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3D Laparoscopic Surgery in progress  

3D Laparoscopic Surgery in progress  

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Minimally Invasive Surgery is the most important revolution in surgical technique since the early 1900s. Its development was facilitated by the introduction of miniaturized video cameras with good image reproduction. The marvels of electronic and information technology have strengthened the biochemical and molecular power of diagnosis and the surgi...

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... The concept of telesurgery came into existence since U.S. National Aeronautics and Space Administration (NASA) started exploring the possibility of providing treatment to the astronauts in space long back in 1970 [6]. The invention of the endoscope, followed by the development of a video computer chip that allowed the magnification and projection of images onto television screens, was a breakthrough in introducing laparoscopic surgery [7]. ...
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The concept of telehealth has revolutionized the healthcare delivery system. Based on this concept, telesurgery has emerged as a promising and feasible option, providing surgical care to remotely located patients. This has become possible by advancements in the robotic system combined with the cutting-edge technology of telecommunication. Since the ability to perform telepresence surgery was hypothesized , consistent development and research in this novel area have led to the beginning of telesurgical care, which can fulfill the demand for surgical care in remote locations. In addition to the benefits of robotic-assisted minimally invasive surgery, telesurgery eliminates geographical barriers, which helps patients have better access to quality surgical care. It may reduce the overall financial burden by eliminating the travel expense of the patients, providing expertise through the telepresence of experienced surgeons, and reducing the operating room personnel. The telesurgical approach is also being utilized for telementoring, i.e., real-time guidance and technical assistance in surgical procedures by highly skilled surgeons. Despite the numerous technological improvements in telesurgery, its widespread implementation in clinical setting still lags, mandating the identification of the offending factors that limit its clinical translation.
... Von Nachteil ist, dass der Operateur teilweise das Gefühl für sein Instrument verliert. Einige Bewegungen sind gespiegelt, Kräfte sind nur indirekt spürbar und es fehlt der Tiefeneindruck [5,99]. ...
... Bei solchen Master-Slave-Systemen können vorteilhaft die Signale zur Steuerung der Antriebe des chirurgischen Instruments durch in den Signalpfad geschaltete Computer beliebig manipuliert werden. Im Folgenden sind kurz einige Manipulationsmöglichkeiten und deren Einsatz aufgelistet [5] S. 100: ...
... Die äquivalente Schaltung nach Abb. 5 ...