A Novel Manual Training Platform for Single-Port Laparoscopic Surgery

Abstract

Single-port minimally invasive surgery requires only a single incision, which further reduced intraoperative bleeding, reduced postoperative pain, and improved cosmetic benefits. However, the cooperative operation of multiple surgical instruments and forming an effective workspace under a single micro-incision remain a great challenge. This paper proposes a new type of manual training platform for single-port minimally invasive surgery. The designed surgical instrument imitates the structure of a human arm. The proximal end of the instrument is deployable structures (such as shoulder joint and elbow joint); they form an operating space and provide stable support for the instrument after deployed. In addition, the distal end of the instrument is a flexible instrument (such as a human hand), to realize posture adjustment and perform surgical operations. The surgical instrument implements a series of synergistic movements from placement, deployment, adjustment, and recovery. In addition, the platform includes a retightening force adjusting mechanism for the tendon-driven method and a quick-change mechanism for surgical instruments. A series of experiments on a functional prototype have validated the effectiveness and reliability of the designed platform. It can be convenient for doctors to practice master–slave single-port surgical instruments in a variety of environments.