A collaborative robotic uterine positioning system for laparoscopic hysterectomy: Design and experiments

Hiu Man Yip, Zerui Wang, David Navarro-Alarcon, Peng Li, Tak Hong Cheung, Christian Greiffenhagen, Yun hui Liu

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

Background: Uterus manipulation is a lengthy and tedious task that is usually performed by a human assistant during laparoscopic hysterectomy. Note that the performance of the assistant may decrease with time. Moreover, under this approach, the primary surgeon does not have direct control over the uterus position. He/she can only verbally request the assistant to place it on a particular configuration. Methods: A robotic system composed of a 3 degrees-of-freedom uterine positioner is developed to assist in changing configuration of the uterus during laparoscopic hysterectomy. The developed system has a remote centre of motion structure; independently controlling the uterus motion with one joint at the time is allowed. Results: From the lab experiments, it is found that the robot shows better performance in retaining the uterus position and shows quicker response to the surgeon's instruction. Cadaver studies have been conducted to evaluate the feasibility of the robot. The robot was also applied to real patients in a clinical study. Conclusions: The robot is capable of assisting in uterus manipulation during laparoscopic hysterectomy. However, its user friendliness can be improved by simplifying the docking procedure. Furthermore, a more ergonomic user interface is desired.

Original languageEnglish
Article numbere2103
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume16
Issue number4
DOIs
Publication statusPublished - 1 Aug 2020

Keywords

  • hysterectomy
  • Surgical manipulator
  • surgical robots
  • uterus manipulation

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

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