chapter  29
Applications of robotics in head and neck practice
ByChris Holsinger, Chafeek Tomeh, Eric M. Genden
Pages 10

Currently, the daVinci® Surgical System (Intuitive Surgical Inc., Sunnyvale, CA) is the most popular platform for robotic surgery. It consists of three parts: a ‘patient-side’ cart deploys surgical instruments placed by the surgeon within the patient’s body including a binocular 12 mm endoscope with dual zero or thirty degree optics, and a ‘surgeon’s console’ which is remotely placed where three-dimensional surgical anatomy is recreated and linked to instruments in a virtual environment. The surgeon’s console consists of a three-dimensional display, a seat for the surgeon, foot pedals to control cautery and other instruments, and hand controls linked to instruments placed in the operative eld. The three-dimensional display affords the surgeon unprecedented perspective and visualization of surgical anatomy along with the ability to operate with 540 degrees of wristed instrumentation at zero or thirty degree angles. Motion scaling increases precision by eliminating tremor and fatigue while also reducing greater hand movements. The ‘vision cart’ houses the video processor and screens to project the procedure, primarily used by the operating assistant and the other observers.