%0 Journal Article
%T Clinical efficacy and performance evaluation of a bendable remote robot system for a bone tumour surgery: A pilot animal study.
%A Kim S
%A Shin D
%A Lee C
%A Yu D
%A Cho J
%A Bang H
%A Lee H
%A Kim D
%A Park I
%A Hong J
%A Joung S
%J Int J Med Robot
%V 20
%N 4
%D 2024 Aug
%M 38934235
%F 2.483
%R 10.1002/rcs.2653
%X <B>BACKGROUND: </B>Traditional open surgery for bone tumours sometimes has as a consequence an excessive removal of healthy bone tissue because of the limitations of rigid surgical instruments, increasing infection risk and recovery time.<BR><B>METHODS: </B>We propose a remote robot with a 4.5-mm diameter bendable end-effector, offering four degrees of freedom for accessing the inside of the bone and performing tumour debridement. The preclinical studies evaluated the effectiveness, clinical scenario, and usability across 12 total surgeries-six phantom surgeries and six bovine bone surgeries. Evaluation criteria included skin incision size, bone window size, surgical time, removal rate, and conversion to open surgery.<BR><B>RESULTS: </B>Preclinical studies demonstrated that the robotic approach requires significantly smaller incision size and procedure times than traditional open curettage.<BR><B>CONCLUSIONS: </B>This study validated the performance of the proposed system by assessing its preclinical effectiveness and optimising surgical methods using human phantom and bovine bone tumour models.