Endoscopic submucosal dissection of gastric lesions by using a Master and Slave Transluminal Endoscopic Robot (MASTER)

Gastrointestinal Endoscopy
Khek-Yu HoS C Sydney Chung

Abstract

Performing endoscopic submucosal dissection (ESD) by using standard endoscopy platforms is technically challenging because of the equipment's lack of dexterity. To explore the feasibility of using the Master and Slave Transluminal Endoscopic Robot (MASTER), a novel robotics-enhanced endosurgical system, to perform ESD. ESD was performed on simulated gastric lesions in 5 Erlangen porcine stomach models (ex vivo) and 5 live pigs (in vivo). Performance of ESD by using the MASTER was compared with that using the insulation-tipped (IT) diathermic knife. SMART Laboratory, Advance Surgical Training Centre, National University Hospital, Singapore. Five Erlangen porcine stomach models and 5 pigs, 5 to 7 months old, each weighing about 35 kg. ESD. Lesion resection time, grasper and hook efficacy grade, completeness of resection, and presence of procedure-related perforation. In the Erlangen stomach models, 15 simulated lesions from the cardia, antrum, and body were removed en bloc (mean dimension, 37.4 x 26.5 mm) by electrocautery excision using the MASTER. The mean ESD time was 23.9 minutes (range 7-48 minutes). There was no difference in the dissection times of lesions at different locations (P = .449). In the live pigs, the MASTER too...Continue Reading

References

Jul 14, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Takuji Gotoda
Jul 20, 2007·Journal of Endourology·Ralph V ClaymanElspeth M McDougall
Mar 5, 2008·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·S J PheeZ M Thant

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Citations

Feb 22, 2012·Surgical Endoscopy·Anton SimorovDmitry Oleynikov
Aug 21, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Philip Wai Yan Chiu
Jul 23, 2013·Gastrointestinal Endoscopy·Norio Fukami
May 31, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Soo Jay PheeKhek-Yu Ho
Jan 5, 2013·IEEE Reviews in Biomedical Engineering·Valentina VitielloGuang-Zhong Yang
Jan 30, 2015·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Davide LomantoLouis Soo Jay Phee
Sep 25, 2014·Surgical Endoscopy·Ewout A ArkenboutPaul Breedveld
Oct 30, 2016·Expert Review of Medical Devices·Siyang Zuo, Shuxin Wang
Jan 6, 2017·Expert Review of Gastroenterology & Hepatology·Gaius Longcroft-Wheaton, Pradeep Bhandari
May 4, 2017·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·András LégnerJacques Marescaux
May 16, 2013·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Wei Yao, Peter R N Childs
Jul 6, 2017·IEEE Transactions on Bio-medical Engineering·Lucile ZornMichel de Mathelin
Jul 18, 2014·World Journal of Gastrointestinal Endoscopy·Hiroyuki ImaedaHaruhiko Ogata
Jun 6, 2012·Nature Reviews. Gastroenterology & Hepatology·Hironori Yamamoto
Jun 6, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Gerald TayN Gopalakrishna Iyer
Aug 22, 2018·Clinical Endoscopy·Jennie Y Y Wong, Khek Yu Ho
Sep 2, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ivo Boškoski, Guido Costamagna
Oct 28, 2011·Expert Review of Medical Devices·Soo Jay PheeKhek Yu Ho
Jun 5, 2019·Gut and Liver·Hung Leng Kaan, Khek Yu Ho
Sep 14, 2018·Endoscopy International Open·Keiichiro KumeTakaaki Goto
Dec 16, 2016·Computer Assisted Surgery·Keiichiro Kume
Feb 9, 2016·World Journal of Gastroenterology : WJG·Baldwin Po Man Yeung, Philip Wai Yan Chiu
Jul 29, 2016·World Journal of Gastroenterology : WJG·Kunihiro TsujiHisashi Doyama
Mar 23, 2019·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Hung Leng Kaan, Khek Yu Ho
Apr 30, 2020·Acta Cirúrgica Brasileira·Thiago Arantes de Carvalho ViscontiEverson Luiz de Almeida Artifon
Oct 27, 2020·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Hung Leng Kaan, Khek Yu Ho
Oct 27, 2020·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Shiaw-Hooi Ho, Philip Wai-Yan Chiu
Sep 30, 2020·Gastrointestinal Endoscopy·Philip Wai Yan ChiuSoo Jay Phee

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