Saratov JOURNAL of Medical and Scientific Research

Assisted and robot-assisted functional endoscopic rhinosurgical interventions (review)

Year: 2021, volume 17 Issue: №3 Pages: 415-421
Heading: Otolaryngology Article type: Review
Authors: Mareev O.V., Mareev G.O., Tsymbal D.D.
Organization: Saratov State Medical University

Objective: to evaluate the pros and cons of assisted and robot-assisted functional endoscopic interventions and the possibilities of their use in rhinosinus surgery. The work is devoted to the review of methods of assisting in endoscopic rhinosurgery from 1983 to 2020 based on the materials of foreign scientific databases PubMed, ResearchGate. A total of 48 sources were studied. A brief history of the development of endoscopic rhinosurgery, bimanual endoscopic technique and its main disadvantages are presented, literature data on passive and active (robotic) devices holding the endoscope are presented. Based on the studied literature, it may be concluded that the existing commercial and experimental robotic devices of various designs have a number of serious disadvantages that prevent their wide distribution and introduction into the practice of rhinosurgery.

1. Lopatin AS, Gamov VP. Acute and chronic rhinosinusitis. Moscow: MIA, 2011; 46 p.
2. Piskunov SZ, Piskunov GZ, Razinkov SP Research technique of the functional state of the nasal mucosa. Moscow: Medicine, 1983; 97 p.
3. Pradhan В, Thapa N. Functional Endoscopic Sinus Surgery (FESS). JNMA J Nepal Med Assoc 2006; 45 (164): 337-41.
4. Kozlov ВС, Shilenkova VV, Shilenkov AA. Sinusitis: a modern view of the problem. Consilium Medicum 2003; 4 (5): 212-8.
5. Krouse JH, Christmas DA, Jr. Powered instrumentation in functional endoscopic sinus surgery. II: A comparative study. Ear Nose Throat J 1996; 75 (1): 42-4.
6. Manickavasagam J, Segaram S, Harkness P. Functional endoscopic sinus surgery chopstick technique. Laryngoscope 2010; 120 (5): 975-7.
7. Briner HR, Simmen D, Jones N. Endoscopic sinus surgery: advantages of the bimanual technique. Am J Rhinol 2005; 19(3): 269-73.
8. Strauss G, Hofer M, Kehrt S, et al. Ein Konzept fur eine automatisierte Endoskopfuhrung fur die Nasennebenhbhlenchirurgie [Manipulator assisted endoscope guidance in functional endoscopic sinus surgery: proof of concept]. HNO 2007; 55 (3): 177-84.
9. Szyfter W, Borucki t, Wrobel M. Technika czterech rak w operacjach endoskopowych nosa i zatok przynosowych-doswiadczenia wtasne [Four hands surgery in endoscopic sinus surgery-our experience]. Otolaryngol Pol 2008; 62 (1): 7-10.
10. Khan MM, Parab SR. Endoscopic cartilage tympanoplasty: A two-handed technique using an endoscope holder. Laryngoscope 2016; 126 (8): 1893-8.
11. Raman R, Prepageran N. Novel use of a Leyla-Yasargil retractor as an endoscope holder during endoscopic sinus surgery. Ear Nose Throat J 2004; 83 (4): 270.
12. Parab SR, Khan MM. Modified endoscope holder for two handed endoscopic ear surgery. Indian J Otolaryngol Head Neck Surg 2020; 72 (3): 335-41.
13. Morita A, Okada Y, Kitano M, et al. Development of hybrid integrated endoscope-holder system for endoscopic microneurosurgery. Neurosurgery 2004; 55 (4): 926-31; discussion 931-2.
14. George J, Farboud A, Elhassan HA, et al. The Swansea floating endoscopic assistant: a surgical handling aid. Reports 2018; 1 (3):22.
15. Du YF, Chen N, Li DQ. Application of robot-assisted surgery in the surgical treatment of head and neck cancer. Zhonghua Kou Qiang Yi Xue Za Zhi 2019; 54 (1): 58-61.
16. Lane T. A short history of robotic surgery. Ann R Coll Surg Engl2018; 100 (6 sup): 5-7.
17. Davies BL, Hibberd RD, Ng WS, et al. The development of a surgeon robot for prostatectomies. Proc Inst Mech Eng [H] 1991; 205(1): 35-8.
18. Satava RM. Surgical robotics: the early chronicles: a personal historical perspective. Surg Laparosc Endosc Percutan Tech 2002; 12(1): 6-16.
19. Felger JE, Nifong L. The evolution of and early experience with robot assisted mitral valve surgery. Surg Laparosc Endosc Percutan Tech 2002; (1): 58-63.
20. Eichel L, Ahlering ТЕ, dayman RV. Role of robotics in laparoscopic urologic surgery. Urol Clin North Am 2004; 31 (4): 781-92.
21. Eadie LH, Seifalian AM, Davidson BR. Telemedicine in surgery. Br J Surg 2003; 90 (6): 647-58.
22. Sung GT, Gill IS. Robotic laparoscopic surgery: a comparison of the da Vinci and ZEUS systems. J Urol 2001; 58 (6): 893-8.
23. Challacombe B, Khan S, Murphy D, et al. The history of robotics in urology. World J Urol 2006; 24 (2): 120.
24. Rangarajan S, Hachem RA, Ozer E, et al. Robotics in Sinus and Skull Base Surgery. Otolaryngol Clin North Am 2017; 50 (3): 633-41.
25. Koh DH, Jang WS, Park JW, et al. Efficacy and safety of robotic procedures performed using the da Vinci robotic surgical system at a single institute in Korea: Experience with 10000 cases. Yonsei Med J 2018; 59 (8): 975-81.
26. Borden LS, Kozlowski PM, Porter CR, et al. Mechanical failure rate of da Vinci robotic system. The Canadian Journal of Urology 2007; (14): 3499-501.
27. Park JO, Kim MR, Park YJ, et al. Transoral endoscopic thyroid surgery using robotic scope holder: Our initial experiences. J Minim Access Surg 2020; 16 (3): 235-8.
28. Schneider JS, Burgner J, Webster RJ, Russell PT. Robotic surgery for the sinuses and skull base: what are the possibilities and what are the obstacles? Curr Opin Otolaryngol Head Neck Surg 2013; 21 (1): 11-6.
29. Trevillot V, Garrel R, Dombre E, etal. Robotic endoscopic sinus and skull base surgery: review of the literature and future prospects. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130 (4): 201-7.
30. Eichhorn KW, Westphal R, Last C, et al. Workspace and pivot point for robot-assisted endoscope guidance in functional endonasal sinus surgery (FESS). Int J Med Robot 2015; 11 (1): 30-7.
31. Kristin J, Geiger R, Kraus P, Klenzner T. Assessment of the endoscopic range of motion for head and neck surgery using the SOLOASSIST endoscope holder. Int J Med Robot 2015; 11 (4): 418-23.
32. Harris SJ, Arambula-Cosio F, Mei Q, et al. The Probot — an active robot for prostate resection. Proc Inst Mech Eng H 1997; 211 (4): 317-25.
33. Hata N, Masamune K, Kobayashi E, et al. Needle insertion manipulator for CT- and MR-guided stereotactic neurosurgery. In: Jolesz FA, Young IR, Eds. Interventional MR: techniques and clinical experience. L.: Martin Dunitz, 1998: p. 99-106.
34. Heining M, Hofmann UG, SchlaeferA. Calibration of the motor-assisted robotic stereotaxy system: MARS. International Journal of Computer Assisted Radiology and Surgery 2012; 7 (6): 911-20.
35. Hagn U, Nickl M, Jorg S, et al. The DLR MIRO: a versatile lightweight robot for surgical applications. Industrial Robot 2008; 35 (4): 324-36.
36. Marescaux J, Rubino F. The ZEUS robotic system: experimental and clinical applications. Surg Clin N Am 2003; (83): 1305-15.
37. Nathan CO, Chakradeo V, Malhotra K, et al. The voice-controlled robotic assist scope holder AESOP for the endoscopic approach to the sella. Skull Base 2006; 16 (3): 123-31.
38. Zhong F, Li P, Shi J, et al. Foot-controlled robot-enabled endoscope manipulator (FREEDOM) for sinus surgery: design, control, and evaluation. IEEE Trans Biomed Eng 2020; 67 (6): 1530-41.
39. Chan JY, Leung I, Navarro-Alarcon D, et al. Foot-controlled robotic-enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study. Laryngoscope 2016; 126(3): 566-9.
40. Fischer M, Grobner C, Dietz A, et al. Klinischer Einsatz eines Endoskop-Manipulator-Systems in der endo-und transnasalen Chirurgie [First clinical experiences with an endoscope manipulator system in endo- and transnasal surgery]. Laryngorhinootologie 2012; 91 (8): 487-93.
41. Boese A, Hundorf P, Arens C, et al. Setup and initial testing of an endoscope manipulator system for assistance in transoral endoscopic surgery. Biomed Tech (Berl) 2019; 64 (3): 347-56.
42. Shin W, Ко S, Kwon D. Design of a dexterous and compact laparoscopic assistant robot. SICE-ICASE International Joint Conference 2006. Bexco, 2006: p. 233-7.
43. Navarro-Alarcon D. Development and control of assistive surgical robots. In: APAC Innovation Summit 2015, Series Robotics. Hong Kong, 2015: p. 1-33.
44. Nimsky Ch, Rachinger J, Iro H, Fahlbusch R. Adaptation of a hexapod-based robotic system for extended endoscope-assisted transsphenoidal skull base surgery. Minim Invasive Neurosurg 2004; 47 (1): 41-6.
45. Wurm J, Bumm K, Steinhart H, et al. Development of an active robot system for multi-modal paranasal sinus surgery. HNO 2005; 53 (5): 446-54.
46. Strauss G, Hofer M, Fischer M, et al. First clinical application of a navigation-controlled shaver in paranasal sinus surgery. Surg Technol Int 2008; (17): 19-25.
47. Xia T, Baird C, Jallo G, et al. An integrated system for planning, navigation and robotic assistance for skull base surgery. The Int J of Med Robot and Comp assisted surgery 2008; 4 (4): 321-30.
48. Eichhorn KW, Bootz F. Clinical requirements and possible applications of robot assisted endoscopy in skull base and sinus surgery. Acta Neurochir Supp 2011; (109): 237-40.

2021_03_415-421.pdf304.49 KB

No votes yet