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https://www.readbyqxmd.com/read/28073200/the-role-of-intraoperative-ultrasound-in-small-renal-mass-robotic-enucleation
#1
Roberta Gunelli, Massimo Fiori, Cristiano Salaris, Umberto Salomone, Marco Urbinati, Alexia Vici, Teo Zenico, Mauro Bertocco
INTRODUCTION: As a result of the growing evidence on tumor radical resection in literature, simple enucleation has become one of the best techniques associated to robotic surgery in the treatment of renal neoplasia, as it guarantees minimal invasiveness and the maximum sparing of renal tissue, facilitating the use of reduced or zero ischemia techniques during resection. The use of a robotic ultrasound probe represents a useful tool to detect and define tumor location, especially in poorly exophytic small renal mass...
December 30, 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28027975/the-transferability-of-virtual-reality-simulation-based-robotic-suturing-skills-to-a-live-porcine-model-in-novice-surgeons-a-single-blind-randomized-controlled-trial-1
#2
Maria V Vargas, Gaby Moawad, Kathryn Denny, Lindsey Happ, Nana Yaa Misa, Samantha Margulies, Jessica Opoku-Anane, Elias Abi Khalil, Cherie Marfori
OBJECTIVE: To assess whether a robotic simulation curriculum for novice surgeons can improve performance of a suturing task in a live porcine model. DESIGN: Randomized controlled trial: (Canadian Task Force Classification I) SETTING: Academic medical center PATIENTS: 35 medical students without robotic surgical experience INTERVENTIONS: Participants were enrolled in an online session of training modules followed by an in-person orientation. Baseline performance testing on the Mimic Technologies daVinci Surgical Simulator (dVSS) was also performed...
December 24, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27942486/robotic-mitral-valve-surgery-overview-methodology-results-and-perspective
#3
REVIEW
W Randolph Chitwood
Robotic mitral valve repair began in 1998 and has advanced remarkably. It arose from an interest in reducing patient trauma by operating through smaller incisions with videoscopic assistance. In the United States, following two clinical trials, the FDA approved the daVinci Surgical System in 2002 for intra-cardiac surgery. This device has undergone three iterations, eventuating in the current daVinci XI. At present it is the only robotic device approved for mitral valve surgery. Many larger centers have adopted its use as part of their routine mitral valve repair armamentarium...
November 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27888474/colorectal-surgery-in-elderly-patients-our-experience-with-davinci-xi%C3%A2-system
#4
A Oldani, P Bellora, M Monni, B Amato, S Gentilli
BACKGROUND: Robotic technology for colorectal surgery was introduced by Weber in 2002 to improve the benefits of the minimally invasive surgery already offered by the laparoscopic approach. AIMS: To evaluate the feasibility and the efficacy of the application of robotic surgery in elderly patients affected by colorectal diseases. METHODS: We reported the outcomes obtained during our first 50 colorectal robotic surgical performances with DaVinci Xi® System, and we compared the results assessed for patients younger or older than 70 years...
November 26, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27862866/utility-of-patient-specific-silicone-renal-models-for-planning-and-rehearsal-of-complex-tumour-resections-prior-to-robot-assisted-laparoscopic-partial-nephrectomy
#5
Friedrich-Carl von Rundstedt, Jason M Scovell, Smriti Agrawal, Jacques Zaneveld, Richard E Link
OBJECTIVE: To describe our experience using patient-specific tissue-like kidney models created with advanced three-dimensional (3D)-printing technology for preoperative planning and surgical rehearsal prior to robot-assisted laparoscopic partial nephrectomy (RALPN). PATIENTS AND METHODS: A feasibility study of 10 patients with solid renal masses who underwent RALPN after preoperative rehearsal using 3D-print kidney models. A single surgeon performed all surgical rehearsals and procedures...
November 10, 2016: BJU International
https://www.readbyqxmd.com/read/27853947/prior-video-game-utilization-is-associated-with-improved-performance-on-a-robotic-skills-simulator
#6
Andrew C Harbin, Kumar S Nadhan, James H Mooney, Daohai Yu, Joshua Kaplan, Nora McGinley-Hence, Andrew Kim, Yiming Gu, Daniel D Eun
Laparoscopic surgery and robotic surgery, two forms of minimally invasive surgery (MIS), have recently experienced a large increase in utilization. Prior studies have shown that video game experience (VGE) may be associated with improved laparoscopic surgery skills; however, similar data supporting a link between VGE and proficiency on a robotic skills simulator (RSS) are lacking. The objective of our study is to determine whether volume or timing of VGE had any impact on RSS performance. Pre-clinical medical students completed a comprehensive questionnaire detailing previous VGE across several time periods...
November 16, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27806637/development-of-a-classification-scheme-for-examining-adverse-events-associated-with-medical-devices-specifically-the-davinci-surgical-system-as-reported-in-the-fda-maude-database
#7
Priyanka Gupta, John Schomburg, Suprita Krishna, Oluwakayode Adejoro, Qi Wang, Benjamin Marsh, Andrew Nguyen, Juan Reyes Genere, Patrick Self, Erik Lund, Badrinath R Konety
OBJECTIVE: To examine the Manufacturer and User Facility Device Experience Database (MAUDE) database to capture adverse events experienced with the Da Vinci Surgical System. In addition, to design a standardized classification system to categorize the complications and machine failures associated with the device. SUMMARY BACKGROUND DATA: Overall, 1,057,000 DaVinci procedures were performed in the United States between 2009 and 2012. Currently, no system exists for classifying and comparing device-related errors and complications with which to evaluate adverse events associated with the Da Vinci Surgical System...
January 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27627742/robotics-in-pulmonology-and-thoracic-surgery-what-why-and-when
#8
Konstantinos Gioutsos, Gregor J Kocher, Ralph A Schmid
INTRODUCTION: Robot-assisted surgery emerged and evolved in order to increase the surgical precision and due to the need to overcome the drawbacks of conventional minimally invasive surgery. In thoracic surgery the first reported use of a robotic device was in a series of 12 patients with different lung pathologies with the assistance of the DaVinci Robotic Surgical System in 2002. The DaVinci system has been used for various procedures in the field of thoracic surgery since then. While its advantages for the resection of early stage thymoma have been well documented, its role in the treatment of lung cancer and other pathologies is still under investigation...
December 2016: Panminerva Medica
https://www.readbyqxmd.com/read/27600589/robot-assisted-salvage-lymph-node-dissection-for-clinically-recurrent-prostate-cancer
#9
Francesco Montorsi, Giorgio Gandaglia, Nicola Fossati, Nazareno Suardi, Cristian Pultrone, Ruben De Groote, Zach Dovey, Paolo Umari, Andrea Gallina, Alberto Briganti, Alexandre Mottrie
BACKGROUND: Salvage lymph node dissection has been described as a feasible treatment for the management of prostate cancer patients with nodal recurrence after primary treatment. OBJECTIVE: To report perioperative, pathologic, and oncologic outcomes of robot-assisted salvage nodal dissection (RASND) in patients with nodal recurrence after radical prostatectomy (RP). DESIGN, SETTING, AND PARTICIPANTS: We retrospectively evaluated 16 patients affected by nodal recurrence following RP documented by positive positron emission tomography/computed tomography scan...
September 3, 2016: European Urology
https://www.readbyqxmd.com/read/27564719/aflibercept-in-diabetic-macular-edema-evaluating-efficacy-as-a-primary-and-secondary-therapeutic-option
#10
REVIEW
M Ashraf, A Souka, R Adelman, S H Forster
The recent results of Protocol T have illustrated the efficacy of aflibercept in the treatment of diabetic macular edema. It also demonstrated that in patients with poor vision (<6/12), aflibercept offers anatomical and visual advantages over ranibizumab and bevacizumab in the first 12 months of treament. At 2 years, the difference between the three drugs decreased with patients with a better baseline VA (69-78) showing a statistically insignificant advantage for ranibizumab compared with aflibercept.These results were achieved using a pro-re nata (PRN) protocol, which was not previously studied in large phase 3 trials, VIVID and VISTA, that chose to compare the 2...
December 2016: Eye
https://www.readbyqxmd.com/read/27495280/robotic-assisted-placement-of-an-hepatic-artery-infusion-pump-and-catheter-for-regional-chemotherapy-of-the-liver
#11
Mashaal Dhir, Deepa Magge, Stephanie Novak, David L Bartlett, Amer H Zureikat
BACKGROUND: Hepatic artery infusion (HAI) chemotherapy is an effective regional therapy for unresectable colorectal liver metastases (U-CRLM).1 (,) 2 One of its limitations is the need for a laparotomy, which can delay the use of systemic therapy.3 Here, we describe a purely robotic technique for placement of an HAI pump (Fig 1). PATIENT: A 62-year-old male presented with a symptomatic ascending colon cancer and multiple bilobar unresectable liver metastases. He underwent laparoscopic right colectomy followed by six cycles of FOLFOXIRI and bevacizumab with stable disease by RECIST (Response Evaluation Criteria in Solid Tumors) criteria, and also underwent robotic HAI pump placement...
December 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27403042/minimizing-ports-during-robotic-partial-nephrectomy
#12
Omer Burak Argun, Panagiotis Mourmouris, Ilter Tufek, Can Obek, Mustafa Bilal Tuna, Selcuk Keskin, Ali Riza Kural
BACKGROUND AND OBJECTIVE: Robotic upper urinary tract surgery is in most of the cases performed utilizing a standard 5 port configuration. Fewer ports can potentially produce a less invasive operation. Taking in consideration the above we report a novel technique for robot assisted laparoscopic partial nephrectomy utilizing fewer ports and we test its feasibility and safety profile. METHODS: Data on 11 robot-assisted laparoscopic partial nephrectomies performed by using our technique from February 2015 through June 2015 were retrospectively analyzed...
April 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27283294/totally-robotic-reversal-of-omega-loop-gastric-bypass-to-normal-anatomy
#13
Fabian Reche, Adrian Mancini, Anne-Laure Borel, Jean-Luc Faucheron
BACKGROUND: Gastric bypass procedures can potentially lead to middle and long-term complications (Podnos et al. Arch Surg 138(9):957-61, 2003). For several years, Roux-en-Y gastric bypass reversal procedures performed by laparotomy or laparoscopic way have been described in literature (Moon et al. Surg Obes Relat Dis 11(4):821-6, 2015). Major complications are anastomotic ulcers, anastomotic complications or functional disorder such as dumping syndrome, hypocalcemia, severe hypoglycemia, and malnutrition (Moon et al...
August 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27209538/robot-assisted-radical-prostatectomy-and-extended-pelvic-lymph-node-dissection-in-patients-with-locally-advanced-prostate-cancer
#14
Giorgio Gandaglia, Elisa De Lorenzis, Giacomo Novara, Nicola Fossati, Ruben De Groote, Zach Dovey, Nazareno Suardi, Francesco Montorsi, Alberto Briganti, Bernardo Rocco, Alexandre Mottrie
BACKGROUND: Limited data are available on the role of robot-assisted radical prostatectomy (RARP) in patients with locally advanced prostate cancer (PCa). OBJECTIVE: To describe our surgical technique of extrafascial RARP and extended pelvic lymph node dissection (ePLND) in locally advanced PCa. DESIGN, SETTING, AND PARTICIPANTS: Ninety-four patients with clinical stage ≥T3 undergoing RARP with ePLND at three European centers between 2011 and 2015 were retrospectively evaluated...
February 2017: European Urology
https://www.readbyqxmd.com/read/27207691/safety-and-efficacy-of-non-vitamin-k-oral-anticoagulant-treatment-compared-with-warfarin-in-patients-with-non-valvular-atrial-fibrillation-who-develop-acute-ischemic-stroke-or-transient-ischemic-attack-a-multicenter-prospective-cohort-study-davinci-study
#15
Naoki Saji, Kazumi Kimura, Yohei Tateishi, Shigeru Fujimoto, Nobuyuki Kaneko, Takao Urabe, Akira Tsujino, Yasuyuki Iguchi
The safety and efficacy of non-vitamin K oral anticoagulant (NOAC) compared with warfarin in treating patients with non-valvular atrial fibrillation (NVAF) who developed acute ischemic stroke or transient ischemic attack (AIS/TIA), particularly those receiving tissue-plasminogen activator (tPA) therapy, remains unclear. Between April 2012 and December 2014, we conducted a multicenter prospective cohort study to assess the current clinical practice for treating such patients. We divided the patients into two groups according to the administration of oral anticoagulants (warfarin or NOACs) and tPA therapy...
November 2016: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/27153839/simultaneous-en-bloc-robot-assisted-radical-cystectomy-and-nephro-ureterectomy-technique-description-outcomes-and-literature-summary
#16
Stephan Buse, Carolin Eva Hach, Assen Alexandrov, Rene Mager, Axel Haferkamp
The objectives of this study are to describe the surgical technique for simultaneous en-bloc robot-assisted radical cystectomy and nephro-ureterectomy, to report its surgical bench marks, and finally, to summarize the current evidence on the procedure. After written informed consent, we prospectively enrolled consecutive patients undergoing simultaneous en-bloc robot-assisted radical cystectomy and nephro-ureterectomy in a prospective institutional database. We performed all procedures with robotic assistance from the DaVinci Si-HD(®), a four-arm robotic system...
December 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27052114/urologic-cancer-in-taiwan
#17
REVIEW
Chi-Feng Hung, Cheng-Kuang Yang, Yen-Chuan Ou
For the past three decades, cancer is the number one cause of death in Taiwan. An increasing trend in the incidence of urologic cancers has also been noticed since 1979. In 2012, urologic cancer accounted for 10.0% of all the new malignant cases. Prostate, bladder and kidney cancers are the most common types. Metastatic prostate cancer still accounted for nearly 30% of new cases in Taiwan between 2004 and 2012. There are several specifically noticeable characteristics of urothelial carcinoma in Taiwan, associated with arseniasis and aristolochic acid...
July 2016: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/26983848/laparoscopic-gastric-bypass-to-robotic-gastric-bypass-time-and-cost-commitment-involved-in-training-and-transitioning-an-academic-surgical-practice
#18
Jerome R Lyn-Sue, Josh S Winder, Shannon Kotch, Jacob Colello, Salvatore Docimo
The Roux-en-Y gastric bypass is the gold standard procedure for weight loss. This relatively complex procedure has excellent outcomes when performed via laparoscopy. The advent of the DaVinci robotic platform has been a technological advancement. Our goal is to provide information regarding the cost, time commitment, and advantages of transitioning an LRYGB program to an RRYGB program in an academic setting. We retrospectively reviewed the last 25 laparoscopic gastric bypass procedures and the first 25 robotic gastric bypass procedures performed by a single surgeon...
June 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/26975430/the-future-of-partial-nephrectomy
#19
REVIEW
Theo Malthouse, Veeru Kasivisvanathan, Nicholas Raison, Wayne Lam, Ben Challacombe
Innovation in recent times has accelerated due to factors such as the globalization of communication; but there are also more barriers/safeguards in place than ever before as we strive to streamline this process. From the first planned partial nephrectomy completed in 1887, it took over a century to become recommended practice for small renal tumours. At present, identified areas for improvement/innovation are 1) to preserve renal parenchyma, 2) to optimise pre-operative eGFR and 3) to reduce global warm ischaemia time...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/26856770/first-alpps-procedure-using-a-total-robotic-approach
#20
E Vicente, Y Quijano, B Ielpo, I Fabra
BACKGROUND: ALPPS procedure is gaining interest. Indications and technical aspects of this technique are still under debate [1]. Only 4 totally laparoscopic ALPPS procedures have been described in the literature and none by robotic approach [2-4]. This video demonstrates the technical aspects of totally robotic ALPPS. METHODS: A 58 year old man with sigmoid adenocarcinoma with multiple right liver metastases extended to segment IV and I underwent Xelox and 5 Fluoro-uracil neoadjuvancy...
December 2016: Surgical Oncology
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