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Journal of Robotic Surgery

Mary E Hall, Rishindra M Reddy
No abstract text is available yet for this article.
October 15, 2016: Journal of Robotic Surgery
Luchen Wang, Mireya Diaz, Hans Stricker, James O Peabody, Mani Menon, Craig G Rogers
No abstract text is available yet for this article.
October 14, 2016: Journal of Robotic Surgery
Emily Cox, Ahmad Ghasemloonia, Steven C Nakoneshny, Kourosh Zareinia, Mark Hudon, John T Lysack, Garnette R Sutherland, Joseph C Dort
The majority of head and neck cancers arise from the oral cavity and oropharynx. Many of these lesions will be amenable to surgical resection using transoral approaches including transoral robotic surgery (TORS). To develop and control TORS tools, precise dimensions of the oral cavity and pharynx are desirable. CT angiograms of 76 patients were analyzed. For the oral cavity, only the maximum length and width were measured, while for the pharynx, the width, length, and areas of the airway were all measured and the volume calculated...
September 23, 2016: Journal of Robotic Surgery
Anthony S Bates, Vipul R Patel
Indocyanine green is a fluorescent molecule with wide ranging applications in minimally invasive urological surgery. This article explores the utility of ICG assisted intraoperative fluorescence in robotic urology.
September 23, 2016: Journal of Robotic Surgery
Danny Huynh, Alex Henderson, Tyler Haden, Alexander Jones, Naveen Pokala
Robot-assisted laparoscopic radical cystectomy (RALRC) is increasingly being performed for the treatment of muscle-invasive bladder cancer. There is increased tension while performing the ureteroileal anastomosis through a small incision. Patients are at risk to suffer wound and skin complications perioperatively due to possible contamination with bowel contents. The Alexis(®) retractor helps with retraction of small incisions potentially reducing tension and also reduces wound infection rates as reported in the colorectal literature...
September 17, 2016: Journal of Robotic Surgery
Hugo H Davila, Taryn Gallo, Lindsey Bruce, Christopher Landrey
The objective of this study was to evaluate our technique and steps of robotic and laparoendoscopic single-site utero-sacral ligament suspension in the treatment of patients with symptomatic apical vaginal prolapse. A retrospective analysis was done using the data in 2 community hospital. Eighteen women presented with vaginal apex prolapse and desired minimally invasive surgery (video): (a) Laparoendoscopic single-site utero-sacral ligament suspension (LESS-UTSLS) (n = 13) or (b) robotic-assisted single-site utero-sacral ligament suspension (RASS-UTSLS) (n = 5) were eligible to participate...
September 8, 2016: Journal of Robotic Surgery
L Luzzi, R Corzani, G Burali, L Ciampelli, M Ghisalberti, F Meniconi, A Astaneh, M R Baldi, P D'Onofrio, P G Ciabatti
Robot-assisted thymectomy and total transaxillary thyroidectomy represent two excellent therapeutic options for functional and oncological diseases of these two organs. We report the first case in literature of combined robot-assisted resection. The patient was positioned in supine position with the left arm raised cranially 90°-120° to expose the axillary area. After completing the thymectomy we rotated 30° counter-clockwise the robot for the second surgical time. This led to an optimization of disposable instruments and a gain in terms of hospitalization and postoperative recovery for the patient...
September 1, 2016: Journal of Robotic Surgery
Kevin Brown, Natalie Mosley, James Tierney
Virtual reality simulators are increasingly used to gain robotic surgical skills. This study compared use of the da Vinci Surgical Skills Simulator (dVSSS) to the standard da Vinci (SdV) robot for skills acquisition in a prospective randomized study. Residents from urology, gynecology, and general surgery programs performed three virtual reality tasks (thread the ring, ring rail, and tubes) on the dvSSS. Participants were then randomized to one of the two study groups (dVSSS and SdV). Each participant then practiced on either the dVSSS or the SdV (depending on randomization) for 30 min per week over a 4-week time period...
August 29, 2016: Journal of Robotic Surgery
So-Jin Shin, Hyewon Chung, Sang-Hoon Kwon, Soon-Do Cha, Chi-Heum Cho
To describe a simple and efficient technique for suturing the vaginal cuff in robotic-assisted single-site hysterectomy using barbed suture and a straight needle. Consecutive patients undergoing robotic-assisted single-site hysterectomy from February 2014 to August 2015 at Dong San Hospital, Keimyung University were included. Surgeons used two barbed sutures in a running fashion to close the vaginal cuff. A barbed suture was exclusively used with a straightened needle in upward direction from posterior vaginal cuff to anterior vaginal cuff which played a pivotal role for closure...
August 23, 2016: Journal of Robotic Surgery
S S Goonewardene, D Cahill
The da Vinci Xi robot has been introduced as the successor to the Si platform. The promise of the Xi is to open the door to new surgical procedures. For robotic-assisted radical prostatectomy (RARP)/pelvic surgery, the potential is better vision and longer instruments. How has the Xi impacted on operative and pathological parameters as indicators of surgical performance? This is a comparison of an initial series of 42 RARPs with the Xi system in 2015 with a series using the Si system immediately before Xi uptake in the same calendar year, and an Si series by the same surgeon synchronously as the Xi series using operative time, blood loss, and positive margins as surrogates of surgical performance...
August 19, 2016: Journal of Robotic Surgery
Pier Cristoforo Giulianotti, Despoina Daskalaki, Luis F Gonzalez-Ciccarelli, Francesco M Bianco
BACKGROUND: We describe our experience with what is, to our knowledge, the first case of robotic assisted ex vivo partial splenectomy with auto-transplantation for a benign non parasitic cyst. MATERIALS AND METHODS: The patient is a 32 year-old female with a giant, benign splenic cyst causing persistent abdominal pain. Preoperative imaging showed a cystic lesion measuring 8.3 × 7.6 cm, in the middle portion of the spleen. Due to the central location of the bulky lesion a partial splenectomy was not feasible...
August 11, 2016: Journal of Robotic Surgery
Girdhar S Bora, Pankaj Panwar, Ravimohan S Mavuduru, Sudheer K Devana, Shrawan K Singh, Arup K Mandal
Post chemotherapy residual masses are considered extremely challenging to remove even by the most experienced laparoscopic surgeons. Robotic technology has added a new dimension to the management of such cases and has lessened the fear and discomfort associated with such challenging surgery but is still evolving. We present our experience of management of post chemotherapy residual mass with robotic assistance along with tips and tricks required to perform such procedure.
August 8, 2016: Journal of Robotic Surgery
Kentaro Mizuno, Yoshiyuki Kojima, Satoshi Kurokawa, Hideyuki Kamisawa, Hidenori Nishio, Yoshinobu Moritoki, Akihiro Nakane, Tetsuji Maruyama, Atsushi Okada, Noriyasu Kawai, Keiichi Tozawa, Kenjiro Kohri, Takahiro Yasui, Yutaro Hayashi
Robotic-assisted procedures are gaining traction as a viable form of minimally invasive surgery in the field of reconstructive surgery. In this article, the aim is to present our initial experience and clinical outcomes of robot-assisted laparoscopic pyeloplasty (RAL-P). We performed RAL-P in 22 patients for the management of ureteropelvic junction obstruction between December 2012 and August 2015. The da Vinci® S surgical system was utilized for all cases. All procedures were performed via a transperitoneal approach...
August 6, 2016: Journal of Robotic Surgery
Michael N Wilkinson, Orfhlaith E O'Sullivan, Barry A O'Reilly
Robotic surgery is proving essential in providing a minimally invasive approach to complex urogynaecological cases. This video highlights the diversity and complexity of cases performed using the robot-assisted approach. The robot-assisted approach was utilised for excellent effect in two complex urogynaecological cases. In the first case the entire left arm of an intravesically placed TVT was removed using a combined vaginal and robotic approach. The second case involved removing four paravaginal sutures, one of which breeched the bladder and was encrusted with calculus...
August 1, 2016: Journal of Robotic Surgery
Girdhar S Bora, DurgaPrasad Bendapudi, Ravimohan S Mavuduru, Santosh Kumar, Sudheer K Devana, Shrawan K Singh, Arup K Mandal
Traditionally, bilateral UPJO in adults was managed by the staged approach during the open surgery era, because of need for two separate incisions and change of patient positioning. In addition, there was a feared risk of post-operative bilateral renal obstruction. Even with advent minimal invasive laparoscopic surgery, simultaneous pyeloplasty did not pick up due to difficult suturing. However, robot-assisted surgery, with its distinct advantageous, had made it feasible. In this case series, we demonstrate safety and feasibility of bilateral simultaneous pyeloplasty over short term...
July 30, 2016: Journal of Robotic Surgery
Thomas E Stout, Samit D Soni, Alvin C Goh
There have been no previous reports of post-chemotherapy robotic bilateral retroperitoneal lymph node dissection (RPLND) using a single-dock technique. One deterrent of robotic RPLND is that accessing bilateral retroperitoneal spaces requires patient reposition and surgical robot redocking, therefore increasing operative time. Herein we provide the first step-by-step description of a single-dock technique for robotic bilateral RPLND in the post-chemotherapy setting. We describe port placement and technique for robot positioning to optimize access to bilateral retroperitoneal spaces with a single dock...
July 26, 2016: Journal of Robotic Surgery
Antonio Pellegrino, Gianluca Raffaello Damiani, Giorgio Fachechi, Silvia Corso, Cecilia Pirovano, Claudia Trio, Mario Villa, Daniela Turoli, Aly Youssef
Despite the rapid uptake of robotic surgery, the effectiveness of robotically assisted hysterectomy (RAH) remains uncertain, due to the costs widely variable. Observed the different related costs of robotic procedures, in different countries, we performed a detailed economic analysis of the cost of RAH compared with total laparoscopic (TLH) and open hysterectomy (OH). The three surgical routes were matched according to age, BMI, and comorbidities. Hysterectomy costs were collected prospectively from September 2014 to September 2015...
July 26, 2016: Journal of Robotic Surgery
S S Goonewardene, D Cahill
No abstract text is available yet for this article.
July 25, 2016: Journal of Robotic Surgery
Hugo H Davila, Raul E Storey, Marc C Rose
Herein, we describe several steps to improve surgeon autonomy during a Left Robotic-Assisted Laparoscopic Radical Nephrectomy (RALRN), using the Da Vinci Si system. Our kidney cancer program is based on 2 community hospitals. We use the Da Vinci Si system. Access is obtained with the following trocars: Two 8 mm robotic, one 8 mm robotic, bariatric length (arm 3), 15 mm for the assistant and 12 mm for the camera. We use curved monopolar scissors in robotic arm 1, Bipolar Maryland in arm 2, Prograsp Forceps in arm 3, and we alternate throughout the surgery with EndoWrist clip appliers and the vessel sealer...
September 2016: Journal of Robotic Surgery
S S Goonewardene, R Persad, D Gillatt
Robotic surgery is becoming more and more commonplace. At the same time, so are complications, especially related to erectile function. The population being diagnosed with cancer is younger, with more aggressive cancers and higher expectations for good erectile function postoperatively. We conduct a retrospective analysis of literature over 20 years for Embase and Medline. Search terms used include (Robotic) AND (prostatectomy) AND (erectile function). There are a variety of multifactorial causes, resulting in worsening ED post-robotic radical prostatectomy; however, there are a number of treatments that can support this...
September 2016: Journal of Robotic Surgery
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