Four hands - two minds, or three hands - one mind?

Problem Extended endoscopic endonasal operations of the sinuses, the orbit and the frontal skull base require in many cases a bimanual action of the surgeon. Thus, typically a second surgeon guides the endoscope and centers the field of view. In this study we investigate in which cases a robotic arm can be used alternatively.

Methods The electromagnetic system produced by AKTORmed was used in different surgical interventions of the sinuses, the pituitary gland and tumors questioning ergometry and geometrical limitations. The realized degrees of freedom were documented and a topography of possible applications compiled.

Conclusion Under the impression of an urging staff shortage and due to the unlimited patience of a robot its utilization seems promising. Obviously the presented system is limited through the geometry of the anterior ethmoid and changing working conditions in the sagittal direction. The authors expect specific benefits in extended interventions in the posterior ethmoid, in which parts of the nasal septum have been resected and in which a static position of the endoscope is desired. Hence, we see especially in the surgery of the pituitary gland and skull base tumors a favorable field of application.

Poster-PDF A-1595.PDF

Publication History

Article published online:
10 June 2020