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Robotic surgery complications

Zeynep Gul, Kyle A Blum, David J Paulucci, Ronney Abaza, Daniel D Eun, Akshay Bhandari, Ashok K Hemal, James Porter, Ketan K Badani
To evaluate peri- and post-operative outcomes after robotic partial nephrectomy (RPN) in patients with a solitary kidney. A multi-institutional database of 1868 patients was used to identify 35 patients with a solitary kidney who underwent RPN at six different centers from 2007 to 2016. Peri-operative outcomes were summarized with descriptive statistics. We assessed the change in eGFR over time with a linear mixed-effects model. Median operative time, ischemia time, and estimated blood loss were 172 min, 16 min, and 113 mL, respectively...
October 12, 2018: Journal of Robotic Surgery
Hong Kyu Kim, Hoon Yub Kim, Young Jun Chai, Gianlorenzo Dionigi, Eren Berber, Ralph P Tufano
INTRODUCTION: The surgical outcomes for procedures using da Vinci Xi were compared with those of da Vinci Si in transoral robotic thyroidectomy (TORT). MATERIALS AND METHODS: The medical records were retrospectively reviewed. Patients were classified into 2 groups (da Vinci Xi vs. da Vinci Si) and surgical outcomes were analyzed. RESULTS: Each group comprised 58 patients. The postoperative pain scores at operation day 0 were lower, the hospital stays were shorter, and the number of retrieved central lymph nodes in the papillary thyroid carcinoma patients were greater in the Xi group than in the Si group...
October 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Graziano Vignolini, Riccardo Campi, Francesco Sessa, Isabella Greco, Aida Larti, Saverio Giancane, Arcangelo Sebastianelli, Mauro Gacci, Adriano Peris, Vincenzo Li Marzi, Alberto Breda, Giampaolo Siena, Sergio Serni
OBJECTIVE: To report the development of the first robot-assisted kidney transplantation (RAKT) program from deceased donors examining technical feasibility and early perioperative and functional outcomes at a referral academic Centre. PATIENTS AND METHODS: A robotic kidney transplantation program was developed in 2016 at our Institution following a structured modular training. Specific inclusion/exclusion criteria for both living and deceased donors were set. Data from patients undergoing RAKT from January 2017 to April 2018 were prospectively collected in an a priori developed web-based dataset...
October 12, 2018: BJU International
Pieter C van der Sluis, Sylvia van der Horst, Anne M May, Carlo Schippers, Lodewijk A A Brosens, Hans C A Joore, Christiaan C Kroese, Nadia Haj Mohammad, Stella Mook, Frank P Vleggaar, Inne H M Borel Rinkes, Jelle P Ruurda, Richard van Hillegersberg
BACKGROUND: The standard curative treatment for patients with esophageal cancer is perioperative chemotherapy or preoperative chemoradiotherapy followed by open transthoracic esophagectomy (OTE). Robot-assisted minimally invasive thoracolaparoscopic esophagectomy (RAMIE) may reduce complications. METHODS: A single-center randomized controlled trial was conducted, assigning 112 patients with resectable intrathoracic esophageal cancer to either RAMIE or OTE. The primary endpoint was the occurrence of overall surgery-related postoperative complications (modified Clavien-Dindo classification grade 2-5)...
October 10, 2018: Annals of Surgery
Néha Sihra, Magda Kujawa, Andrew Counsell, Richard Brough
Since its advent in 2001, robotic-assisted laparoscopic prostatectomy has become the gold standard treatment for the management of localised prostate cancer. Pelvic lymphocoele is most commonly found after gynaecological or renal transplant surgery or following extensive pelvic lymphadenectomy. Its formation following prostatectomy is not uncommon1 but it seldom causes major complications or morbidity.2 We present a case of a 66-year-old man who presented with left sided abdominal pain, a palpable infra-umbilical mass, and renal failure...
October 8, 2018: Urology
A Yu Popov, A G Baryshev, A N Lishchenko, A N Petrovskiy, S P Grigorov, V A Porkhanov
AIM: To study immediate results of open, laparoscopic and robot-assisted pancreatoduodenectomy for malignancies. MATERIAL AND METHODS: There were 158 patients with cancer of biliopancreatoduodenal area. Open procedures were performed in 118 cases, laparoscopic in 17, robot-assisted pancreatoduodenectomy - in 23. RESULTS: After 'standard' pancreatoduodenectomy 31 (62.0%) complications were registered, after laparoscopic - 12 (24.0%) and aWfter robot-assisted surgery - 7 (14...
2018: Khirurgiia
Francesco Porpiglia, Matteo Manfredi, Enrico Checcucci, Diletta Garrou, Sabrina De Cillis, Daniele Amparore, Stefano De Luca, Federica Fregnan, Ilaria Stura, Giuseppe Migliaretti, Cristian Fiori
OBJECTIVES: To evaluate the one-year efficacy of chitosan membrane (ChiMe) application on neuro-vascular bundles (NVB) after nerve-sparing (NS) robot-assisted radical prostatectomy (RARP) in potency recovery rate. To compare the results with those of a contemporary cohort of patients who had not benefited from chitosan use. MATERIALS AND METHODS: Patients in the ChiMe group were enrolled at our institution from July 2015 to September 2016 in a preliminary phase II study...
October 10, 2018: BJU International
Michael J Persky, Mohamad Issa, Jennifer R Bonfili, Neerav Goyal, David Goldenberg, Umamaheswar Duvvuri
BACKGROUND: This multicenter, retrospective review documents the initial experience using the Flex system for transoral surgery in 2 United States academic centers. METHODS: All patients who underwent transoral robotic surgery using the Medrobotics Flex Robotic System (Raynham, MA) between September 2015 and May 2017 were reviewed. Rates of successful surgery and complications were evaluated. RESULTS: Thirty-six men and 32 women were enrolled in the study...
October 10, 2018: Head & Neck
G Poinas, J-A Long, X Rébillard, J-L Descotes
INTRODUCTION: Robot-assisted surgery is practiced more and more frequently in urology. Besides its place in prostatectomy for cancer, it also concerns partial nephrectomy (NP), in the treatment of renal tumors. The objective of this review is to compare the robot-assisted approach with laparoscopic or open approaches in partial nephrectomy in terms of functional or oncological outcomes and per- and postoperative complications. MATERIAL AND METHODS: A systematic review of the literature published from 2009 was carried out on PubMed...
October 2, 2018: Progrès en Urologie
Corrado Pedrazzani, Federica Secci, Eduardo Fernandes, Ivans Jelovskijs, Giulia Turri, Cristian Conti, Andrea Ruzzenente, Alfredo Guglielmi
Diverting loop ileostomy following low anterior resection (LAR) is known to decrease quality of life and prolongs the return back to patients' baseline activity. The aim of this retrospective study was to explore feasibility and safety of an early ileostomy reversal strategy in a cohort of patients undergoing minimally invasive LAR within an enhanced recovery after surgery (ERAS) program. Prospectively collected data from 15 patients who underwent minimally invasive LAR and diverting ileostomy at the Division of General and Hepatobiliary Surgery, University of Verona Hospital Trust between September 2015 and December 2016 were retrospectively analyzed...
October 4, 2018: Updates in Surgery
Dong Ah Shin, Chunwoo Kim, Farid Yudoyono, Yeomin Yun, Yoon Ha, Sungchul Kang
BACKGROUND: Endoscopy has replaced open surgery, especially in spinal surgery. Among them, image-guided epiduroscopy allows pain generators to be identified, including epidural adhesion, fibrotic tissues, root compression, and spinal stenosis. However, the heavy lead apron worn by pain physicians to avoid exposure to radiation can induce occupational hazards, such as orthopedic complications and radiation-induced cancer. Hence, we developed a robotic system to address these problems. OBJECTIVE: The aim of the study was to evaluate the feasibility of a robot-controlled epiduroscopic system...
September 2018: Pain Physician
Alexandre Silva E Silva, João Paulo Mancusi de Carvalho, Cristina Anton, Rodrigo Pinto Fernandes, Edmund Chada Baracat, Jesus Paula Carvalho
OBJECTIVE: The purpose of this study was to evaluate the clinical outcome and costs after the implementation of robotic surgery in the treatment of endometrial cancer, compared to the traditional laparoscopic approach. METHODS: In this prospective randomized study from 2015 to 2017, eighty-nine patients with endometrial carcinoma that was clinically restricted to the uterus were randomized in robotic surgery (44 cases) and traditional laparoscopic surgery (45 cases)...
September 21, 2018: Clinics
A Angelou, C Damaskos, N Garmpis, G-A Margonis, D Dimitroulis, E A Antoniou
OBJECTIVE: Minimally invasive techniques are the gold standard in surgery. Since conventional laparoscopic approach has been widely adopted, surgeons in their effort to further improve their skills passed to the era of the robotic assistance. The widespread adoption of robotics has led to the inevitable usage of robotic technology both in simple, as well as in more complicated procedures. Cholecystectomy is the "simple" surgical procedure to which every surgeon from the beginning of his career and besides specialization or subspecialization is exposed to, but the ran complications have a dramatic impact both for patient and doctor...
September 2018: European Review for Medical and Pharmacological Sciences
Iswanto Sucandy, Hamza Durrani, Sharona Ross, Alexander Rosemurgy
Despite advantages of minimally invasive surgery, many hepatobiliary surgeons are hesitant to offer this approach for major hepatic resection due to concerns of difficulty in liver manipulation, bleeding control, and suboptimal oncologic outcomes. The robotic surgical system has revolutionized the way traditional laparoscopic liver resection is undertaken. Limitations of traditional laparoscopy are being resolved by robotic technology. We aimed to describe aspects of minimally invasive liver surgery and our standardized technical approach...
October 1, 2018: Journal of Robotic Surgery
Hung-Wen Lai, Shih-Lung Lin, Shou-Tung Chen, Shu-Ling Chen, Ya-Ling Lin, Dar-Ren Chen, Shou-Jen Kuo
Background: The experience of application of robotic surgery platform in the management of breast cancer was limited. The preliminary experience and results of robotic nipple-sparing mastectomy (R-NSM) and immediate breast reconstruction (IBR) with Gel implant was reported. Methods: The medical records of patients who underwent R-NSM and IBR with Gel implant for breast cancer during the period March 2017 to October 2017 were collected from single institution. Data on clinicopathologic characteristics, type of surgery, method of breast reconstruction, complications, and recurrence were analyzed to determine the effectiveness and oncologic safety of R-NSM...
June 2018: Plastic and Reconstructive Surgery. Global Open
Eric L Wu, Meghan E Garstka, Sang-Wook Kang, Emad Kandil
Introduction: Thyroid, parathyroid, and thymus surgeries are traditionally performed via a cervical approach. However, robot-assisted procedures can provide a safe alternative for neck surgeries. We report our experiences with robotic transaxillary and retroauricular approaches in pediatric patients. Case Presentation: We conducted a retrospective review of pediatric patients who underwent robot-assisted neck surgery by a single surgeon between April 2010 and May 2017...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Fahad Alqahtani, Khaled Ziada, Charanjit S Rihal, Mohamad Alkhouli
BACKGROUND: Coronary ischemia requiring early percutaneous coronary intervention (PCI) is a rare but serious complication of isolated valve surgery. We sought of assess the incidence, predictors and outcomes of early PCI after isolated valve surgery using the national inpatient sample. METHODS: Patients who underwent isolated aortic valve replacement (AVR), isolated mitral valve repair (MVr) or replacement (MVR) between 2003 and 2014 were identified. Patients who had early postoperative PCI were compared with patients who did not require PCI...
September 30, 2018: Catheterization and Cardiovascular Interventions
Yichao Han, Yajie Zhang, Hecheng Li
Intrathoracic esophagogastric anastomosis is the mainstay of esophageal reconstruction after esophagectomy for the middle and lower esophageal cancer, which is the majority of esophageal cancer. In spite of the constant development of techniques and instruments for esophageal reconstruction, incidence of anastomotic complications stays high, including anastomotic leak and stricture. The current common esophagogastric anastomosis primarily consists of hand-sewn anastomosis and stapled anastomosis. This review presented different ways of intrathoracic esophagogastric anastomosis in reference to the literatures in China and abroad, and comparisons and analyses were made according to operative techniques, anastomotic complication rates, postoperative mortality rates, etc...
September 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Meghan Garstka, Emad Kandil, Lachin Saparova, Maroun Bechara, Rebecca Green, Antoine B Haddad, Sang-Wook Kang, Patrick Aidan
PURPOSE: Thyroid surgery for Graves' disease is known to be associated with higher risk of complications. We seek to compare outcomes between robotic-assisted and open cervical approach thyroid surgery in patients with Graves' disease in the Western population. METHODS: We performed a retrospective cohort study using prospectively collected databases for patients undergoing robotic-assisted or conventional cervical approach thyroid surgery for Graves' disease at two academic medical centers, one in North America (New Orleans, LA) and one in Europe (Paris, France)...
September 29, 2018: Langenbeck's Archives of Surgery
Pablo Quadri, Sofia Esposito, Adrian Coleoglou, Kirstie K Danielson, Mario Masrur, Pier C Giulianotti
INTRODUCTION: Laparoscopic adrenalectomy (LA) is accepted as the gold standard treatment for most adrenal pathologies. Open surgery is still considered the standard of care for large tumors and malignancies. In the past decade, robotic adrenalectomy (RA) has become an alternative to the laparoscopic and open approaches. The aim of this study was to analyze perioperative and postoperative outcomes in a series of consecutive nonselected patients undergoing a RA, to determine whether factors that negatively affect outcomes in LA (body mass index [BMI], size, and side of the tumor) have the same impact in RA...
September 28, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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