Kirurški robot operacija da Vinci: stroj koji reže, ne osjeća
Od prvog robotskog zahvata na živom čovjeku u Sacramentu 7. studenog 1992. do da Vincija i autonomnog robota STAR, epizoda objašnjava kako tri klase kirurških robota dijele kontrolu između stroja i kirurga. Gledatelji saznaju zašto da Vinci ne prenosi osjećaj otpora tkiva, koje inženjerske prepreke stoje pred haptičkom povratnom vezom i kako ROBODOC automatski prekida operaciju ako kost pomakne više od 10 mm. LACC studija iz 2018. i FDA podaci o neželjenim događajima pokazuju gdje mehanička preciznost prestaje jamčiti bolji klinički ishod.
Poglavlja
00:00 Nož bez dlana
02:14 Zadatak: što robot mora znati prije prvog reza
06:52 Senzori: stroj koji ne osjeća — i što to znači za tkivo
11:52 Planiranje i izvršavanje: od CT snimke do reza
17:00 Prvi slučaj: Sacramento, 7. studenog 1992.
21:26 Prekretnica: kad minimalna invazivnost nije bila dovoljna — LACC studija 2018.
27:36 Neuspjeh u nepredviđenim uvjetima: što govore FDA podaci
32:19 Granice: kirurg ostaje u petlji
Izvori
- Newsweek — Introducing 'Robodoc': https://www.newsweek.com/introducing-robodoc-196904
- World Laparoscopy Hospital — History of Robotic Surgery: https://www.laparoscopyhospital.com/history_of_robotic_surgery.htm
- Neupsykey (excerpt from academic surgical robotics reference text) — 7 Supervisory-Controlled Robotics (Neupsykey, chapter from surgical robotics reference): https://neupsykey.com/7-supervisory-controlled-robotics/
- PubMed Central / National Library of Medicine — A Review of the Role of Robotics in Surgery: To DaVinci and Beyond! (PMC10569391): https://pmc.ncbi.nlm.nih.gov/articles/PMC10569391/
- PubMed Central / National Library of Medicine — THINK surgical TSolution-One® (Robodoc) total knee arthroplasty (PMC5663203): https://pmc.ncbi.nlm.nih.gov/articles/PMC5663203/
- News-Medical.net (AZoNetwork) / ScienceDirect — Smart Tissue Autonomous Robot performs laparoscopic surgery on pig soft tissue without human help (News-Medical.net) / Computer-aided robotics for applications in fracture reduction surgery (ScienceDirect): https://www.news-medical.net/news/20220127/Smart-Tissue-Autonomous-Robot-performs-laparoscopic-surgery-on-pig-soft-tissue-without-human-help.aspx
- ResearchGate (summarizing peer-reviewed technical review literature) — The da Vinci Surgical System (ResearchGate, technical review compilation citing Freschi et al.): https://www.researchgate.net/publication/334270065_The_da_Vinci_Surgical_System
- Intuitive Surgical Inc. / U.S. Securities and Exchange Commission — Intuitive Surgical Inc. Form 10-K for Fiscal Year Ended December 31, 2024 (SEC EDGAR): https://www.sec.gov/Archives/edgar/data/1035267/000103526725000017/isrg-20241231.htm
- ScienceDaily (reporting on Science Robotics, AAAS) — Robot performs first laparoscopic surgery without human help (ScienceDaily, reporting on Science Robotics paper): https://www.sciencedaily.com/releases/2022/01/220126143954.htm
- National Institute of Biomedical Imaging and Bioengineering (NIBIB), National Institutes of Health — Robot performs soft tissue surgery with minimal human help (NIBIB/NIH newsroom): https://www.nibib.nih.gov/news-events/newsroom/robot-performs-soft-tissue-surgery-minimal-human-help
- PubMed Central / National Library of Medicine — At the cutting edge: the potential of autonomous surgery and challenges faced (PMC11956393): https://pmc.ncbi.nlm.nih.gov/articles/PMC11956393/
- Minimally Invasive Therapy & Allied Technologies (Taylor & Francis) — Haptics in minimally invasive surgery — a review: https://pubmed.ncbi.nlm.nih.gov/18270873/
- Surgical Endoscopy (via PubMed Central) — Value of haptic feedback in conventional and robot-assisted minimal invasive surgery: https://pmc.ncbi.nlm.nih.gov/articles/PMC2686803/
- IEEE Reviews in Biomedical Engineering — Haptics in Robot-Assisted Surgery: Challenges and Benefits: https://doi.org/10.1109/RBME.2016.2538080
- PubMed Central (peer-reviewed systematic review) — Haptic Feedback in Medical Robotics: A Systematic Review: https://pmc.ncbi.nlm.nih.gov/articles/PMC13468719/
- PubMed Central — Haptic Feedback in Medical Robotics: A Systematic Review: https://pmc.ncbi.nlm.nih.gov/articles/PMC13468719/
- ResearchSquare preprint; published in Journal of Robotic Surgery (DOI 10.1007/s11701-026-03832-5) — Force Sensing and Haptic Feedback in Robotic Surgery: A Bibliometric and Knowledge-Mapping Analysis: https://www.researchsquare.com/article/rs-10564297/v1
- Intuitive Surgical (investor relations) — Intuitive Announces FDA Clearance of Fifth-Generation Robotic-Assisted Surgical System: https://isrg.intuitive.com/news-releases/news-release-details/intuitive-announces-fda-clearance-fifth-generation-robotic
- PubMed Central — Force in robotic thoracic surgery: One-year da Vinci 5 Force Feedback study: https://pmc.ncbi.nlm.nih.gov/articles/PMC12464090/
- …
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