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Journal of Robotic Surgery

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https://www.readbyqxmd.com/read/29774501/totally-robotic-complete-mesocolic-excision-for-right-sided-colon-cancer
#1
Volkan Ozben, Erman Aytac, Deniz Atasoy, Ilknur Erenler Bayraktar, Onur Bayraktar, Ipek Sapci, Bilgi Baca, Tayfun Karahasanoglu, Ismail Hamzaoglu
Complexity and operative risks of complete mesocolic excision (CME) seem to be important drawbacks to generalize this procedure in the surgical treatment of right colon cancer. Robotic systems have been developed to improve quality and outcomes of minimal invasive surgery. The aim of this study was to evaluate the feasibility of robotic right-sided CME and present our initial experience. A retrospective review of 37 patients undergoing totally robotic right-sided CME between February 2015 and November 2017 was performed...
May 17, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29761352/examining-validity-evidence-for-a-simulation-based-assessment-tool-for-basic-robotic-surgical-skills
#2
Maria Cecilie Havemann, Torur Dalsgaard, Jette Led Sørensen, Kristin Røssaak, Steffen Brisling, Berit Jul Mosgaard, Claus Høgdall, Flemming Bjerrum
Increasing focus on patient safety makes it important to ensure surgical competency among surgeons before operating on patients. The objective was to gather validity evidence for a virtual-reality simulator test for robotic surgical skills and evaluate its potential as a training tool. Surgeons with varying experience in robotic surgery were recruited: novices (zero procedures), intermediates (1-50), experienced (> 50). Five experienced surgeons rated five exercises on the da Vinci Skills Simulator. Participants were tested using the five exercises...
May 14, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29748746/radiation-exposure-for-the-surgical-team-in-a-hybrid-operating-room
#3
Konard Schuetze, A Eickhoff, C Dehner, M Schultheiss, F Gebhard, P H Richter
Hybrid-operating rooms enable the surgeon to acquire intraoperative high-resolution 2- and 3D images and use them for navigation. The radiation dose of the operating personal and the patient remains the major concern. In 9 months, 109 pelvic and spine cases were performed using a hybrid operating room. Radiation dose of the surgeon and the assisting nurse was recorded using real-time dosimeters. Lower radiation doses for the main surgeon in navigated dorsal instrumentations of the thoracic spine were recorded...
May 10, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29748745/what-is-the-role-of-neurosafe-in-robotic-radical-prostatectomy
#4
LETTER
S S Goonewardene, D Cahill
No abstract text is available yet for this article.
May 10, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29744808/systematic-review-of-operative-outcomes-of-robotic-surgical-procedures-performed-with-endoscopic-linear-staplers-or-robotic-staplers
#5
REVIEW
Mario Gutierrez, Richard Ditto, Sanjoy Roy
A comprehensive review of operative outcomes of robotic surgical procedures performed with the da Vinci robotic system using either endoscopic linear staplers (ELS) or robotic staplers is not available in the published literature. We conducted a literature search to identify publications of robotic surgical procedures in all specialties performed with either ELS or robotic staplers. Twenty-nine manuscripts and six abstracts with relevant information on operative outcomes published from January 2011 to September 2017 were identified...
May 9, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29737495/body-mass-index-is-an-independent-predictor-of-clavien-dindo-grade-3-complications-in-patients-undergoing-robot-assisted-radical-prostatectomy-with-extensive-pelvic-lymph-node-dissection
#6
Antonio Benito Porcaro, Marco Sebben, Alessandro Tafuri, Nicolò de Luyk, Paolo Corsi, Tania Processali, Marco Pirozzi, Riccardo Rizzetto, Nelia Amigoni, Daniele Mattevi, Maria A Cerruto, Matteo Brunelli, Giovanni Novella, Vincenzo De Marco, Filippo Migliorini, Walter Artibani
Robot assisted radical prostatectomy (RARP) with extensive pelvic lymph node dissection (ePLND) is an effective procedure for treating and staging prostate cancer; however, high grade complications represent a critical issue. To investigate clinical factors associated with the risk of Clavien-Dindo grade 3 complications in patients undergoing RARP with ePLND. The study included 211 consecutive patients who were operated in a period running from June 2013 to March 2017. Factors associated with grade 3 complications were evaluated by the logistic regression model...
May 8, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29730734/robotic-assisted-inguinal-lymphadenectomy-a-systematic-review
#7
REVIEW
Ioannis D Gkegkes, Evelyn Eleni Minis, Christos Iavazzo
BACKGROUND: Lymphadenectomy represents the standard treatment for various types of cancer. The introduction of robotics in lymph node dissection may have an important impact on post-lymphadenectomy complications. METHODS: A systematic literature review was performed. RESULTS: In our review, robotic inguinal lymphadenectomy was performed on 51 patients. Penile squamous cell carcinoma was the most common histological type of the primary neoplasia...
May 5, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29730733/robotic-assisted-cytoreductive-surgery-with-hyperthermic-intraperitoneal-chemotherapy-crs-hipec
#8
Emmanuel Gabriel, Enrique Elli, Sanjay Bagaria, Nabil Wasif, Travis Grotz, John Stauffer, Pashtoon M Kasi, Horacio Asbun
BACKGROUND: Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is an appropriate treatment for select patients with peritoneal carcinomatosis. While most commonly performed through an open incision, the laparoscopic approach has been reported and offers short-term benefits. A robotic-assisted approach for carcinomatosis of gastrointestinal origin, however, has not yet been described. METHODS: We report our approach to robotic-assisted CRS-HIPEC for a patient with a perforated appendiceal mucocele...
May 5, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29728822/robot-assisted-supine-extraperitoneal-retroperitoneal-lymph-node-dissection-a-novel-approach-for-template-dissection-in-post-chemotherapy-residual-mass-in-non-seminomatous-germ-cell-tumours
#9
Ginil Kumar Pooleri, Priyank Bijalwan, Rajesh Kesavan, Arun Philip, Pavithran Keechilat
Robot-assisted retroperitoneal lymph node dissection (RA-RPLND) in testicular cancer is conventionally performed through transperitoneal route. We report a case of robot-assisted supine extraperitoneal RPLND (RASE-RPLND), not previously described in the literature, which was performed for post-chemotherapy residual mass in a case of non-seminomatous germ cell tumour (NSGCT). RASE-RPLND apart from providing the benefits of robotic assistance has a significant advantage over transperitoneal approach, as the procedure can be performed in supine position without any bowel handling...
May 4, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29721702/first-100-consecutive-robotic-inguinal-hernia-repairs-at-a-veterans-affairs-hospital
#10
Alyssa K Kosturakis, Kathryn E LaRusso, Nels D Carroll, Michael B Nicholl
The utilization of robotics in general surgery has increased significantly including usage in the Veterans Affairs (VA) system. We implemented a robotic inguinal hernia repair (RIHR) program in our VA hospital and report on initial experience with safety and outcomes. The first 100 consecutive RIHR at a VA hospital were reviewed and compared against the results of contemporaneous open inguinal hernia repair (OIHR). Data were collected for operative characteristics, surgical complications and pain related outcomes...
May 3, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29713932/crowdsourced-versus-expert-evaluations-of-the-vesico-urethral-anastomosis-in-the-robotic-radical-prostatectomy-is-one-superior-at-discriminating-differences-in-automated-performance-metrics
#11
Paul J Oh, Jian Chen, David Hatcher, Hooman Djaladat, Andrew J Hung
Crowdsourcing from the general population is an efficient, inexpensive method of surgical performance evaluation. In this study, we compared the discriminatory ability of experts and crowdsourced evaluators (the Crowd) to detect differences in robotic automated performance metrics (APMs). APMs (instrument motion tracking and events data directly from the robot system) of anterior vesico-urethral anastomoses (VUAs) of robotic radical prostatectomies were captured by the dVLogger (Intuitive Surgical). Crowdsourced evaluators and four expert surgeons evaluated video footage using the Global Evaluative Assessment of Robotic Skills (GEARS) (individual domains and total score)...
April 30, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29713931/fully-robotic-total-pancreatectomy-technical-aspects-and-outcomes
#12
José Wilson Benevides de Mesquita Neto, Francisco Igor Macedo, Yang Liu, Anusak Yiengpruksawan
Robotic total pancreatectomy (RTP) is a novel surgical approach currently performed by a select group of skilled surgeons. As robotic approaches to pancreatic surgery increase worldwide, rates of RTP are expected to increase. However, the standard technique is still evolving and several technical problems still require evaluation. Here, we describe our approach in a stepwise fashion and discuss solutions to overcome technical difficulties.
April 30, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29713930/does-robotic-assisted-transabdominal-preperitoneal-r-tapp-hernia-repair-facilitate-contralateral-investigation-and-repair-without-compromising-patient-morbidity
#13
Eugene O Dickens, Ramachandra Kolachalam, Anthony Gonzalez, Christopher Richardson, Lawrence D'Amico, Jorge Rabaza, Reza Gamagami
Inguinal hernia repair (IHR) is performed through either an open or minimally invasive approach (MIS). MIS allows for exploration and potential repair of an occult contralateral hernia. The aim of this study is to evaluate complications associated with intraoperative contralateral exploration and repair through robotic-assisted (da Vinci® ) IHR. 652 robotic-assisted inguinal hernia procedures were uniformly and retrospectively collected from seven surgeons. Incidental contralateral findings were evaluated and populations with and without contralateral findings were compared in terms of demographics, operative characteristics and complications...
April 30, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29705833/robotic-assisted-thymectomy-for-early-stage-thymoma-a-propensity-score-matched-analysis
#14
Monica Casiraghi, Domenico Galetta, Alessandro Borri, Adele Tessitore, Rosalia Romano, Daniela Brambilla, Patrick Maisonneuve, Lorenzo Spaggiari
The aim of this study was to analyse the feasibility and safety of robotic-assisted thymectomy (RoT) in patients with clinically early stage thymoma, investigating clinical and early oncological results. Between 1998 and 2017, we retrospectively reviewed 76 (42.2%) patients who underwent radical thymectomy for clinically early stage thymoma (Masaoka-Koga I and II), identifying all patients who underwent RoT (n = 28) or open thymectomy (OT) with eligibility criteria for robotic surgery (n = 48). Using a propensity-score matched for tumor size (3...
April 28, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29704203/safety-and-efficacy-of-synchronous-robotic-surgery-for-colorectal-cancer-with-liver-metastases
#15
REVIEW
Rozana H Dwyer, Matthew J Scheidt, J Stephen Marshall, Steven S Tsoraides
Timing of resection and treatment of colorectal cancer (CRC) with liver metastases varies based on patient characteristics and center protocols. Concerns of increased morbidity and mortality (M&M) related to anesthetic time and blood loss have limited widespread adaptation of synchronous colorectal and liver resections. Furthermore, technical challenges have made minimally invasive synchronous resections less common. We present our series of synchronous robotic surgery for CRC with liver metastases. Retrospective review of prospectively collected data of patients with stage IV CRC with liver metastases treated at a tertiary center from February 2013 to June 2014...
April 27, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29696591/laparoscopic-versus-robotic-adrenalectomy-a-review-of-the-national-inpatient-sample
#16
Sarah Samreen, Marcus Fluck, Marie Hunsinger, Jeffrey Wild, Mohsen Shabahang, Joseph A Blansfield
BACKGROUND: Laparoscopic adrenalectomy (LA) has become the standard treatment of adrenal lesions. Recently, robotic-assisted adrenalectomy (RA) has become an option, however, short-term outcomes for RA have not been well studied and benefits over LA are debatable. The aim of this study was to explore differences in short-term outcomes between LA and RA using the national inpatient sample (NIS) database. METHODS: Patient data were collected from the NIS. All patients undergoing LA or RA from January 2009 to December 2012 were included...
April 25, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29693206/3d-printed-model-improves-clinical-assessment-of-surgeons-on-anatomy
#17
Bin Zheng, Xiaolin Wang, Yixiong Zheng, Jiexiong Feng
Performing surgical procedures often requires a surgeon to develop a skill to create 3-dimensional (3D) mental model on patient's anatomy. Question remains whether the touching on the 3D printed model can facilitate learning of patient anatomy than viewing the rendered virtual on-screen model. The printed and the virtual 3D model were developed from CT films taken from a 4-year-old girl, who had dysplasia of the hip in the left hip. Eleven subjects were called to report measures on six key anatomical features on the hips...
April 24, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29605864/robotic-kidney-autotransplantation-in-a-porcine-model-a-procedure-specific-training-platform-for-the-simulation-of-robotic-intracorporeal-vascular-anastomosis
#18
Ho Yee Tiong, Benjamin Yen Seow Goh, Edmund Chiong, Lincoln Guan Lim Tan, Anatharaman Vathsala
Robotic-assisted kidney transplantation (RKT) with the Da Vinci (Intuitive, USA) platform has been recently developed to improve outcomes by decreasing surgical site complications and morbidity, especially in obese patients. This potential paradigm shift in the surgical technique of kidney transplantation is performed in only a few centers. For wider adoption of this high stake complex operation, we aimed to develop a procedure-specific simulation platform in a porcine model for the training of robotic intracorporeal vascular anastomosis and evaluating vascular anastomoses patency...
March 31, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29600421/combined-robot-assisted-right-partial-nephrectomy-and-cholecystectomy-with-single-docking
#19
Konstantinos Stravodimos, Ioannis Katafigiotis, Christos Pournaras, Dimitrios Dimitroulis, Georgios Kousournas, Evangelos Fragkiadis, Constantinos Constantinides
ΑBSTRACT: We report the first case of robot-assisted partial nephrectomy (RARN) and Robot assisted cholecystectomy in a 66 years old female overweight patient with organ-confined right kidney tumor identified on the investigation of gastrointestinal symptoms with a single docking. A modified position of the patient and a slight altered placement of the trocars made feasible the concomitant performance of the two operations. Total blood loss was 80 ml, operation time was 253 min and console time 187 min...
March 29, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29594757/operative-time-and-length-of-stay-is-similar-between-robotic-assisted-and-laparoscopic-colon-and-rectal-resections
#20
Heather R Nolan, Betsy E Smith, Michael D Honaker
Robotic-assisted surgery is increasingly being utilized for colorectal surgery. Data are scarce and contradictory when outcomes are compared between robotic and laparoscopic surgery. All patients undergoing minimally invasive colorectal surgery were compared from 2011 to 2016. Outcomes between the two groups were statistically analyzed. p < 0.05 was considered statistically significant. 185 patients underwent laparoscopic resection and 70 underwent robotic resection. Demographics, ASA score, and BMI were similar between the two groups (p > 0...
March 28, 2018: Journal of Robotic Surgery
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