J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2440KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 105(12): 763-766, 2004

Series for members

ROBOTIC SURGERY IN NEUROSURGICAL FIELD

1) Division of Advanced Biomedical Engineering & Science, Graduate School of Medicine, Institute of Advanced Biomedical Engineering & Science, Tokyo Women's Medical University
2) Dept. of Neurosurgery, Tokyo Women's Medical University
3) Hitachi, Ltd.
4) Terumo Corporation

Hiroshi Iseki1)2), Yoshihiro Muragaki1), Ryoichi Nakamura1), Kouji Nishizawa1)3), Shigeru Omori1)4), Motohiro Hayashi1)2), Tomokatsu Hori2), Kintomo Takakura1)

Computer-aided surgery commenced in the late 1980s when computer was clinically used for diagnosis and surgical planning. Since then the computer has been used in a surgical navigation system. In the early 1990s a robotic surgery using intelligent manipulator as surgeon's new hands took place. Nowadays intraoperative diagnostic imaging as surgeon's new eyes has become ubiquitous. Diagnosis, surgical planning, and navigation are required to be real-timely performed intraoperatively. The time has really come to concurrently diagnose and treat, in which technology visualizing intraoperative medical information and minimally invasive surgery are fused. For that it is necessary to develop a system that real-timely updates information for decision making, and at the same time to present the timely, optimum treatment to be done according to the results of instant evaluation of ongoing treatment. To realize and support above system it is essential to combine a sensor which can precisely distinguishes a focal area from a normal tissue intraoperatively, and a manipulator which participates the treatment. In addition, the manipulator should be accurately controlled using a computer (computer-aided manipulation) according to the surgical plan made by a method aided by a computer (commputer-aided design) based on intraoperatively acquired information. It is about to change quality of life to quality of treatment.

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