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Journal of Robotic Surgery

Mitchel S Hoffman, Philippe E Spiess
Urologic injury is an infrequent but serious complication of pelvic surgery. Training in the assessment and management of this injury might be enhanced through animated simulation. Our objective was to assess the intraoperative management of urologic injury with robotic pelvic surgery using a simulated injury animal model. We used a female domestic pig to create three types of urologic injury, which we then managed with robotically assisted surgery. An edited video of the model was assessed by 14 senior learners and 10 attending faculty...
July 16, 2018: Journal of Robotic Surgery
Nambiath Sujata, Raj Tobin, Ashwin Tamhankar, Gagan Gautam, Abdul Hamid Yatoo
Robot-assisted surgery can cause raised intracranial pressures (ICP) due to steep trendelenburg position and pneumoperitoneum. The choice of anesthetic agents can influence the ICP, which can be measured indirectly by correlating it with the sonographically measured optic nerve sheath diameter (ONSD). In this study, our primary aim was to compare the change from baseline of the ONSD during propofol versus sevoflurane-maintained anesthesia in patients undergoing robotic pelvic surgery. In this prospective, interventional, double-blinded study, we randomised 50 patients into two groups P and S...
July 13, 2018: Journal of Robotic Surgery
Alessandro Antonelli, Carlotta Palumbo, Alessandro Veccia, Simona Fisogni, Stefania Zamboni, Maria Furlan, Simone Francavilla, Marco Lattarulo, Enrico De Marzo, Giuseppe Mirabella, Angelo Peroni, Claudio Simeone
PURPOSE: Prospective randomized trial to compare standard vs delayed approach to dorsal vascular complex (s-DVC vs d-DVC) in robot-assisted radical prostatectomy (RARP). METHODS: Patients scheduled for RARP were randomized into a 1:1 ratio to receive either s-DVC or d-DVC by two experienced surgeons. In s-DVC arm an eight-shaped single stitch was given at the beginning of the procedure and the DVC was subsequently cut at time of apical dissection; in d-DVC arm the plexus was transected at the end of prostatectomy, prior to apex dissection and then sutured...
July 13, 2018: Journal of Robotic Surgery
Pooya Banapour, Peter Elliott, Ramzi Jabaji, Ashish Parekh, Apurba Pathak, Madhur Merchant, Kirk Tamaddon
Since its inception, robot-assisted radical prostatectomy (RARP) has developed into a familiar surgical modality with improved perioperative outcomes including decreased hospital stay for localized prostate cancer patients. Experience with outpatient RARP has been reported as early as 2010. In this study, we evaluate the safety and feasibility of outpatient RARP by comparing perioperative outcomes between patients undergoing outpatient RARP to patients discharged on the day following surgery. This is a single-institution retrospective cohort study...
July 13, 2018: Journal of Robotic Surgery
Chao-Ying Wu, Po-Da Chen, Chih-Yuan Lee, Jin-Tung Liang, Yao-Ming Wu
Despite the popularity of minimally invasive surgery (MIS) for hepatectomy, limitations in the approach of the right posterior section of the liver remain. Although skills and approach techniques have been developed for hepatectomy of lesions in the posterior segments of the liver, most are performed laparoscopically and are limited to few experienced hands using rigid laparoscopic instruments. In this study, we tried a different approach area via the aid of a flexible robotic system. Since 2012, we have successfully completed more than 200 robotic hepatectomy procedures in our institution...
July 11, 2018: Journal of Robotic Surgery
Stephanie G Worrell, Priya Dedhia, Catherine Gilbert, Chrystina James, Andrew C Chang, Jules Lin, Rishindra M Reddy
The use of the robotic platform is increasingly being utilized for lung resections. Our aim was to compare outcomes of thoracoscopic (VATS) versus robotic-assisted thoracoscopic (RATS) lobectomy early in a program's adoption of robotic surgery, including perioperative outcomes, cost, and long-term quality of life. A prospective database was retrospectively reviewed for all patients undergoing minimally invasive lobectomy by either VATS or RATS techniques from 2010 to 2012. Patients' operative, post-operative complications, cost (operating room and hospital) and quality of life were compared between the two resection techniques...
July 11, 2018: Journal of Robotic Surgery
Joel Cardenas-Goicoechea, Yu Wang, Susan McGorray, Mohammed D Saleem, Semiramis L Carbajal Mamani, Ariel F Pomputius, Merry-Jennifer Markham, Jacqueline C Castagno
The introduction of minimally invasive surgery in other gynecologic cancers has shown benefits with similar oncologic outcomes. However, the biology and complexity of surgery for ovarian cancer may preclude this approach for ovarian cancer patients. Our objective is to assess feasibility to achieve complete cytoreductive surgery after neoadjuvant chemotherapy for stage IIIC-IV ovarian cancer patients via minimally invasive surgery. Our data sources include PubMed, Embase, Scopus, Biosis,, and the Cochrane Library...
July 10, 2018: Journal of Robotic Surgery
Anne C Kane, Rohan R Walvekar, Jeffrey M Hotaling
Transoral robotic surgery (TORS) has become an increasingly popular option for early malignancies of the oropharynx. It offers superior visualization and has been proven to have acceptable functional and oncologic outcomes. Additionally, indications in head neck have expanded to manage tumors of the thyroid, neck, parapharyngeal space and salivary glands. A 58-year-old female had an incidental finding on CT imaging of a retropharyngeal mass at the level of the hyoid bone. She was referred to a tertiary medical center for further workup and removal of this mass...
July 9, 2018: Journal of Robotic Surgery
Benjamin Pradere, Benoit Peyronnet, Zine-Eddine Khene, Romain Mathieu, Gregory Verhoest, Karim Bensalah
Controversies have been raised and still exist regarding several technical aspects of robot-assisted partial nephrectomy (RAPN). While the "perfect RAPN" has still to be determined, we aimed to report a simplified technique of RAPN in a step-by-step fashion and the perioperative outcomes of a single-center series. A simplified technique of RAPN was developed, refined and standardized over the past 7 years in an academic department of urology to make it as safe and as reproducible as possible, the main goal being to make it an "easy to learn" technique for fellows...
July 7, 2018: Journal of Robotic Surgery
Ichiro Yoshimura, Hideaki Uchida, Akinori Nakayama, Katsuhiko Takatama, Toshio Yoshida
We aimed to describe a case series of robot-assisted bladder diverticulectomy followed by radical prostatectomy for prostate cancer in a single surgical procedure. Three cases of robot-assisted bladder diverticulectomy and radical prostatectomy were completed between 2013 and 2016. Charts of the three cases were reviewed and analyzed for perioperative and postoperative outcomes. All patients presented with lower urinary tract symptoms, and bladder diverticulum or diverticula was revealed after further evaluation of the patients...
July 7, 2018: Journal of Robotic Surgery
Murat Turhan, Asli Bostanci
Thyroglossal duct cysts (TDCs) are the most common congenital midline neck masses. Lingual TDC is a rare variant that emerges as an isolated cyst at the tongue base. Unlike conventional procedures aiming removal of cyst, duct, and hyoid bone via open surgical access, a transoral cystectomy is mostly sufficient in cases with lingual TDC. We present a case describing a 3-month-old infant patient with lingual TDC who was successfully treated with transoral robotic surgery. The cyst wall was completely excised with no complications or obvious bleeding occurred...
July 6, 2018: Journal of Robotic Surgery
James G Bittner Iv, Lawrence W Cesnik, Thomas Kirwan, Laurie Wolf, Dongjing Guo
Unfortunately, the online published article has errors in Table 2. The number "118.0" found under the column "L-IHR" and row "Time from IHR to resume activities" should be corrected to 18.0.
June 18, 2018: Journal of Robotic Surgery
Derrick J Sanderson, Rohnn Sanderson, Dana Cleason, Catherine Seaman, Ali Ghomi
Clinical practice has drastically changed following the 2014 U.S. Food and Drug Administration (FDA) warning statement regarding power morcellation during laparoscopic hysterectomy and myomectomy. Despite investigation into alternative tissue extraction techniques, there remain a paucity of data associated with contained manual morcellation techniques. The goal of this study was to investigate the associated perioperative outcomes of contained manual morcellation compared to power morcellation in women undergoing robotic myomectomy...
June 15, 2018: Journal of Robotic Surgery
Wadha Mubarak Alotaibi
Robotic technology has a promising future in surgical field. Robotic-assisted laparoscopy is a newly advance technology which is highly accepted by most of surgeons in various surgical procedures. As the pediatric surgeons adopt and master robotic technique, anesthesiologists familiarized themselves with this technique as well. Robotic surgery required a high-quality of perioperative anesthesia care that is essential for optimizing surgical outcome and patient safety. A retrospective analysis of robotic-assisted surgery for all children under age of 18 years from June 2004 to November 2013 at King Khalid University Hospital was conducted...
June 13, 2018: Journal of Robotic Surgery
Igor Sorokin, Jessica Nelson, Noah E Canvasser
No abstract text is available yet for this article.
June 12, 2018: Journal of Robotic Surgery
Raj Lalli, Neil Merritt, Christopher M Schlachta, Andreana Bütter
Solid pseudopapillary tumour is a rare carcinoma of the pancreas with low-grade malignant potential that typically presents in females in their third decade. The tumour most commonly occurs in the tail of the pancreas, although any site can be affected. Surgical resection is the standard treatment and offers an excellent prognosis. Robotic-assisted laparoscopic surgery is an emerging technique for the treatment of pancreatic neoplasms. We report a case of a 17-year-old female with acute onset abdominal pain who was found to have a mass in the distal pancreas...
June 8, 2018: Journal of Robotic Surgery
Jason F Flamiatos, Yiyi Chen, William E Lambert, Ann Martinez Acevedo, Thomas M Becker, Jasper C Bash, Christopher L Amling
The objectives of this study are to evaluate if robotic cystectomy demonstrates reduced complications, readmissions, and cost-to-patient compared to open approach 30-day post-operatively, and to identify predictors of complication, readmission, and cost-to-patient. This retrospective cohort study analyzed 249 patients who underwent open (n = 149) or robotic (n = 100) cystectomy from 2009 to 2015 at our institution. Outcomes included 30-day post-operative complication, readmission, and cost-to-patient charges...
June 8, 2018: Journal of Robotic Surgery
Tushar Aditya Narain, Ravimohan S Mavuduru, Aditya P Sharma, Girdhar S Bora, Sudheer K Devana, Shrawan K Singh, Arup K Mandal
The management of complex pelvic-ureteric junction obstruction (PUJO) is challenging. The traditional open surgical approach used large incisions with prolonged post-operative recovery. Laparoscopic reconstruction in complex PUJO requires surgical expertise and is challenging to master. Robotic assistance has provided a viable minimally invasive alternative replicating the open surgical approach for such complex cases. In the present study, we evaluated the feasibility and success of robot-assisted reconstructive procedures in such situations...
June 6, 2018: Journal of Robotic Surgery
Andrea Moglia
No abstract text is available yet for this article.
June 5, 2018: Journal of Robotic Surgery
Gaurav S Desai
No abstract text is available yet for this article.
June 4, 2018: Journal of Robotic Surgery
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