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Research

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Research

Modern medical research is not concentrated on a single discipline. The interdisciplinary approach was shown to provide many benefits involved in dealing with currently prevalent medical issues and rare diseases alike. Besides the pharmaceutical and surgical research, a number of different branches of science and the industry have joined the business of finding better ways to heal people.

The most cutting edge research of today has to do with finding new and better ways to implement computer science into the field of surgery. Government agencies, the military and defense industry, universities, hospital research centers, independent research labs and non-profits are all looking into new breakthroughs in the fields of artificial intelligence and robotics in order to improve upon existing treatments.  Research is also performed with the aim of developing mathematical algorithms that will allow quantification and assessment of surgical skills.

English
Robotic Training Lab
Robotic Training Lab
Further experiments are being performed attempting to use the API and mathematical alogrithms to allow a quantification of surgical skill.
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Minimally Invasive Training Laboratory at St. Luke's Hospital
Minimally Invasive Training Laboratory at St. Luke's Hospital
An artistic shot of an operator in preparation for a research experiment. Extensive work into imaging modalities is performed in the SLR Research Lab.
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Picture in Picture instead of Overlay for Fluoroscopy
Picture in Picture instead of Overlay for Fluoroscopy
Limitations discovered during attempts at real-time visual overlay lead to a simple hybrid technique allowing input from multiple sources to be fed directly to the surgical console. A cholangiogram is demonstrated
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Image Quadsplitter used for Stereopsis Analysis
Image Quadsplitter used for Stereopsis Analysis
The robotic system allows a true three dimensional view of the minimally invasive operating field. These experiments performed in collaboration with the Columbia Machine Learning Laboratory demonstrated some of the limitations of further miniaturization.
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Endoscope Set-up with Early daVinci System
Endoscope Set-up with Early daVinci System
Although the mechanics seem rudimentary- these experiments demonstrated limitations with perspective lost using a scope with a different point of view other than that used during a typical robotic case.
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Orientation Difficulties during Intragastric Robotic Surgery
Orientation Difficulties during Intragastric Robotic Surgery
Another shot of the transgastric robotic instruments- Visualization and orientation was extremely difficult secondary to the third-party scope as well as the frequent intracorporeal collisions that also resulted in rotation of the viewing plane.
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Robotic Training for Early TECAB
Robotic Training for Early TECAB
A bench model demonstrates the Da Vinci system being used for the inital feasibility of the TECAB model.
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Cleaning Endoscope During NOTES Laboratory
Cleaning Endoscope During NOTES Laboratory
Work on Robotic NOTES surgery is shown. The endoscope that was spliced into the machine is being cleaned between procedures.
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Endoscope with da Vinci
Endoscope with da Vinci
Use of the Da Vinci robot for intraorgan NOTES procedures are topics of interest for my laboratory. The original hook-up of an Olympus scope is demonstrated prior allowing callibration with the robotic system.
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 Early Attempts at Robotic Fluroscopic Overlay
Early Attempts at Robotic Fluroscopic Overlay
Limitations of fluoroscopic disparity are demonstrated in bench models attempting visual and radiographic
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Intragastric Robotic Surgery Model
Intragastric Robotic Surgery Model
Two transgastric graspers are shown in the top right of the picture. These initial experiments attempted a plication of the hiatus using an endoscope for visualization spliced into the Da Vinci Console.
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Pagination

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Gallbladder

The gallbladder concentrates and stores bile as a pear-shaped sac which it can release to help digestion after a fatty meal.

Duodenum

The duodenum is a C-shaped tube that receives food from the stomach and prepares it for chemical digestion further along in the intestines.

Omentum

The omentum is a fatty apron that serves a protective role and helps filter immune responses to gut bacteria.

Colon

The colon is a large tube that stores feces and also contains helpful bacteria that breaks down food that has not yet been absorbed.

Stomach

The stomach is a muscular sac that is important for absorbing food and preparing food for further digestion.

Intestine

The small intestine is a long tube where the majority of nutrients are absorbed.

Liver

The liver is a solid organ that produces bile for fat digestion and is also the first stop for the majority of absorbed nutrients.

Pancreas

The pancreas is a gland that produces chemicals for food break-down as well as a hormone system that regulates sugar.

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Scott Belsley, MD, FACS is a board-certified laparoscopic surgeon based in New York City

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