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State-of-the Art in Sensing for Biomedical Robots in the Field...
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State-of-the Art in Sensing for Biomedical Robots in the Field of Urology

A special issue of Sensors (ISSN 1424-8220). This special issue belongs to the section "Sensors and Robotics".

Deadline for manuscript submissions: closed (25 May 2023) | Viewed by 10323

Special Issue Editors

Dr. Giuseppe Simone

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Guest Editor
Department of Urology, IRCCS “Regina Elena” National Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy
Interests: robotic surgery; urologic oncology; radical cystectomy; partial nephrectomy; advanced prostate cancer
Special Issues, Collections and Topics in MDPI journals
Dr. Aldo Brassetti

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Guest Editor
Department of Urology, IRCSS “Regina Elena” Institute, 00128 Rome, Italy
Interests: onco-urology; minimally invasive surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Riccardo Mastroianni

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Guest Editor
Department of Urology, IRCCS “Regina Elena” National Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy
Interests: urology; oncology; minimally invasive; robotic; kidney cancer; bladder cancer; prostate cancer

Special Issue Information

Dear Colleagues,

In recent years, we have witnessed a growing interest in and application of robotic surgical platforms in the field of urology, which has led to shorter operation and recovery times, reduced pain, and superior overall surgical and cosmetic outcomes. Since the earliest application of the PROBOT for the treatment of benign prostatic obstruction (at the Imperial College of London in 1989), many other robots were launched on the market and revolutionary advancements were observed. After two decades of a monopoly, many different surgical platforms are now available today, but their defining characteristics were never described in depth and robot-specific outcomes have not been published yet.

This Special Issue aims to offer a comprehensive overview of recent advances, technologies, solutions, applications, and challenges concerning the new surgical robots, their sensors, and their applications in urology.

Manuscripts should contain both theoretical and practical/experimental results. Potential topics include, but are not limited to, the following: history of robotic surgery in urology; Da Vinci Xi; Da Vinci Single Port; Versius; HUGO; Hinotori; Avatera; Revo-I; Senhance; impact of robotic surgery on advancement in uro-oncology; the unmet needs of robotic surgery; and development of skills and OR staff curriculum

Dr. Giuseppe Simone
Dr. Aldo Brassetti
Dr. Riccardo Mastroianni
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Sensors is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • robotics
  • urology
  • uro-oncology
  • surgery
  • minimally invasive surgery

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Published Papers (3 papers)

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Research

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11 pages, 2130 KiB  
Article
Robotic Medtronic Hugo™ RAS System Is Now Reality: Introduction to a New Simulation Platform for Training Residents
by Loris Cacciatore, Manuela Costantini, Francesco Tedesco, Francesco Prata, Fabio Machiella, Andrea Iannuzzi, Alberto Ragusa, Noemi Deanesi, Yussef Rashed Qaddourah, Aldo Brassetti, Umberto Anceschi, Alfredo M. Bove, Antonio Testa, Giuseppe Simone, Roberto Mario Scarpa, Francesco Esperto and Rocco Papalia
Sensors 2023, 23(17), 7348; https://doi.org/10.3390/s23177348 - 23 Aug 2023
Cited by 5 | Viewed by 2118
Abstract
The use of robotic surgery (RS) in urology has grown exponentially in the last decade, but RS training has lagged behind. The launch of new robotic platforms has paved the way for the creation of innovative robotics training systems. The aim of our [...] Read more.
The use of robotic surgery (RS) in urology has grown exponentially in the last decade, but RS training has lagged behind. The launch of new robotic platforms has paved the way for the creation of innovative robotics training systems. The aim of our study is to test the new training system from Hugo™ RAS System–Medtronic. Between July 2020 and September 2022, a total of 44 residents from urology, gynaecology and general surgery at our institution participated in advanced robotic simulation training using the Hugo™ RAS simulator. Information about sex, age, year of residency, hours spent playing video games, laparoscopic or robotic exposure and interest in robotics (90.9% declared an interest in robotics) was collected. The training program involved three robotic exercises, and the residents performed these exercises under the guidance of a robotics tutor. The residents’ performance was assessed based on five parameters: timing, range of motion, panoramic view, conflict of instruments and exercise completion. Their performance was evaluated according to an objective Hugo system form and a subjective assessment by the tutor. After completing the training, the residents completed a Likert scale questionnaire to gauge their overall satisfaction. The rate of the residents’ improvement in almost all parameters of the three exercises between the first and the last attempts was statistically significant (p < 0.02), indicating significant progress in the residents’ robotic surgical skills during the training. The mean overall satisfaction score ± standard deviation (SD) was 9.4 ± 1.2, signifying a high level of satisfaction among the residents with the training program. In conclusion, these findings suggest that the training program utilizing the Hugo™ RAS System is effective in enhancing robotic surgical skills among residents and holds promise for the development of standardized robotics training programs in various surgical specialties. Full article
(This article belongs to the Special Issue State-of-the Art in Sensing for Biomedical Robots in the Field of Urology)
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Review

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11 pages, 948 KiB  
Review
Robotic Surgery in Urology: History from PROBOT® to HUGOTM
by Aldo Brassetti, Alberto Ragusa, Francesco Tedesco, Francesco Prata, Loris Cacciatore, Andrea Iannuzzi, Alfredo Maria Bove, Umberto Anceschi, Flavia Proietti, Simone D’Annunzio, Rocco Simone Flammia, Giuseppe Chiacchio, Mariaconsiglia Ferriero, Salvatore Guaglianone, Riccardo Mastroianni, Leonardo Misuraca, Gabriele Tuderti and Giuseppe Simone
Sensors 2023, 23(16), 7104; https://doi.org/10.3390/s23167104 - 11 Aug 2023
Cited by 26 | Viewed by 4973
Abstract
The advent of robotic surgical systems had a significant impact on every surgical area, especially urology, gynecology, and general and cardiac surgery. The aim of this article is to delineate robotic surgery, particularly focusing on its historical background, its evolution, its present status, [...] Read more.
The advent of robotic surgical systems had a significant impact on every surgical area, especially urology, gynecology, and general and cardiac surgery. The aim of this article is to delineate robotic surgery, particularly focusing on its historical background, its evolution, its present status, and its future perspectives. A comprehensive literature review was conducted upon PubMed/MEDLINE, using the keywords “robotic surgical system”, “robotic surgical device”, “robotics AND urology”. Additionally, the retrieved articles’ reference lists were investigated. Analysis concentrated on urological surgical systems for laparoscopic surgery that have been given regulatory approval for use on humans. From the late 1980s, before daVinci® Era in 2000s, ancestor platform as Probot® and PUMA 560 were described to outline historical perspective. Thus, new robotic competitors of Intuitive Surgical such as Senhance®, Revo-I®, Versius®, Avatera®, Hinotori®, and HugoTM RAS were illustrated. Although daVinci® had high level competitiveness, and for many years represented the most plausible option for robotic procedures, several modern platforms are emerging in the surgical market. Growing competition through unique features of the new robotic technologies might extend applications fields, improve diffusion, and increase cost-effectiveness procedures. More experiences are needed to identify the role of these new advancements in surgical branches and in healthcare systems. Full article
(This article belongs to the Special Issue State-of-the Art in Sensing for Biomedical Robots in the Field of Urology)
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18 pages, 1007 KiB  
Review
Exploring the Applications of Indocyanine Green in Robot-Assisted Urological Surgery: A Comprehensive Review of Fluorescence-Guided Techniques
by Leslie Claire Licari, Eugenio Bologna, Flavia Proietti, Rocco Simone Flammia, Alfredo Maria Bove, Simone D’annunzio, Gabriele Tuderti and Costantino Leonardo
Sensors 2023, 23(12), 5497; https://doi.org/10.3390/s23125497 - 11 Jun 2023
Cited by 7 | Viewed by 2782
Abstract
This comprehensive review aims to explore the applications of indocyanine green (ICG) in robot-assisted urological surgery through a detailed examination of fluorescence-guided techniques. An extensive literature search was conducted in PubMed/MEDLINE, EMBASE and Scopus, using keywords such as “indocyanine green,” “ICG”, “NIRF”, “Near [...] Read more.
This comprehensive review aims to explore the applications of indocyanine green (ICG) in robot-assisted urological surgery through a detailed examination of fluorescence-guided techniques. An extensive literature search was conducted in PubMed/MEDLINE, EMBASE and Scopus, using keywords such as “indocyanine green,” “ICG”, “NIRF”, “Near Infrared Fluorescence”, “robot-assisted”, and “urology”. Additional suitable articles were collected by manually cross-referencing the bibliography of previously selected papers. The integration of the Firefly® technology in the Da Vinci® robotic system has opened new avenues for the advancement and exploration of different urological procedures. ICG is a fluorophore widely used in near-infrared fluorescence-guided techniques. The synergistic combination of intraoperative support, safety profiles and widespread availability comprises an additional asset that empowers ICG-guided robotic surgery. This overview of the current state of the art illustrates the potential advantages and broad applications of combining ICG-fluorescence guidance with robotic-assisted urological surgery. Full article
(This article belongs to the Special Issue State-of-the Art in Sensing for Biomedical Robots in the Field of Urology)
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