Urologic robots and future directions

TL;DR

This paper reviews current urologic robots and explores future development directions, emphasizing improvements in remote manipulation and image-guided systems to enhance safety, precision, and minimally invasive procedures.

Contribution

It provides a comprehensive overview of existing urologic robots and discusses future technological advancements and their potential impact on surgical outcomes.

Findings

Future systems will improve remote manipulation with augmented reality and haptic feedback.

Image-guided robots are nearing clinical use and show significant promise.

Robotics integration with imaging could enable previously impossible surgical tasks.

Abstract

PURPOSE OF REVIEW: Robot-assisted laparoscopic surgery in urology has gained immense popularity with the daVinci system, but a lot of research teams are working on new robots. The purpose of this study is to review current urologic robots and present future development directions. RECENT FINDINGS: Future systems are expected to advance in two directions: improvements of remote manipulation robots and developments of image-guided robots. SUMMARY: The final goal of robots is to allow safer and more homogeneous outcomes with less variability of surgeon performance, as well as new tools to perform tasks on the basis of medical transcutaneous imaging, in a less invasive way, at lower costs. It is expected that improvements for a remote system could be augmented in reality, with haptic feedback, size reduction, and development of new tools for natural orifice translumenal endoscopic surgery. The paradigm of image-guided robots is close to clinical availability and the most advanced robots are presented with end-user technical assessments. It is also notable that the potential of robots lies much further ahead than the accomplishments of the daVinci system. The integration of imaging with robotics holds a substantial promise, because this can accomplish tasks otherwise impossible. Image-guided robots have the potential to offer a paradigm shift.