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The evolution of robotic surgery: surgical and anaesthetic aspects.

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Title: The evolution of robotic surgery: surgical and anaesthetic aspects.
Authors: Ashrafian, H
Clancy, O
Grover, V
Darzi, A
Item Type: Journal Article
Abstract: Robotic surgery pushes the frontiers of innovation in healthcare technology towards improved clinical outcomes. We discuss the evolution to five generations of robotic surgical platforms including stereotactic, endoscopic, bioinspired, microbots on the millimetre scale, and the future development of autonomous systems. We examine the challenges, obstacles and limitations of robotic surgery and its future potential including integrated real-time anatomical and immune-histological imaging and data assimilation with improved visualisation, haptic feedback and robot-surgeon interactivity. We consider current evidence, cost-effectiveness and the learning curve in relation to the surgical and anaesthetic journey, and what is required to continue to realise improvements in surgical operative care. The innovative impact of this technology holds the potential to achieve transformative clinical improvements. However, despite over 30 yr of incremental advances it remains formative in its innovative disruption.
Issue Date: 1-Dec-2017
Date of Acceptance: 17-Nov-2017
URI: http://hdl.handle.net/10044/1/54709
DOI: https://dx.doi.org/10.1093/bja/aex383
ISSN: 1471-6771
Publisher: Oxford University Press (OUP)
Start Page: i72
End Page: i84
Journal / Book Title: British Journal of Anaesthesia
Volume: 119
Issue: suppl_1
Copyright Statement: This is a pre-copyedited, author-produced PDF of an article accepted for publication in British Journal of Anaesthesia following peer review. The version of record BJA: British Journal of Anaesthesia, Volume 119, Issue suppl_1, 1 December 2017, Pages i72–i84, https://doi.org/10.1093/bja/aex383 is available online at: https://dx.doi.org/10.1093/bja/aex383
Keywords: anesthesiology
robotic surgical procedures
surgery, computer-assisted
video-assisted surgery
1103 Clinical Sciences
Anesthesiology
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation