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Chammas J, Sauer A, Pizzuto J, et al. Da Vinci Xi Robot-Assisted Penetrating Keratoplasty. Transl Vis Sci Technol. 2017;6(3):21doi: 10.1167/tvst.6.3.21.
Chammas, J., Sauer, A., Pizzuto, J., Pouthier, F., Gaucher, D., Marescaux, J., Mutter, D., & Bourcier, T. (2017). Da Vinci Xi Robot-Assisted Penetrating Keratoplasty. Translational vision science & technology, 6(3), 21. https://doi.org/10.1167/tvst.6.3.21
Chammas, Jimmy, et al. "Da Vinci Xi Robot-Assisted Penetrating Keratoplasty." Translational vision science & technology vol. 6,3 (2017): 21. doi: https://doi.org/10.1167/tvst.6.3.21
Chammas J, Sauer A, Pizzuto J, Pouthier F, Gaucher D, Marescaux J, Mutter D, Bourcier T. Da Vinci Xi Robot-Assisted Penetrating Keratoplasty. Transl Vis Sci Technol. 2017 Jun 20;6(3):21. doi: 10.1167/tvst.6.3.21. eCollection 2017 Jun. PMID: 28660096; PMCID: PMC5482186.
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Transl Vis Sci Technol. 2017 Jun 20;6(3):21. doi: 10.1167/tvst.6.3.21. eCollection 2017 Jun.

Da Vinci Xi Robot-Assisted Penetrating Keratoplasty.

Translational vision science & technology

Jimmy Chammas, Arnaud Sauer, Joëlle Pizzuto, Fabienne Pouthier, David Gaucher, Jacques Marescaux, Didier Mutter, Tristan Bourcier

Affiliations

  1. Department of Ophthalmology, New Civil Hospital, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France.
  2. EA7290, FMTS, University of Strasbourg, Strasbourg, France.
  3. Cornea Bank, EFS Bourgogne Franche-Comté, Besancon, France.
  4. IHU, Institute of Image-Guided Surgery, FMTS, University of Strasbourg, Strasbourg, France.
  5. IRCAD, European Institute of Telesurgery, Strasbourg, France.
  6. Department of Digestive and Robotic Surgery, New Civil Hospital, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France.

PMID: 28660096 PMCID: PMC5482186 DOI: 10.1167/tvst.6.3.21

Abstract

PURPOSE: This study aims (1) to investigate the feasibility of robot-assisted penetrating keratoplasty (PK) using the new Da Vinci Xi Surgical System and (2) to report what we believe to be the first use of this system in experimental eye surgery.

METHODS: Robot-assisted PK procedures were performed on human corneal transplants using the Da Vinci Xi Surgical System. After an 8-mm corneal trephination, four interrupted sutures and one 10.0 monofilament running suture were made. For each procedure, duration and successful completion of the surgery as well as any unexpected events were assessed. The depth of the corneal sutures was checked postoperatively using spectral-domain optical coherence tomography (SD-OCT).

RESULTS: Robot-assisted PK was successfully performed on 12 corneas. The Da Vinci Xi Surgical System provided the necessary dexterity to perform the different steps of surgery. The mean duration of the procedures was 43.4 ± 8.9 minutes (range: 28.5-61.1 minutes). There were no unexpected intraoperative events. SD-OCT confirmed that the sutures were placed at the appropriate depth.

CONCLUSIONS: We confirm the feasibility of robot-assisted PK with the new Da Vinci Surgical System and report the first use of the Xi model in experimental eye surgery. Operative time of robot-assisted PK surgery is now close to that of conventional manual surgery due to both improvement of the optical system and the presence of microsurgical instruments.

TRANSLATIONAL RELEVANCE: Experimentations will allow the advantages of robot-assisted microsurgery to be identified while underlining the improvements and innovations necessary for clinical use.

Keywords: cornea; graft; keratoplasty; robot; surgery

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