Robotics in gastrointestinal endoscopy

Abstract

The application of robotics in gastrointestinal endoscopy is a much anticipated technological advancement that is attracting an enormous amount of interest from innovators and end-users alike. Emerging robotics-enhanced endoscopy platforms for performance of various endoscopic interventional procedures are already in development and some are expected to be in the pipeline for commercialization in another few years’ time. In particular, the Master And Slave Transluminal Endoscopic Robot (MASTER) developed by a collaboration between the National University of Singapore and the Nanyang Technological University, Singapore is already in human trials for an endoluminal procedure, endoscopic submucosal dissection (ESD). The results on trials performed on five patients with early gastric neoplasia have demonstrated the feasibility and safety of using the system for such procedure, while also shortening the procedure time. This article will highlight the advantages of robotics innovations in gastrointestinal endoscopy, with the MASTER as an example, and explore some of the many possibilities for future applications of robotics-enhanced endoscopy.

Key words

Endoscopic submucosal dissection - master and slave transluminal endoscopic robot - MASTER - natural orifice transluminal endoscopic surgery

• References

• 1 Ho KY, Phee SJ, Shabbir A, Low SC, Huynh VA, Kencana AP, et al. Endoscopic submucosal dissection of gastric lesions using a Master and Slave Transluminal Endoscopic Robot (MASTER). Gastrointest Endosc 2010;72:593-9.
• 2 Wang Z, Phee SJ, Lomanto D, Goel R, Rebala P, Sun ZL et al. Endoscopic submucosal dissection of gastric lesions by using a Master and Slave Transluminal Endoscopic Robot (MASTER): an animal survival study. Endoscopy 2012. [In press].
• 3 Phee SJ, Low SC, Sun ZL, Ho KY, Huang WM, Thant ZM. Robotic system for no-scar gastrointestinal surgery. Int J Med Robot 2008;4:15-22.
• 4 Sun Z, Ang RY, Lim EW, Wang Z, Ho KY, Phee SJ. Enhancement of a master-slave robotic system for natural orifice transluminal endoscopic surgery. Ann Acad Med Singapore 2011;40:223-8.
• 5 Phee SJ, Ho KY, Low SC, Huynh VA, Kencana AP, Yang K, et al. Natural orifice transgastric endoscopic segmental hepatectomy using an intuitively controlled Master And Slave Transluminal Endoscopic Robot (MASTER). Surg Endosc 2010;24:2293-8.