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Diagnostics
Special Issues
Robotic Endoscopy: Clinical Impacts and Innovation
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Robotic Endoscopy: Clinical Impacts and Innovation

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Optical Diagnostics".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 3412

Special Issue Editor

Prof. Dr. Khek Yu Ho

E-Mail Website
Guest Editor
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, 119228 Singapore, Singapore
Interests: innovative endoscopic technology; Barrett’s esophagus; endoscopic robot; stem cells; obesity

Special Issue Information

Dear Colleagues, 

Performing complex diagnostic and therapeutic procedures using conventional endoscopic instruments is challenging as they lack high degrees of freedom. Consequently, triangulation cannot be achieved, and tissue retraction and exposure during dissection become suboptimal. A robotic endoscope mitigates these problems as its end effectors allow a proceduralist to perform procedures as a two-armed surgeon, easily achieving adequate tissue retraction and optimal exposure of the operating field. Currently, a robotic endoscope can effectively perform endoscopic submucosal dissection and endoscopic suturing. In the future, the development of novel clinical applications will help drive the adoption and further innovation of robotic endoscopes, making them a mainstream platform technology. In this Special Issue, we open a discussion and welcome original articles, reviews, and reports looking into new technologies, emerging service modalities, and ideas on technology adoption and the overall current and future impact of the pandemic on robotic endoscopy practices.

Prof. Dr. Khek Yu Ho
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • robotic endoscopy
  • diagnosis
  • biopsy
  • endoscopic submucosal dissection
  • endoscopic suturing

Published Papers (2 papers)

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Review

15 pages, 1852 KiB  
Review
Robotic Platforms for Therapeutic Flexible Endoscopy: A Literature Review
by Naoya Tada and Kazuki Sumiyama
Diagnostics 2024, 14(6), 595; https://doi.org/10.3390/diagnostics14060595 - 11 Mar 2024
Cited by 1 | Viewed by 1103
Abstract
Flexible endoscopy, initially developed for diagnosis and tissue sampling, has been adapted for therapeutic interventions, leading to the emergence of natural orifice transluminal endoscopic surgery (NOTES) in the 2000s. The need for a triangulation function to enhance the intuitiveness and safety of NOTES [...] Read more.
Flexible endoscopy, initially developed for diagnosis and tissue sampling, has been adapted for therapeutic interventions, leading to the emergence of natural orifice transluminal endoscopic surgery (NOTES) in the 2000s. The need for a triangulation function to enhance the intuitiveness and safety of NOTES has prompted the development of dual-arm, flexible endoscopic robotic platforms. Although the global interest in NOTES has decreased in the last decade, no-scar surgery concepts are still being applied to other complex endoluminal interventions, such as endoscopic submucosal dissection (ESD) and endoscopic full-thickness resection (EFTR), with ongoing research and development. The application of robotics in flexible endoscopy may facilitate the standardization of these procedures and expedite their global spread. Various robotic platforms have been developed and tested in the preclinical and clinical settings to demonstrate their efficacy and safety. In this article, we review the publications on technology and elucidate their advantages and existing challenges. Full article
(This article belongs to the Special Issue Robotic Endoscopy: Clinical Impacts and Innovation)
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15 pages, 4138 KiB  
Review
Robotic-Assisted Bronchoscopy: A Comprehensive Review of System Functions and Analysis of Outcome Data
by Renan Martins Gomes Prado, Joseph Cicenia and Francisco Aécio Almeida
Diagnostics 2024, 14(4), 399; https://doi.org/10.3390/diagnostics14040399 - 12 Feb 2024
Viewed by 1485
Abstract
The past two decades have witnessed a revolutionary era for peripheral bronchoscopy. Though the initial description of radial endobronchial ultrasound can be traced back to 1992, it was not until the mid-2000s that its utilization became commonplace, primarily due to the introduction of [...] Read more.
The past two decades have witnessed a revolutionary era for peripheral bronchoscopy. Though the initial description of radial endobronchial ultrasound can be traced back to 1992, it was not until the mid-2000s that its utilization became commonplace, primarily due to the introduction of electromagnetic navigation (EMN) bronchoscopy. While the diagnostic yield of EMN-assisted sampling has shown substantial improvement over historical fluoroscopy-assisted bronchoscopic biopsy, its diagnostic yield plateaued at around 70%. Factors contributing to this relatively low diagnostic yield include discrepancies in computed tomography to body divergence, which led to unsuccessful lesion localization and resultant unsuccessful sampling of the lesion. Furthermore, much of peripheral bronchoscopy utilized a plastic extended working channel whose tips were difficult to finely aim at potential targets. However, the recent introduction of robotic-assisted bronchoscopy, and its associated stability within the peripheral lung, has ignited optimism for its potential to significantly enhance the diagnostic performance for peripheral lesions. Moreover, some envision this technology eventually playing a pivotal role in the therapeutic delivery to lung tumors. This review aims to describe the currently available robotic-assisted bronchoscopy technologies and to discuss the existing scientific evidence supporting these. Full article
(This article belongs to the Special Issue Robotic Endoscopy: Clinical Impacts and Innovation)
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