S1240-Unit 2-Minimally Invasive Surgery
(MIS) Exam With Complete Solutions
Minimally invasive surgery - ANSWER Access to the surgical site through
tiny incisions using specialized tools while minimizing damage to
surrounding tissues
-Minimize surgical stressors and negative effects on patient
-maximize desired results related to surgery
-increased speed of recovery
-reduces complications
-increases productivity of hospital staff
-reduces long term expense of surgery - ANSWER advantages of MIS:
-May be more expensive and less effective
-loss of surgical freedom of movement
-first hand view of tissue is unavailable
-reliance on expensive equipment - ANSWER Drawbacks of MIS
excisional and ablative
reconstructive - ANSWER ___and ___ procedures are more easily adapted
to MIS and __ procedures are less suited to robotics
excisional procedure - ANSWER involves removal of a structure
ablative procedure - ANSWER involves removal of or distruction of tissue
reconstructive procedure - ANSWER involves the joining or connection of
structures
,High volume procedure - ANSWER Lap chole is an example of __ with
600,000/ year in 2010
Digital data collection - ANSWER -2d or 3d scans of the patient are
presented to the surgeon for review prior to, during and after surgery
-Conversion of lab tests, patient history to digital format
Digital Manipulation (computer aided review and navigation) - ANSWER -
Potential to review organ from multiple angles without damage to the
patient
-Multiple overlays to convey complex information to prepare surgeon and
operating staff
-Can be used to assist in surgical navigation
Low volume - ANSWER congenital defect surgery is an example of __ with
35,000/ year in 2009
Simulation - ANSWER the use of computerized models to simulate tissue
and allow a surgeon to perform "virtual surgery"
-tissue modeling
-catheter and needle synchronization
-surgical assistance and procedure
real time relay of information - ANSWER image guided surgery provides
internal surgical data not visible to surgical staff
micro-dexterity - ANSWER introduction to technology specific tasks that
require a greater degree of precision that is humanly possible
scaling - ANSWER the ability to relay a movement by the surgeon at
microscopic and often adjustable ratios so that it is appropriate to the size
of the surgical tool and the delicacy of the surgical procedure
telesurgery - ANSWER the surgeon is in direct control of the robotic
system, the control is exerted from a distance
telecommunication - ANSWER data from the internet and teleconferencing
allows multiple surgeons to have an input on a single surgery
, telepresence - ANSWER a surgeon who is not present at the site can
participate in surgical procedures
telechir - ANSWER a handlike manipulator on a remotely controlled robot
Robot - ANSWER a programmable manipulating machine that performs a
specific task or series of tasks. comprised of mechanical systems,
manipulators, links and joints that respond to a controller through
mechanical or electrical means
Inhospitable or hazardous environments (Robot vs Human) - ANSWER
extremely contagious diseases; mining accidents; military or war zones;
radioactive material.
Minimal access; remote or microscopic environments (robot vs human) -
ANSWER Head and neck surgery; telesurgery; microsurgery
Extremely demanding tasks that may incur high levels of fatigue -
ANSWER Laparoscopic surgery; cardiovascular surgery; brain surgery
Advantages of Robotic Surgery; Precision - ANSWER Ability to limit
movement to microns
Advantages of Robotic Surgery; PT safety - ANSWER Ability for less
invasive, more accurate procedures minimizing patient risk
Advantages of Robotic Surgery; reliability - ANSWER Ability to perform
without illness or loss of concentration, early or late without tiring
Advantages of Robotic Surgery; repeatability - ANSWER Ability to perform
tasks again and again with precision
Advantages of Robotic Surgery; efficiency - ANSWER Responsive to
surgeon's direction in performing routine tasks
Advantages of Robotic Surgery; miniaturization - ANSWER Sizing of tools
down to microscopic levels
Advantages of Robotic Surgery; scaling - ANSWER Response to surgeon's
movement by a greater than 10:1 ratio
(MIS) Exam With Complete Solutions
Minimally invasive surgery - ANSWER Access to the surgical site through
tiny incisions using specialized tools while minimizing damage to
surrounding tissues
-Minimize surgical stressors and negative effects on patient
-maximize desired results related to surgery
-increased speed of recovery
-reduces complications
-increases productivity of hospital staff
-reduces long term expense of surgery - ANSWER advantages of MIS:
-May be more expensive and less effective
-loss of surgical freedom of movement
-first hand view of tissue is unavailable
-reliance on expensive equipment - ANSWER Drawbacks of MIS
excisional and ablative
reconstructive - ANSWER ___and ___ procedures are more easily adapted
to MIS and __ procedures are less suited to robotics
excisional procedure - ANSWER involves removal of a structure
ablative procedure - ANSWER involves removal of or distruction of tissue
reconstructive procedure - ANSWER involves the joining or connection of
structures
,High volume procedure - ANSWER Lap chole is an example of __ with
600,000/ year in 2010
Digital data collection - ANSWER -2d or 3d scans of the patient are
presented to the surgeon for review prior to, during and after surgery
-Conversion of lab tests, patient history to digital format
Digital Manipulation (computer aided review and navigation) - ANSWER -
Potential to review organ from multiple angles without damage to the
patient
-Multiple overlays to convey complex information to prepare surgeon and
operating staff
-Can be used to assist in surgical navigation
Low volume - ANSWER congenital defect surgery is an example of __ with
35,000/ year in 2009
Simulation - ANSWER the use of computerized models to simulate tissue
and allow a surgeon to perform "virtual surgery"
-tissue modeling
-catheter and needle synchronization
-surgical assistance and procedure
real time relay of information - ANSWER image guided surgery provides
internal surgical data not visible to surgical staff
micro-dexterity - ANSWER introduction to technology specific tasks that
require a greater degree of precision that is humanly possible
scaling - ANSWER the ability to relay a movement by the surgeon at
microscopic and often adjustable ratios so that it is appropriate to the size
of the surgical tool and the delicacy of the surgical procedure
telesurgery - ANSWER the surgeon is in direct control of the robotic
system, the control is exerted from a distance
telecommunication - ANSWER data from the internet and teleconferencing
allows multiple surgeons to have an input on a single surgery
, telepresence - ANSWER a surgeon who is not present at the site can
participate in surgical procedures
telechir - ANSWER a handlike manipulator on a remotely controlled robot
Robot - ANSWER a programmable manipulating machine that performs a
specific task or series of tasks. comprised of mechanical systems,
manipulators, links and joints that respond to a controller through
mechanical or electrical means
Inhospitable or hazardous environments (Robot vs Human) - ANSWER
extremely contagious diseases; mining accidents; military or war zones;
radioactive material.
Minimal access; remote or microscopic environments (robot vs human) -
ANSWER Head and neck surgery; telesurgery; microsurgery
Extremely demanding tasks that may incur high levels of fatigue -
ANSWER Laparoscopic surgery; cardiovascular surgery; brain surgery
Advantages of Robotic Surgery; Precision - ANSWER Ability to limit
movement to microns
Advantages of Robotic Surgery; PT safety - ANSWER Ability for less
invasive, more accurate procedures minimizing patient risk
Advantages of Robotic Surgery; reliability - ANSWER Ability to perform
without illness or loss of concentration, early or late without tiring
Advantages of Robotic Surgery; repeatability - ANSWER Ability to perform
tasks again and again with precision
Advantages of Robotic Surgery; efficiency - ANSWER Responsive to
surgeon's direction in performing routine tasks
Advantages of Robotic Surgery; miniaturization - ANSWER Sizing of tools
down to microscopic levels
Advantages of Robotic Surgery; scaling - ANSWER Response to surgeon's
movement by a greater than 10:1 ratio
