge of the da Vinci® Surgical System and instrumentation, as well as troubleshooting techniques, is useful when implementing robot-assisted minimally invasive surgery into a surgical practice. The da Vinci Surgical System includes a surgeon's console, optical system, and surgical component with robotic arms manipulating surgical instruments. The surgeon's console provides control of robotic arms and EndoWrist® instruments with seven degrees of freedom and tremor-free movement. A binocular optic robotic camera system delivers three-dimensional vision to the surgeon on the console. A variety of robotic instruments are available, each with relative advantages for different procedures. Other features of the da Vinci Surgical System include a third instrument arm for self-retraction and TilePro™ multi-image display for overlay of radiographic images or other inputs. The reported incidence of mechanical failure or malfunction, or of instrument failure is low and the need for laparoscopic or open conversion is rare.