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Minimally Invasive Robotic Laser Surgery in 2028

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Minimally Invasive Robotic Laser Surgery in 2028
Surgery has been around for thousands of years. Ever since man has felt pain, man has looked to surgery for relief. It started as a crude hole in the skull, and has evolved into techniques using lasers and robots.
One cutting-edge present technology that this paper will explore is the da Vinci Surgical Robotic System [1], which is being used at Johns Hopkins [2]. This system performs minimally invasive cardiac surgery; it makes the cuts more precise and saves lives. In the future, robotic surgery will become more advanced, as sensory feedback in the da Vinci system could be a future breakthrough that could revolutionize the whole concept of robotic surgery. We envision an improved da Vinci system, with sensory feedback, very precise laser scalpels, and a fully robotic surgery, which will simply be supervised by the surgeon. This approach would lead to less pain, shorter recovery time and a more precise surgery.
The system consists of a surgeon console, a computerized control system, three arms that hold tools (such as scalpels, scissors, or electrocautery instruments), and a fiber optic camera. The surgeon is seated at a set of controls and looks through two eye holes at a 3-D image of the procedure, while maneuvering the arms with two foot pedals and two hand controllers. The console uses the surgeon’s hand motions to move to robotic hands inside the patient’s chest cavity. While doing this, the camera gets detailed pictures of the heart and the structures of the heart. This surgical procedure has repaired over 300 mitral valves, and over 150 atrial septic defect closures. It is most commonly used for prostatectomies, cardiac valve repair and gynecologic surgical procedures.
The director of the Johns Hopkins Cardiac Surgical Research program, Dr. Yuh believes that “bestowing the sense of touch” to the da Vinci system would help the cardiac surgeons do more safe and effective surgeries. The da Vinci system uses the amount of pressure that one exerts on the



Bibliography: 1. Da Vinci Surgery – Minimally invasive robotic surgery with the da Vinci Surgical System. http://davincisurgery.com/index.aspx?id=it&gclid=CIHntceDqJACFRGCGgodCGVl8w. 2. ROBOT-ASSISTED MINIMALLY-INVASIVE CARDIAC SURGERY AT JOHNS HOPKINS HOSPITAL. http://www.hopkinsmedicine.org/CardiacSurgery/PatientCare/robot.html. 3. History of Surgery. http://www.medicalbooks.com/skin-surgery.html. 4. Laser Scalpel – TIME. 1973. http://www.time.com/time/magazine/article /0,9171,904021,00.html. 5. University of Southern California Cardiothoracic Surgery. http://www.cts.usc.edu/rsi-future.html. 6. Garcia, Martin; Romero, Aldo; Jeschke, Harald. 2005. Nanosurgery in Carbon Nanotubes: Efficient Elimination of Pentagon-Heptagon Defects Using Femtosecond Laser Pulses. http://adsabs.harvard.edu/abs/2005APS..MARW27008G. 7. Robotic Surgery. Carillion. 2006. http://www.carilion.com/Community/SitePage /SitePage.asp?App=SitePages&docid=18E9EB61EBE44F5CA9EF74950FE50F6D. 8. FDA. Computer-Assisted Surgery: an update. 2005. http://www.fda.gov/fdac/features /2005/405_computer.html. 9. Nanosurgery in live cells using ultrashort laser pulses. A. Heisterkampa et al. 2005. http://spie.org/x648.xml?product_id=590467. 10. Nano Surgery. Purity Medical Products. http://www.puritymedicalproducts.com/nano-surgery.htm.

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