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JOURNAL ARTICLE
V Rodrigues-Gonçalves, M Verdaguer-Tremolosa, P Martínez-López, N Fernandes, R Bel, M López-Cano
INTRODUCTION: Inguinal hernia repair lacks a standard repair technique, with laparo-endoscopic and open preperitoneal methods showing similar outcomes. Despite higher costs, the popularity of robotic surgery is on the rise, driven by technological advantages. Controversies persist in comparing open repair techniques with the robotic approach, given contradictory results. The objective of this study was to compare postoperative outcomes, including complications, chronic pain, and recurrence, between open and robotic-assisted preperitoneal inguinal hernia repair...
May 4, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#2
JOURNAL ARTICLE
Jun Li, Jingyi Chen, Jinfu Jia, Shaohua He, Di Xu
OBJECTIVE: To compare the efficacy of robot-assisted single-port-plus-one pyeloplasty (RSPY) and laparoscopic single-port pyeloplasty (LSPY) in the treatment of children with ureteropelvic junction obstruction (UPJO). METHODS: The clinical data of 47 children who underwent surgery for UPJO at the Department of the Pediatric Surgery of the Fujian Provincial Hospital from October 2020 to September 2022 were analyzed retrospectively. Of these 47 children, 27 received RSPY while 20 underwent LSPY...
2024: Frontiers in Pediatrics
#3
JOURNAL ARTICLE
Aricia Shen, Galinos Barmparas, Nicolas Melo, Rex Chung, Miguel Burch, Umar Bhatti, Daniel R Margulies, Andrew Wang
INTRODUCTION: The role of robotic surgery in the nonelective setting remains poorly defined. Accessibility, patient acuity, and high turn-over may limit its applicability and utilization. The goal is to characterize the role of robotic cholecystectomy (CCY) in a busy acute care surgery (ACS) practice at a quaternary medical center, and compare surgical outcomes and resource utilization between robotic and laparoscopic CCY. METHODS: Adult patients who underwent robotic (Da Vinci Xi) or laparoscopic CCY between 01/2021-12/2022 by an ACS attending within 1 week of admission were included...
April 23, 2024: American Surgeon
#4
JOURNAL ARTICLE
Simon Moosburner, Paul M Dahlke, Jens Neudecker, Karl H Hillebrandt, Pia F Koch, Sebastian Knitter, Kristina Ludwig, Can Kamali, Safak Gül-Klein, Nathanael Raschzok, Wenzel Schöning, Igor M Sauer, Johann Pratschke, Felix Krenzien
PURPOSE: Minimal-invasive liver surgery (MILS) reduces surgical trauma and is associated with fewer postoperative complications. To amplify these benefits, perioperative multimodal concepts like Enhanced Recovery after Surgery (ERAS), can play a crucial role. We aimed to evaluate the cost-effectiveness for MILS in an ERAS program, considering the necessary additional workforce and associated expenses. METHODS: A prospective observational study comparing surgical approach in patients within an ERAS program compared to standard care from 2018-2022 at the Charité - Universitätsmedizin Berlin...
April 23, 2024: Langenbeck's Archives of Surgery
#5
JOURNAL ARTICLE
Sara Ingallinella, Francesco Ardito, Francesca Ratti, Rebecca Marino, Marco Catena, Agostino Maria De Rose, Francesco Razionale, Filippo Rumi, Americo Cicchetti, Felice Giuliante, Luca Aldrighetti
BACKGROUND: Economic impact of robotic liver surgery (RLS) is still a debated issue due to the heterogeneity of liver resections considered and the lack of a rigorous methodology. Therefore, the aim of this study is to perform a time-driven activity-based costing (TD-ABC) comparing the costs of RLS, laparoscopic liver surgery (LLS) and open liver surgery (OLS) in the context of complex liver resections and to compare short term perioperative outcomes. METHODS: The institutional databases of two Italian high volume hepatobiliary centres were retrospectively reviewed from February 2021 to April 2022...
April 3, 2024: Hepatobiliary Surgery and Nutrition
#6
JOURNAL ARTICLE
Jasper Max Gebhardt, Neno Werner, Andrea Stroux, Frank Förster, Ioannis Pozios, Claudia Seifarth, Christian Schineis, Benjamin Weixler, Katharina Beyer, Johannes Christian Lauscher
Background : The popularity of robotic-assisted surgery for rectal cancer is increasing, but its superiority over the laparoscopic approach regarding safety, efficacy, and costs has not been well established. Methods : A retrospective single-center study was conducted comparing consecutively performed robotic-assisted and laparoscopic surgeries for rectal cancer between 1 January 2016 and 31 September 2021. In total, 125 adult patients with sporadic rectal adenocarcinoma (distal extent ≤ 15 cm from the anal verge) underwent surgery where 66 were operated on robotically and 59 laparoscopically...
March 20, 2024: Journal of Clinical Medicine
#7
JOURNAL ARTICLE
F Hinojosa-Ramirez, L Tallon-Aguilar, J Tinoco-Gonzalez, A Sanchez-Arteaga, F Aguilar-Del Castillo, I Alarcon-Del Agua, S Morales-Conde
INTRODUCTION: There has been a rapid proliferation of the robotic approach to inguinal hernia, mainly in the United States, as it has shown similar outcomes to the laparoscopic approach but with a significant increase in associated costs. Our objective is to conduct a cost analysis in our setting (Spanish National Health System). MATERIALS AND METHODS: A retrospective single-center comparative study on inguinal hernia repair using a robotic approach versus laparoscopic approach...
March 20, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#8
JOURNAL ARTICLE
Eduard A van Bodegraven, Tess M E van Ramshorst, Svein O Bratlie, Arto Kokkola, Ernesto Sparrelid, Bergthor Björnsson, Dyre Kleive, Stefan K Burgdorf, Safi Dokmak, Bas Groot Koerkamp, Santiago Sánchez Cabús, I Quintus Molenaar, Ugo Boggi, Olivier R Busch, Miha Petrič, Geert Roeyen, Thilo Hackert, Daan J Lips, Mathieu D'Hondt, Mariëlle M E Coolsen, Giovanni Ferrari, Bobby Tingstedt, Alejandro Serrablo, Sebastien Gaujoux, Marco Ramera, Igor Khatkov, Fabio Ausania, Regis Souche, Sebastiaan Festen, Frederik Berrevoet, Tobias Keck, Robert P Sutcliffe, Elizabeth Pando, Roeland F de Wilde, Beatrice Aussilhou, Paul S Krohn, Bjørn Edwin, Per Sandström, Stefan Gilg, Hanna Seppänen, Caroline Vilhav, Mohammad Abu Hilal, Marc G Besselink
BACKGROUND: International guidelines recommend monitoring of the use and outcome of minimally invasive pancreatic surgery (MIPS). However, data from prospective international audits on minimally invasive distal pancreatectomy (MIDP) are lacking. This study examined the use and outcome of robot-assisted (RDP) and laparoscopic (LDP) distal pancreatectomy in the E-MIPS registry. MATERIALS AND METHODS: Post-hoc analysis in a prospective audit on MIPS, including consecutive patients undergoing MIDP in 83 centers from 19 European countries (01-01-2019/31-12-2021)...
March 18, 2024: International Journal of Surgery
#9
JOURNAL ARTICLE
Jasper P Sijberden, Tijs J Hoogteijling, Davit Aghayan, Francesca Ratti, Ek-Khoon Tan, Victoria Morrison-Jones, Jacopo Lanari, Louis Haentjens, Kongyuan Wei, Stylianos Tzedakis, John Martinie, Daniel Osei Bordom, Giuseppe Zimmitti, Kaitlyn Crespo, Paolo Magistri, Nadia Russolillo, Simone Conci, Burak Görgec, Andrea Benedetti Cacciaguerra, Daniel D'Souza, Gabriel Zozaya, Cèlia Caula, David Geller, Ricardo Robles Campos, Roland Croner, Shafiq Rehman, Elio Jovine, Mikhail Efanov, Adnan Alseidi, Riccardo Memeo, Ibrahim Dagher, Felice Giuliante, Ernesto Sparrelid, Jawad Ahmad, Tom Gallagher, Moritz Schmelzle, Rutger-Jan Swijnenburg, Åsmund Avdem Fretland, Federica Cipriani, Ye-Xin Koh, Steven White, Santi Lopez Ben, Fernando Rotellar, Pablo E Serrano, Marco Vivarelli, Andrea Ruzzenente, Alessandro Ferrero, Fabrizio Di Benedetto, Marc G Besselink, Iswanto Sucandy, Robert P Sutcliffe, Dionisios Vrochides, David Fuks, Rong Liu, Mathieu D'Hondt, Umberto Cillo, John N Primrose, Brian K P Goh, Luca A Aldrighetti, Bjørn Edwin, Mohammad Abu Hilal
OBJECTIVE: The aim of this study was to compare the perioperative outcomes of robotic liver surgery (RLS) and laparoscopic liver surgery (LLS) in various settings. SUMMARY BACKGROUND DATA: Clear advantages of RLS over LLS have rarely been demonstrated, and the associated costs of robotic surgery are generally higher than those of laparoscopic surgery. Therefore, the exact role of the robotic approach in minimally invasive liver surgery remains to be defined. METHODS: In this international retrospective cohort study, the outcomes of patients who underwent RLS and LLS for all indications between 2009 and 2021 in 34 hepatobiliary referral centers were compared...
March 14, 2024: Annals of Surgery
#10
JOURNAL ARTICLE
Jyun-Ming Huang, Sheng-Hsien Chen, Te-Hung Chen
BACKGROUND: The primary treatment for pancreatic cancer is surgical resection, and laparoscopic resection offers benefits over open surgery. This study aimed to compare the short-term outcomes of robot-assisted vs. conventional laparoscopic distal pancreatectomy. METHODS: Data of adults ≥ 20 years old with pancreatic cancer who underwent conventional laparoscopic or robot-assisted laparoscopic distal pancreatectomy were extracted from the United States (US) Nationwide Inpatient Sample (NIS) 2005-2018 database...
February 29, 2024: Cancers
#11
JOURNAL ARTICLE
Hester C Timmerhuis, Christopher W Jensen, Rejoice F Ngongoni, Michael Baiocchi, Jonathan C DeLong, Rika Ohkuma, Monica M Dua, Jeffrey A Norton, George A Poultsides, Patrick J Worth, Brendan C Visser
BACKGROUND: Minimally invasive distal pancreatectomy (MIDP) has established advantages over the open approach. The costs associated with robotic DP (RDP) versus laparoscopic DP (LDP) make the robotic approach controversial. We sought to compare outcomes and cost of LDP and RDP using propensity matching analysis at our institution. METHODS: Patients undergoing LDP or RDP between 2000 and 2021 were retrospectively identified. Patients were optimally matched using age, gender, American Society of Anesthesiologists status, body mass index, and tumor size...
March 4, 2024: Surgical Endoscopy
#12
JOURNAL ARTICLE
Mengchao Wei, Wenjie Yang, Jingmin Zhou, Zixing Ye, Zhigang Ji, Jie Dong, Weifeng Xu
PURPOSE: AirSeal is a valve-less trocar insufflation system which is widely used in robotic urologic surgeries. More evidence is needed concerning the application and cost of AirSeal in retroperitoneal robot-assisted laparoscopic partial nephrectomy. METHODS: We conducted a randomized controlled trial enrolling 62 patients who underwent retroperitoneal robot-assisted laparoscopic partial nephrectomy from February 2022 to February 2023 in the Peking Union Medical College Hospital...
February 21, 2024: World Journal of Urology
#13
JOURNAL ARTICLE
Nikolaos Evangelopoulos, Aude Nessi, Chahin Achtari
Minimally invasive abdominal sacrocolpopexy (SC) is the treatment of choice for symptomatic, high-grade, apical or multi-compartmental pelvic organ prolapse (POP), in terms of anatomical correction and treatment durability. Robot-assisted sacrocolpopexy (RASC) could be an attractive alternative to the gold standard laparoscopic sacrocolpopexy (LSC), for its ergonomic advantages in such a technically demanding procedure. However, it has not yet proven its superiority, consequently raising cost-effectiveness issues...
February 10, 2024: Journal of Robotic Surgery
#14
JOURNAL ARTICLE
Hee Ju Sohn, Mirang Lee, Youngmin Han, Wooil Kwon, Yoo-Seok Yoon, Ho-Seong Han, Chang Sup Lim, Jin-Young Jang
BACKGROUND: This multicenter study aimed to compare the clinical outcomes of minimally invasive extended cholecystectomy (MI-EC) versus open EC (O-EC) for patients with gallbladder cancer (GBC). METHODS: Patients who underwent EC (cholecystectomy, wedge resection of the liver bed, and regional lymphadenectomy) for GBC between 2010 and 2020 in three centers were included in the study. The clinicopathological data were compared after propensity score matching. Additional subgroup analysis on laparoscopic and robotic EC (L-EC and R-EC) was performed...
February 7, 2024: Journal of Hepato-biliary-pancreatic Sciences
#15
JOURNAL ARTICLE
Meagan D Read, Johnathan Torikashvili, Haroon Janjua, Emily A Grimsley, Paul C Kuo, Salvatore Docimo
The surgical robot is assumed to be a fixed, indirect cost. We hypothesized rising volume of robotic bariatric procedures would decrease cost per patient over time. Patients who underwent elective, initial gastric bypass (GB) or sleeve gastrectomy (SG) for morbid obesity were selected from Florida Agency for Health Care Administration database from 2017 to 2021. Inflation-adjusted cost per patient was collected. Cost-over-time ($/patient year) and change in cost-over-time were calculated for open, laparoscopic, and robotic cases...
February 3, 2024: Journal of Robotic Surgery
#16
JOURNAL ARTICLE
Y Li, J Y Chen, J F Jia, S H He, D Xu
Objective: To compare the efficacy of robotic-assisted single-incision-plus- one-port laparoscopic pyeloplasty (R-SILP+1) with single-incision laparoscopic pyeloplasty (SILP) in pediatric ureteropelvic junction obstruction (UPJO). Methods: The clinical data of 47 children with UPJO who underwent surgery from October 2020 to September 2022 in the Department of Pediatric Surgery of Fujian Provincial Hospital were retrospectively analyzed. According to the surgical method chosen by parents, the children were divided into R-SILP+1 group and SILP group...
January 30, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
#17
JOURNAL ARTICLE
Carlos Delgado-Miguel, Juan I Camps
Laparoscopic elective splenectomy is considered as a safe surgical treatment of spleen non-traumatic blood disorders. However, robotic assisted splenectomy is becoming a promising alternative, although there are scarce studies in pediatric patients. Our aim is to compare the effectiveness and associated costs of both procedures in children. A single-institution retrospective study was performed among consecutive children undergoing splenectomy between 2004 and 2021, who were divided according to the surgical approach: LAS group (laparoscopic splenectomy) and RAS group (robotic assisted splenectomy)...
January 27, 2024: Journal of Robotic Surgery
#18
JOURNAL ARTICLE
Giuseppe Marincola, Priscilla Francesca Procopio, Francesco Pennestrì, Pierpaolo Gallucci, Nikolaos Voloudakis, Luigi Ciccoritti, Francesco Greco, Giulia Salvi, Francesca Prioli, Carmela De Crea, Marco Raffaelli
The increased operative time and costs represent the main limitations of robotic technology application to bariatric surgery. Robotic platforms may help the surgeon to overcome the technical difficulties in super-obese (SO, BMI ≥ 50 kg/m2 ) patients, in which multi-quadrant operations could be challenging. We aimed to evaluate the effect of robot-assisted (R) versus laparoscopic (L) approaches in Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) and Roux-en-Y Gastric Bypass (RYGB) in SO and Super-Super Obese (SSO, BMI ≥ 60 kg/m2 ) patients in terms of outcomes and cost-effectiveness...
January 17, 2024: Journal of Robotic Surgery
#19
JOURNAL ARTICLE
Yana Liu, Meng Mao, Jing Bai, Mingbo Cai, Qian Wang, Hanlin Fu, Mengling Zhao, Chunfang Wang, Lulu Si, Ruixia Guo
BACKGROUND: Vaginectomy has been shown to be effective for select patients with vaginal high-grade squamous intraepithelial lesions (HSIL) and is favored by gynecologists, while there are few reports on the robotic-assisted laparoscopic vaginectomy (RALV). The aim of this study was to evaluate the safety and treatment outcomes between RALV and the conventional laparoscopic vaginectomy (CLV) for patients with vaginal HSIL. METHODS: This retrospective cohort study was conducted in 109 patients with vaginal HSIL who underwent either RALV (RALV group) or CLV (CLV group) from December 2013 to May 2022...
January 13, 2024: BMC Women's Health
#20
JOURNAL ARTICLE
Mohamed Elshaer, Alan Askari, Adithya Pathanki, Jaimini Rajani, Jawad Ahmad
Robotic liver resections (RLR) are increasingly being performed and has previously been considered more costly. The aim is to explore the cost of RLR compared with laparoscopic and open liver resection in a single National Health Service (NHS) hospital. A retrospective review of patients who underwent RLR, LLR, and OLR from April 2014 to December 2022 was conducted. The primary outcomes were the cost of consumables and median income, and the secondary outcomes were the overall length of stay and mortality at 90 days...
January 12, 2024: Journal of Robotic Surgery
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