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Review
. 2019 Sep-Oct;25(5):272-276.
doi: 10.4103/sjg.SJG_12_19.

Endoscopic robotic suturing: The way forward

Hung Leng Kaan  1 , Khek Yu Ho  2
Affiliations
Review

Endoscopic robotic suturing: The way forward

Hung Leng Kaan et al. Saudi J Gastroenterol. 2019 Sep-Oct.

Abstract

Traditionally, suturing is performed in open surgery using a needle holder and forceps. The aim is to achieve accurate approximation of both edges of the wound and to tie a secure knot. With the development of laparoscopic surgery, traditional suturing methods have been adapted to meet the constraints of rigid laparoscopic instruments with limited degrees of freedom. The subsequent introduction of three-dimensional robotic suturing has since made intracorporeal suturing easier to learn, primarily because of its intuitiveness and the additional degree of freedom of the robotic wrists. With the increasing popularity of therapeutic endoscopic procedures for early gastrointestinal cancers, devices allowing for endoscopic suturing have since been developed. Nevertheless, these devices remain challenging to use as they require double-channel endoscopes and do not have the extra degree of freedom of robotic wrists. The introduction of robotics to the field of endoscopic suturing has proven to be promising. This review describes the development and adaptation of basic suturing techniques to various platforms, such as laparoscopic, robotic and endoscopic.

Keywords: Flexible endoscopy; robotics; suture techniques; therapeutic endoscopy.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Using the MASTER endoscopic platform to perform endoscopic submucosal dissection (ESD)
Figure 2
Figure 2
Endoscopic robotic suturing in a dry setting using a master and slave transluminal endoscopic robot
See this image and copyright information in PMC

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References

    1. Kenngott HG, Muller-Stich BP, Reiter MA, Rassweiler J, Gutt CN. Robotic suturing: Technique and benefit in advanced laparoscopic surgery. Minim Invasive Ther Allied Technol. 2008;17:160–7. - PubMed
    1. Miyahara K, Iwakiri R, Shimoda R, Sakata Y, Fujise T, Shiraishi R, et al. Perforation and postoperative bleeding of endoscopic submucosal dissection in gastric tumors: Analysis of 1190 lesions in low- and high-volume centers in Saga, Japan. Digestion. 2012;86:273–80. - PubMed
    1. Law R, Martin JA. Endoscopic stitching: Techniques and indications. Curr Opin Gastroenterol. 2014;30:457–62. - PubMed
    1. Bermas H, Fenoglio M, Huan W, Moore JT. Laparoscopic suturing and knot tying: A comparison of standard techniques to a mechanical assist device. JSLC. 2004;8:187–9. - PMC - PubMed
    1. Marecik SJ, Chaudhry V, Jan A, Pearl RK, Park JJ, Prasad LM. A comparison of robotic, laparoscopic, and hand-sewn intestinal sutured anastomoses performed by residents. Am J Surg. 2007;193:349–55. - PubMed
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