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Open Access Technical advance

Novel application of simultaneous multi-image display during complex robotic abdominal procedures

Yanghee Woo1, Gi Hong Choi23, Byung Soh Min23 and Woo Jin Hyung23*

Author Affiliations

1 Department of Surgery, College of Physicians and Surgeons, Columbia University, New York NY, USA

2 Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul 120-752, Republic of Korea

3 Robot and MIS Center, Yonsei University College of Medicine, Seoul, Korea

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BMC Surgery 2014, 14:13  doi:10.1186/1471-2482-14-13

Published: 15 March 2014



The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant’s monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations.

All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center.


The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations.


We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

Multi-image display; Intraoperative endoscopy; Robotic surgery; Minimally invasive surgery