1. BY :PATNAM SHRUTHI

2. Robotic surgery :
Robotic surgery means computerassisted surgery, and roboticallyassisted surgery are terms for
technological developments that
use robotic systems to aid
in
surgical
procedures.
Robotically-assisted surgery was
developed to overcome the
limitations of minimally-invasive
surgery and to enhance the
capabilities
of
surgeons
performing open surgery.

3. History:
In 1985, PUMA 560
CT guided brain
biopsy
In 1988, The PROBOT
In 1994, ZEUS Robotic Surgical
System
In 1992, The ROBODOC
In 2000, The da Vinci Surgical
System

4. TYPES OF ROBOTIC SURGERY
SYSTEMS:
Supervisory controlled robotic surgery system.
Tele surgical system.
1.Da Vinci surgical system.
2.ZEUS robotic surgery system.
3.AESOP robotic surgery system.
Shared control robotic surgery system.

5. Supervisory controlled robotic surgery
system :
Follows specific set of instructions.
Surgeon should program the robot.
Surgeon should map the body of the
patient in 3 different ways i.e.,
1.Planning
2.Registration
3.Navigation
 Precise in nature and reduces trauma
 commonly used in hip and knee
replacement procedures.

6. Tele surgery system :
Tele surgery, also called remote
surgery, is performed by a
surgeon at a site removed from
the patient. Surgical tasks are
directly performed by a robotic
system controlled by the
surgeon at the remote site

7.  Da Vinci robotic surgical system :
Provides 7 degree of freedoms in instruments.
Surgeon directs motion of robots hence it makes
robot very expensive high tech set of tools.
Types of instruments used in surgical instruments
are : 1.Viewing and controlling console.
2.Surgical arm unit (which includes 4 arms).

8. Da Vinci system is used in :
Abdominal surgical
procedures.
 Prostrate cancer surgery.
 Hysterectomy.
 Mitral valve repair.
 Cardiac valve repair.
Gynecological surgical
procedures.
 Thoracic Surgical
procedures.

9. ZEUS ROBOTIC SURGICAL SYSTEM:
Made up of ergonomic surgical control console and 3
table mounted robotic arms.
 Voice control and touch screen interfaces with 2
monitors are used in surgical control console.
 Enables surgeons with great capability to perform
complex micro surgical tasks.
 ZEUS robotic surgical system is used in performing
endoscopic surgery's.
 User friendly to operate the Instruments.

10. ZEUS Surgical system

11. AESOP robotic surgical system :
AESOP stands for Automated Endoscopic System
For Optical Position.
AESOP was the 1st robot to be cleared by FDA (Food
and Drug administration) for assisting surgery in
operating room.
AESOP surgery’s are much similar than Di Vinci and
ZEUS surgery systems.
It provides surgeon with intensive operating controls.
Endowrist instruments are used in these surgical
systems.

12. AESOP Surgical system
Endowrist Instrument

13. Shared control robotic surgery
System :
Surgeons most of the work.
Surgeons must operate surgical instruments themselves.
Robot’s does not work unless surgeons give data to robot.

14. Applications :
1.Cardiac Surgery :Bypass surgery is
performed by Da Vinci system.
2. Gastrointestinal surgery : Surgery either the
ZEUS or Da Vinci system.
3. Gynecology : Robotic surgery in gynecology is
one of the fastest growing field.
4. Neurosurgery: Robotic Surgery is considered
as safest surgery for neuron.

15. 5. Orthopedics: Surgical robotics has been used in
many types of orthopedic surgical.
6. Pediatrics : Surgical robotics has been used in
many types of pediatric surgical procedures.
7. Radio surgery : The Cyber Knife System uses
image-guidance and computer controlled
robotics to treat tumors throughout the
body by delivering multiple beams of
high-energy radiation to the tumor from
virtually any direction.
8. Urology : Da Vinci robot is commonly used to
remove the prostate gland for cancer.

16. Advantages :
1.Telesurgery: The use of computer console to
perform operations from a distance.
2.Less Pain: The patient would experience less
pain, trauma and bleeding, which
means a faster recovery.
3.Enhanced precision: Surgery with help of robots
will help to remove errors and does
surgery with high accuracy.
4.Decreases the fatigue: It helps to decrease the
fatigue of the doctors during
surgery hours.

17. Dis-Advantages:
1.Question of safety : If any error is coded to robot
it may harm the human during surgery.
2.Time: Robotic assisted heart surgery can take
nearly twice the amount of time that a
typical heart surgery takes.
3.Cost: At this early stage in the technology, the
robotic systems are very expensive.

18. Conclusion:
Although still in its infancy, robotic surgery has already
proven itself to be of great value, particularly in areas
inaccessible to conventional laparoscopic procedures.
It has the potential to expand surgical treatment
modalities beyond the limits of human ability.
Although feasibility has largely been shown, more
prospective randomized trials evaluating efficacy and
safety must be undertaken. Further research must
evaluate cost effectiveness or a true benefit over
conventional therapy for robotic surgery to take full
root.