  Robot-assisted laparoscopic prostatectomy (RALP) is a treatment for prostate
cancer that involves complete or nerve sparing removal prostate tissue that
contains cancer. After removal the bladder neck is successively sutured
directly with the urethra. The procedure is called urethrovesical anastomosis
and is one of the most dexterity demanding tasks during RALP. Two suturing
instruments and a pair of needles are used in combination to perform a running
stitch during urethrovesical anastomosis. While robotic instruments provide
enhanced dexterity to perform the anastomosis, it is still highly challenging
and difficult to learn. In this paper, we presents a vision-guided needle
grasping method for automatically grasping the needle that has been inserted
into the patient prior to anastomosis. We aim to automatically grasp the
suturing needle in a position that avoids hand-offs and immediately enables the
start of suturing. The full grasping process can be broken down into: a needle
detection algorithm; an approach phase where the surgical tool moves closer to
the needle based on visual feedback; and a grasping phase through path planning
based on observed surgical practice. Our experimental results show examples of
successful autonomous grasping that has the potential to simplify and decrease
the operational time in RALP by assisting a small component of urethrovesical
anastomosis.
