A study on the dexterity of surgical robotic tools in a highly immersive virtual environment: assessing usability and efficacy

Robot-assisted minimally invasive surgery (RAMIS) has produced noticeable benefits for patients in the recent years [1], making it a favorable approach for a wide range of surgeries. The benefits of improving the dexterity of patient side manipulators to enable surgeons to perform more complex tasks are offset by the increased complexity of teleoperation and cognitive and physical effort on the operator side typically. A right balance between higher dexterity and intuitive control in teleoperation is yet to be defined. In this study, a dexterous, anthropomorphic primary master controller was deployed to assess and compare the efficiency of simulated anthropomorphic surgical instruments in an immersive surgical concept. Virtual surgical training tasks were built using a gaming software engine (Unity) and performed using simulated surgical tools with extended degrees of freedom (DoF) in the surgical shaft and gripper and compared with the standard da Vinci (DV) grasper. The motion of the tools were controlled using commercial inertial measurement unit (IMU) sensor-based devices attached to the user's arms and hands. This article summarizes results obtained from three studies with similar features but different levels of complexity, taken with both lay users with no experience in surgery or teleoperation and surgeons experienced in RAMIS. The results showed that more than 70% of users achieved better results using articulated tools but required more physical and mental effort for teleoperation

Optical techniques for Rydberg physics in lattice geometries

We address the technical challenges when performing quantum information experiments with ultracold Rydberg atoms in lattice geometries. We discuss the following key aspects: (i) the coherent manipulation of atomic ground states, (ii) the coherent excitation of Rydberg states, and (iii) spatial addressing of individual lattice sites. We briefly review methods and solutions which have been successfully implemented, and give examples based on our experimental apparatus. This includes an optical phase-locked loop, an intensity and frequency stabilization setup for lasers, and a nematic liquid-crystal spatial light modulator

30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data

Background: There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. Materials and methods: This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. Results: In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07). Conclusions: This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts. © 2021, The Author(s)