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The ArtiSential® Wristed Instruments: Surgeon-Powered Robotics

Monday, January 13, 2020

Dunning J. The ArtiSential® Wristed Instruments: Surgeon-Powered Robotics. January 2020. doi:10.25373/ctsnet.11569443.

This video demonstrates a left VATS diaphragm plication using the ArtiSential® wristed instruments. These instruments allow for robotic-like movements with instruments for VATS procedures. The author used an automated camera holder, which allows the surgeon to control the camera, negating the need for an assistant, and again replicating one of the benefits of robotic surgery. The surgeon is in control of their own camera and uses robotic-like instruments that are powered by the surgeon rather than by electronics, so this method is called surgeon-powered robotics. The disadvantage is that the instruments still move like VATS instruments so VATS skills are necessary, but apart from the cost advantage over robotic surgery, the surgeon is also with the patient, and in operations such as a lobectomy, the surgeon would be able to fire the stapler or be there in case of emergency. Thus these instruments take a great leap in reducing the gap between VATS and robotic surgery.  


Joel Dunning received consulting fees for ArtiSential® in the development of these instruments for thoracic surgery and was provided these instruments free of charge.

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Thanks for your nice and instructive video on this new technique. It seems to be the future in VATS. Robotic systems have several disadvantages: costs, space, compulsory separation between surgeon and patient, setting up is time consuming. This new method avoids them all. By the way, nice plication. Would be nice to watch other procedures, please, upload them once you have performed them. Thanks.

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