Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review

Natural Orifice Transluminal Endoscopic Surgery (NOTES) involves accessing the abdominal cavity via one of the bodies’ natural orifices, for example, mouth, anus, or vagina. This new surgical procedure is very appealing from patients’ perspectives because it eliminates completely abdominal wall aggr...

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Main Authors: Xiaona Wang, Max Q.-H. Meng
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Robotics
Online Access:http://dx.doi.org/10.1155/2012/512616
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author Xiaona Wang
Max Q.-H. Meng
author_facet Xiaona Wang
Max Q.-H. Meng
author_sort Xiaona Wang
collection DOAJ
description Natural Orifice Transluminal Endoscopic Surgery (NOTES) involves accessing the abdominal cavity via one of the bodies’ natural orifices, for example, mouth, anus, or vagina. This new surgical procedure is very appealing from patients’ perspectives because it eliminates completely abdominal wall aggression and promises to reduce postoperative pain, in addition to all other advantages brought by laparoscopic surgery. However, the constraints imposed by both the mode of access and the limited technology currently available make NOTES very challenging for the surgeons. Redesign of the instruments is imperative in order to make this emerging operative access safe and reproducible. In this paper, we survey on the state-of-the-art devices used in NOTES and introduce both the flexible instruments based on improvement of current endoscopic platforms and the revolutionary concept of robotic platforms based on the convergence of communication and micromechatronics technologies. The advantages and limitations of each category are addressed. Potential solutions are proposed to improve the existing designs and develop robust and stable robotic platforms for NOTES.
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institution Kabale University
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spelling doaj-art-795cca6d27104753bf4535c2491c293e2025-02-03T05:53:17ZengWileyJournal of Robotics1687-96001687-96192012-01-01201210.1155/2012/512616512616Robotics for Natural Orifice Transluminal Endoscopic Surgery: A ReviewXiaona Wang0Max Q.-H. Meng1Department of Electronic Engineering, The Chinese University of Hong Kong, Shatin, NT, Hong KongDepartment of Electronic Engineering, The Chinese University of Hong Kong, Shatin, NT, Hong KongNatural Orifice Transluminal Endoscopic Surgery (NOTES) involves accessing the abdominal cavity via one of the bodies’ natural orifices, for example, mouth, anus, or vagina. This new surgical procedure is very appealing from patients’ perspectives because it eliminates completely abdominal wall aggression and promises to reduce postoperative pain, in addition to all other advantages brought by laparoscopic surgery. However, the constraints imposed by both the mode of access and the limited technology currently available make NOTES very challenging for the surgeons. Redesign of the instruments is imperative in order to make this emerging operative access safe and reproducible. In this paper, we survey on the state-of-the-art devices used in NOTES and introduce both the flexible instruments based on improvement of current endoscopic platforms and the revolutionary concept of robotic platforms based on the convergence of communication and micromechatronics technologies. The advantages and limitations of each category are addressed. Potential solutions are proposed to improve the existing designs and develop robust and stable robotic platforms for NOTES.http://dx.doi.org/10.1155/2012/512616
spellingShingle Xiaona Wang
Max Q.-H. Meng
Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
Journal of Robotics
title Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
title_full Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
title_fullStr Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
title_full_unstemmed Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
title_short Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review
title_sort robotics for natural orifice transluminal endoscopic surgery a review
url http://dx.doi.org/10.1155/2012/512616
work_keys_str_mv AT xiaonawang roboticsfornaturalorificetransluminalendoscopicsurgeryareview
AT maxqhmeng roboticsfornaturalorificetransluminalendoscopicsurgeryareview