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Robotic surgery complications

Sebastian Nestler, T Bach, T Herrmann, S Jutzi, F C Roos, C Hampel, J W Thüroff, C Thomas, A Neisius
OBJECTIVE: To compare open simple prostatectomy, endoscopic enucleation and laparoscopic, robot-assisted enucleation of high-volume prostate in terms of operation time, blood loss, transfusion and complication rates and early continence rates. MATERIAL AND METHODS: Patients with BPH treated endoscopically (ThuVEP, Hamburg and Hannover) or robotically (Mainz) were evaluated prospectively for prostate size, free flow and validated questionnaires (IPSS, QoL). 35 patients were matched to patients after open prostatectomy (Mainz) for age, prostate size, IPSS and QoL scores...
December 4, 2018: World Journal of Urology
Giovanni E Cacciamani, Vincenzo De Marco, Marco Sebben, Riccardo Rizzetto, Maria A Cerruto, Antonio B Porcaro, Inderbir S Gill, Walter Artibani
BACKGROUND: The Vescica Ileale Padovana (VIP) was first described in 1989 as a technique for total bladder replacement, and gained popularity due to technical simplicity and functional advantages. OBJECTIVE: To report preliminary results and a detailed step-by-step surgical technique description of robot-assisted VIP (ra-VIP) that replicates the open technique principles. DESIGN, SETTING, AND PARTICIPANTS: We report the data of 15 consecutive patients who underwent robot-assisted radical cystectomy (RARC) and totally intracorporeal ra-VIP at our institution from April 2015 to March 2017...
November 30, 2018: European Urology
Dongheon Lee, Hyoun-Joong Kong, Donguk Kim, Jin Wook Yi, Young Jun Chai, Kyu Eun Lee, Hee Chan Kim
Purpose: Increased robotic surgery is attended by increased reports of complications, largely due to limited operative view and lack of tactile sense. These kinds of obstacles, which seldom occur in open surgery, are challenging for beginner surgeons. To enhance robotic surgery safety, we created an augmented reality (AR) model of the organs around the thyroid glands, and tested the AR model applicability in robotic thyroidectomy. Methods: We created AR images of the thyroid gland, common carotid arteries, trachea, and esophagus using preoperative CT images of a thyroid carcinoma patient...
December 2018: Annals of Surgical Treatment and Research
Caitlin Takahashi, Ravi Shridhar, Jamie Huston, Kenneth Meredith
Minimally invasive techniques have improved post-operative outcomes, however, the majority of pancreatic surgery, known for its complexity, is still performed via open approaches. The development of robotics has improved dexterity which may allow for application in more complex surgeries. We queried a prospectively maintained robotic database to identify patients who underwent robotic pancreatic resection by a single surgeon between 2012 and 2016. Patient demographics and operative outcomes were compared using Mann-Whitney U, Kruskal Wallis and Pearson's Chi-square test as appropriate...
October 2018: Journal of Gastrointestinal Oncology
Caitlin Takahashi, Ravi Shridhar, Jamie Huston, Kenneth Meredith
We have come a long way from the onset of surgery for esophageal cancer. Surgical resection is pivotal for the long-term survival in patients with locally advanced esophageal cancer. Moreover, advancements in post-operative care and surgical techniques have contributed to reductions in morbidity. More recently minimally invasive esophagectomy has been increasingly used in patients undergoing esophageal cancer resection. Potential advantages of MIE include: the decreased pulmonary complications, lower post-operative wound infection, decreased post-operative pain, and decreased length of hospitalization...
October 2018: Journal of Gastrointestinal Oncology
Shixun Ma, Yan Chen, Yifeng Chen, Tiankang Guo, Xiongfei Yang, Yufeng Lu, Jinhui Tian, Hui Cai
To assess the clinical efficacy and safety of robotic-assisted right colectomy (RRC) with conventional laparoscopic right colectomy (LRC) by performing a systematic review and meta-analysis of the published studies. All published literature for comparative studies reporting preoperative outcomes of RRC and LRC were searched. We searched the databases included Cochrane Library of Clinical Comparative Trials, MEDLINE, Embase, Web of Science and Chinese Biomedical Database (CBM) from 1973 to 2018. The censor date was up to January 2018...
November 29, 2018: Asian Journal of Surgery
Yu-Min Huang, Yan Jiun Huang, Po-Li Wei
PURPOSE: Robotic surgery for colorectal cancer is an emerging technique. Potential benefits as compared with the conventional laparoscopic surgery have been demonstrated. However, experience with the previous da Vinci Si robotic system revealed several unsolved problems. The novel features of the new da Vinci Xi increase operational flexibility and maneuverability and are expected to facilitate the performance of multiquadrant surgery. METHODS: Between December 2011 and May 2015, 120 patients with colon or rectal cancer were operated on using the Si robotic system (the Si group)...
December 3, 2018: Surgical Innovation
Hamzah Yasin, Hans-Joachim Hoff, Ingmar Blümcke, Matthias Simon
OBJECTIVE: Stereotactic biopsy is a standard procedure in neurosurgery. In addition to or even replacing frame-based stereotaxy some centers also utilize frameless imaging-based techniques and more recently robotic systems. Here we report a retrospective analysis of our experience with 102 consecutive biopsies performed in our institution using the neuromate® robotic device. METHODS: Between March 2013 and April 2018, 102 robot-assisted frameless biopsies were performed in 100 consecutive patients (median age/ range: 66/ 7-86 yrs...
November 27, 2018: World Neurosurgery
Jihad Kaouk, Juan Garisto, Mohamed Eltemamy, Riccardo Bertolo
OBJECTIVES: To describe the step-by-step techniques for robotic ureteral reimplantation performed by using the Vinci SP® surgical system (Intuitive Surgical, Sunnyvale, CA). Different case-scenarios were included with an educational purpose. MATERIALS AND METHODS: Three consecutive patients diagnosed with distal benign ureteral strictures were counseled for ureteral reimplantation and accepted to undergo surgery performed by using the da Vinci SP® surgical system...
November 30, 2018: BJU International
Maylis Rodriguez, Riccardo Memeo, Piera Leon, Fabrizio Panaro, Stylianos Tzedakis, Ornella Perotto, Sharmini Varatharajah, Nicola de'Angelis, Pietro Riva, Didier Mutter, Francis Navarro, Jacques Marescaux, Patrick Pessaux
Background: The aim of this study was to analyze the clinical and economic impact of robotic distal pancreatectomy, laparoscopic distal pancreatectomy, and open distal pancreatectomy. Methods: All consecutive patients who underwent distal pancreatic resection for benign and malignant diseases between January 2012 and December 2015 were prospectively included. Cost analysis was performed; all charges from patient admission to discharge were considered. Results: There were 21 robotic (RDP), 25 laparoscopic (LDP), and 43 open (ODP) procedures...
October 2018: Hepatobiliary Surgery and Nutrition
Andrea Spyrantis, Adriano Cattani, Tirza Woebbecke, Jürgen Konczalla, Adam Strzelczyk, Felix Rosenow, Marlies Wagner, Volker Seifert, Manfred Kudernatsch, Thomas M Freiman
BACKGROUND: Precise robotic or stereotactic implantation of stereoelectroencephalography (sEEG) electrodes relies on the exact referencing of the planning images in order to match the patient's anatomy to the stereotactic device or robot. We compared the accuracy of sEEG electrode implantation with stereotactic frame versus laser scanning of the face based on computed tomography (CT) or magnetic resonance imaging (MRI) datasets for referencing. METHODS: The accuracy was determined by calculating the Euclidian distance between the planned trajectory and the postoperative position of the sEEG electrode, defining the entry point error (EPE) and the target point error (TPE)...
November 26, 2018: Epilepsy & Behavior: E&B
Katie E O'Sullivan, Usha S Kreaden, April E Hebert, Donna Eaton, Karen C Redmond
OBJECTIVES: A number of meta-analytical and database studies have sought to compare open, video-assisted thoracoscopic surgery (VATS) and robotic operative approaches to lobectomy, often with conflicting results. Our objective was to perform a comprehensive review of these meta-analytical and database studies published to date. METHODS: A systematic review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines using the PubMed and Scopus databases...
November 27, 2018: Interactive Cardiovascular and Thoracic Surgery
Willy Baccaglini, Luis Medina, Raed A Azhar, Rene J Sotelo
PURPOSE OF REVIEW: The current data on complications reporting related to robot-assisted procedures (RAPs) in the urology literature are not comparable and do not use a validated classification. In this review, findings from various studies reporting positive and negative outcomes will be outlined. RECENT FINDINGS: Robotic procedures have outcomes similar to open and laparoscopic techniques but generally cause fewer adverse events. However, the lack of standards for presenting surgical morbidity related to RAP leads to underreporting of surgical complications, makes comparisons of surgical outcomes difficult and prevents adequate knowledge about the outcomes of procedures...
January 2019: Current Opinion in Urology
Giampaolo Formisano, Sofia Esposito, Francesco Coratti, Giuseppe Giuliani, Adelona Salaj, Paolo P Bianchi
BACKGROUND: One major issue in general surgery is how to provide novice surgeons with a structured training program (STP). The aim of our study is to assess the efficacy of a STP in robotic colorectal surgery for young surgeons without prior experience in both open and laparoscopic colorectal surgery, who were autonomous in basic minimally-invasive surgical procedures. Right colectomy with intracorporeal anastomosis has been chosen as a model. METHODS: Between May 2015 and December 2017 two junior attending surgeons were trained through a STP...
November 21, 2018: Minerva Chirurgica
Giovanni Cacciamani, Nicola Menestrina, Marco Pirozzi, Alessandro Tafuri, Paolo Corsi, Davide De Marchi, Davide Inverardi, Tania Processali, Niccolò Trabacchin, Mario De Michele, Marco Sebben, Maria Angela Cerruto, Vincenzo de Marco, Filippo Migliorini, Antonio Benito Porcaro, Walter Artibani
OBJECTIVE To determinate benefits of the combination of local anaesthetic wounds infiltration and Ultrasound Transversus Abdominal Plane (US-TAP) block with ropivacaine on postoperative pain, early recovery and hospital stay in patients undergoing robot assisted radical prostatectomy (RARP). METHODS The study is double-blinded randomized controlled trial. Our hypothesis was that the combination of wound infiltration and US-TAP block with Ropivacaine would decrease immediate post-operative pain and opioids use...
November 28, 2018: Journal of Endourology
Young Min Park, Dongchul Cha, Yoon Woo Koh, Eun Chang Choi, Se-Heon Kim
OBJECTIVE: The purpose of this study was to evaluate the clinical usefulness of TORS and transoral robotic retropharyngeal lymph node (RPLN) dissection in tonsillar cancer patients with suspicious RPLN metastasis. METHODS: From April 2008 to March 2014, 71 patients with tonsillar cancer underwent transoral robotic surgery and standard neck dissection at the Yonsei Head and Neck Cancer Center. RESULTS: Three patients underwent transoral robotic ropharyngectomy with transoral robotic RPLN dissection because of suspicious RPLN metastasis...
November 22, 2018: Journal of Craniofacial Surgery
Evangelos N Symeonidis, Elias Sdralis, Asterios Symeonidis, Christos Georgiadis, Vasileios Kalyvas, Apostolos Malioris, Michail Papathanasiou
Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion...
2018: Case Reports in Obstetrics and Gynecology
L Carillo, A Devic, M Soulié, X Gamé
OBJECTIVES: In the operating room, a high sound level is associated with a higher risk of complications and affects the communication between the various workers. The objective of this study was to assess the sound level at the operating room during urological procedures. MATERIAL AND METHODS: A monocentric cross-sectional study was carried out in 100 procedures in urology. They were divided into four groups: open surgical procedures, endoscopic procedures, pure laparoscopic procedures, and robotic-assisted laparoscopic procedures...
November 22, 2018: Progrès en Urologie
Jihad Kaouk, Juan Garisto, Mohamed Eltemamy, Riccardo Bertolo
OBJECTIVES: To describe the technique of pure single-site trans-peritoneal robotic partial nephrectomy using the da Vinci SP® surgical system. METHODS: Three consecutive patients who were diagnosed with contrast-enhanced renal masses amenable of partial nephrectomy were scheduled for robot-assisted partial nephrectomy to be performed using the SP® Surgical System. Data collection received institutional review board approval (IRB 13-780). Subjects were provided with informed consent explaining the adoption of the novel surgical platform...
November 22, 2018: Urology
Julia K Grass, Daniel R Perez, Jakob R Izbicki, Matthias Reeh
Several patients' and pathological characteristics in rectal surgery can significantly complicate surgical loco regional tumor clearance. The main factors are obesity, short tumor distance from anal verge, bulky tumors, and narrow pelvis, which have been shown to be associated to poor surgical results in open and laparoscopic approaches. Minimally invasive surgery has the potential to reduce perioperative morbidity with equivalent short- and long-term oncological outcomes compared to conventional open approach...
November 15, 2018: European Journal of Surgical Oncology
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