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https://www.readbyqxmd.com/read/29785459/intracorporeal-delta-shaped-gastroduodenostomy-in-reduced-port-robotic-distal-subtotal-gastrectomy-technical-aspects-and-short-term-outcomes
#1
Joong Ho Lee, Taeil Son, Jisu Kim, Won Jun Seo, Chul Kyu Rho, Minah Cho, Hyoung-Il Kim, Woo Jin Hyung
BACKGROUND: Gastroduodenostomy is preferred as a method of reconstruction following distal subtotal gastrectomy. However, in initial reports on reduced-port gastrectomy, gastroduodenostomy has rarely been performed therein because of technical difficulties. The present study describes a novel intracorporeal gastroduodenostomy technique applicable during reduced-port robotic distal subtotal gastrectomy. METHODS: Data were retrospectively reviewed for cases of reduced-port (three-port) robotic distal subtotal gastrectomy with intracorporeal delta-shaped gastroduodenostomy performed from February 2016 to December 2016...
May 21, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29777355/reduced-port-totally-robotic-distal-subtotal-gastrectomy-with-lymph-node-dissection-for-gastric-cancer-a-modified-technique-using-single-site-%C3%A2-and-two-additional-ports
#2
Won Jun Seo, Taeil Son, Chul Kyu Roh, Minah Cho, Hyoung-Il Kim, Woo Jin Hyung
BACKGROUND: Reduced-port laparoscopic gastrectomy further minimizes the invasiveness of laparoscopic gastrectomy, thereby improving patient quality of life. However, suboptimal ergonomics and visualization are challenges to performing reduced-port laparoscopy. As the application of a robotic surgical system may help overcome these challenges, the present study was performed to evaluate the short-term outcomes of reduced-port totally robotic distal subtotal gastrectomy. METHOD: An initial 40 consecutive gastric cancer patients treated with reduced-port totally robotic distal subtotal gastrectomy with lymph node dissection from February 2016 to February 2017 were retrospectively reviewed...
May 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29774813/robotic-laparoendoscopic-single-site-pyeloplasty-and-nephrectomy-chapter
#3
Igor Sorokin, Jeffrey A Cadeddu
Robotic laparoendoscopic single site (RLESS) for upper tract procedures is safe and feasible in the correctly selected patient. An ideal candidate is young, has a low body mass index, and is undergoing surgery for benign indications. For RLESS procedures, we utilize a GelPOINT® access platform for "single-port" placement and ports are configured in a diamond shape. Five millimeter EndoWrist® robotic instruments are placed under direct vision. Range of motion is increased by utilizing the chopstick technique...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29714289/characterization-of-aerosol-optical-properties-using-multiple-clustering-techniques-over-zanjan-iran-during-2010-2013
#4
Maryam Gharibzadeh, Khan Alam, Yousefali Abedini, Abbasali Aliakbari Bidokhti, Amir Masoumi, Humera Bibi
Discrimination of aerosol types is very important, because different aerosols are created from diverse sources having different chemical, physical, and optical properties. In the present study, we have analyzed the seasonal classification of aerosol types by multiple clustering techniques, using AERosol Robotic NETwork (AERONET) data during 2010-2013 over Zanjan, Iran. We found that aerosol optical depth (AOD) showed pronounced seasonal variations of a summer high and winter low. Conversely, the values of the Angstrom exponent (AE) in winter and fall were higher than in spring and summer, which confirmed the presence of fine particles, while the low value of AE in the summer and spring represented the existence of coarse particles...
April 10, 2018: Applied Optics
https://www.readbyqxmd.com/read/29704582/robotic-single-port-partial-prostatectomy-for-anterior-tumors-transvesical-approach
#5
Jihad Kaouk, Juan Garisto, Daniel Sagalovich, Julien Dagenais, Riccardo Bertolo, Eric Klein
OBJECTIVES: To evaluate the feasibility of a single port transvesical robotic approach for anterior partial prostatectomy (SP-TVPP) in a cadaver model. METHODS: The cadavers were placed in a lithothomy position and secured to the operating table. A 3-cm midline incision was made in the suprapubic skin fold. After opening the Retzius space, a single-port mini device (GelPOINT, Rancho Margarita, California, USA) was introduced percutaneously directly into the bladder...
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29667065/single-site-laparoscopy-and-robotic-surgery-in-pediatric-urology
#6
REVIEW
Diana K Bowen, Jason P Van Batavia, Arun K Srinivasan
PURPOSE OF REVIEW: In this review, we summarize research that has evaluated the role of laparoendoscopic single-site (LESS) and robotic surgery in pediatric urology, highlighting new and/or controversial ideas. RECENT FINDINGS: The newest research developments over the last several years are studies that address generalizability of these techniques, ideal patient factors, extrapolation to more complex surgeries, and comparative studies to more traditional techniques to define the associated costs and benefits, as well as patient-centered outcomes...
April 17, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29651714/learning-based-endovascular-navigation-through-the-use-of-non-rigid-registration-for-collaborative-robotic-catheterization
#7
Wenqiang Chi, Jindong Liu, Hedyeh Rafii-Tari, Celia Riga, Colin Bicknell, Guang-Zhong Yang
PURPOSE: Endovascular intervention is limited by two-dimensional intraoperative imaging and prolonged procedure times in the presence of complex anatomies. Robotic catheter technology could offer benefits such as reduced radiation exposure to the clinician and improved intravascular navigation. Incorporating three-dimensional preoperative imaging into a semiautonomous robotic catheterization platform has the potential for safer and more precise navigation. This paper discusses a semiautonomous robotic catheter platform based on previous work (Rafii-Tari et al...
April 12, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29628297/evaluation-of-a-ct-guided-robotic-system-for-precise-percutaneous-needle-insertion
#8
Eliel Ben-David, Moran Shochat, Ido Roth, Isaac Nissenbaum, Jacob Sosna, S Nahum Goldberg
PURPOSE: To assess overall targeting accuracy for CT-guided needle insertion using prototype robotic system for common target sites. MATERIALS AND METHODS: Using CT guidance, metallic (2 × 1 mm) targets were embedded in retroperitoneum (n = 8), kidneys (n = 8), and liver (n = 14) of 8 Yorkshire pigs (55-65 kg). Bronchial bifurcations were targeted in the lung (n = 13). CT datasets were obtained for planning and controlled needle placement of commercially available 17- to 19-gauge needles (length 15-20 cm) using a small, patient-mounted, CT-guided robotic system with 5° of motion...
April 6, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29595183/gastrointestinal-stromal-tumours-of-stomach-robot-assisted-excision-with-the-da-vinci-surgical-system-regardless-of-size-and-location-site
#9
Niccolo Furbetta, Matteo Palmeri, Simone Guadagni, Gregorio Di Franco, Desirée Gianardi, Saverio Latteri, Emanuele Marciano, Andrea Moglia, Alfred Cuschieri, Giulio Di Candio, Franco Mosca, Luca Morelli
AIMS: The role of minimally invasive surgery of gastrointestinal stromal tumours (GISTs) of the stomach remains uncertain especially for large and/or difficult located tumours. We are hereby presenting a single-centre series of robot-assisted resections using the da Vinci Surgical System (Si or Xi). SUBJECTS AND METHODS: Data of patients undergoing robot-assisted treatment of gastric GIST were retrieved from the prospectively collected institutional database and a retrospective analysis was performed...
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29580344/building-a-single-site-robotic-cholecystectomy-program-in-a-public-teaching-hospital-is-it-safe-for-patients-and-feasible-for-residents-to-participate
#10
Michael P O'leary, Reed I Ayabe, Christine E Dauphine, Danielle M Hari, Junko J Ozao-Choy
Single-site robotic cholecystectomy (SSRC) accounts for most of the robotic surgery cases performed by general surgeons at our institution since acquiring the da Vinci Si Surgical SystemTM (Intuitive Surgical, Inc., Sunnyvale, CA) in 2014. We sought to determine whether a SSRC program is safe to start in a public teaching hospital and to determine whether resident participation in this procedure is feasible. Data on age, gender, race, BMI, total operative time, length of stay, comorbidities, and conversion from laparoscopic to open surgery were examined for elective SSRC and laparoscopic cholecystectomies (LCs) performed by two faculty surgeons between February 2015 and August 2015...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29569863/infection-prevention-and-control-challenges-of-using-a-therapeutic-robot
#11
Penny Dodds, Katharine Martyn, Mary Brown
This work was part of a National Institute for Health Research participatory action research and practice development study, which focused on the use of a therapeutic, robotic baby seal (PARO, for personal assistive robot) in everyday practice in a single-site dementia unit in Sussex. From the beginning of January 2017 until the end of September 2017, the cleaning and cleanliness of PARO was monitored through a service audit process that focused on the cleaning, amount of use and testing of contamination of PARO being used in everyday clinical practice with individuals and in group sessions...
March 23, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29546514/observation-of-optical-properties-and-sources-of-aerosols-at-buddha-s-birthplace-lumbini-nepal-environmental-implications
#12
Dipesh Rupakheti, Shichang Kang, Maheswar Rupakheti, Zhiyuan Cong, Lekhendra Tripathee, Arnico K Panday, Brent N Holben
For the first time, aerosol optical properties are measured over Lumbini, Nepal, with CIMEL sunphotometer of the Aerosol Robotic Network (AERONET) program. Lumbini is a sacred place as the birthplace of Lord Buddha, and thus a UNESCO world heritage site, located near the northern edge of the central Indo-Gangetic Plains (IGP) and before the Himalayan foothills (and Himalayas) to its north. Average aerosol optical depth (AOD) is found to be 0.64 ± 0.38 (0.06-3.28) over the sampling period (January 2013-December 2014), with the highest seasonal AOD during the post-monsoon season (0...
March 15, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29533505/robotic-transvesical-partial-prostatectomy-using-a-purpose-built-single-port-robotic-system
#13
Jihad Kaouk, Daniel Sagalovich, Juan Garisto
Prostate cancer (PCa) is the most common malignancy among men in the western world.1 Organ confined PCa treatment relies on a precise evaluation of the primary disease site. With the evolution of technology, prostate imaging modalities such as magnetic resonance imaging (MRI) are being used to localize PCa lesions dramatically impacting the management of this urologic malignancy2 . This article is protected by copyright. All rights reserved.
March 13, 2018: BJU International
https://www.readbyqxmd.com/read/29531940/the-emerging-role-for-robotics-in-cholecystectomy-the-dawn-of-a-new-era
#14
REVIEW
Jessica A Zaman, Tejender Paul Singh
Though laparoscopic cholecystectomy (LC) was highly criticized in its early stages, it quickly grew to become a new standard of care and has revolutionized the field of general surgery. Now emerging robotic technology is making its way into the minimally invasive arena. Robotic cholecystectomy (RC) is often disparaged as a costly technology that can lead to increased operative times with outcomes that are quite similar to LC. However, this perspective is skewed as many existing studies were performed in the early phase of learning for this procedure...
February 2018: Hepatobiliary Surgery and Nutrition
https://www.readbyqxmd.com/read/29525793/zero-surgical-site-infection-in-primary-knee-arthroplasty-with-multidisciplinary-intervention-is-it-possible
#15
Zehra Çağla Karakoç, Uğur Haklar
Surgical site infections (SSI) are among the most important complications in knee arthroplasty. In this article we aim to retrospectively evaluate effects of preoperative multidisciplinary assessment and treatment of focal infections in primary knee arthroplasty patients operated by a single surgeon in a single center. A total of 93 patients undergoing 120 primary knee arthroplasty operations were included in the study. In the preoperative assessment all patients were consulted by infectious diseases, otorhinolaryngology (ENT) and dentistry departments, and female patients additionally by gynecology departments to evaluate and treat possible focal infections...
March 1, 2018: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29506824/single-site-robotic-cholecystectomy-and-robotics-training-should-we-start-in-the-junior-years
#16
Reed I Ayabe, Aaron B Parrish, Christine E Dauphine, Danielle M Hari, Junko J Ozao-Choy
BACKGROUND: It has become increasingly important to expose surgical residents to robotic surgery as its applications continue to expand. Single-site robotic cholecystectomy (SSRC) is an excellent introductory case to robotics. Resident involvement in SSRC is known to be feasible. Here, we sought to determine whether it is safe to introduce SSRC to junior residents. MATERIALS AND METHODS: A total of 98 SSRC cases were performed by general surgery residents between August 2015 and August 2016...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29482483/assessment-of-postural-ergonomics-and-surgical-performance-in-laparoendoscopic-single-site-surgery-using-a-handheld-robotic-device
#17
Francisco Miguel Sánchez-Margallo, Juan A Sánchez-Margallo
PURPOSE: New laparoscopic devices are being continuously developed to overcome some of the technical and ergonomic limitations of laparoendoscopic single-site (LESS) surgery. This study aims to assess the surgeon's surgical performance and ergonomics during the use of a handheld, robotic-driven, articulating laparoscopic instrument during LESS surgery. METHODS: Seven right-handed experienced surgeons took part in this study. A set of basic suturing tasks and digestive and urological procedures in a porcine model were performed...
February 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29473252/transoral-radical-tonsillectomy-and-retropharyngeal-lymph-node-dissection-with-a-flexible-next-generation-robotic-surgical-system
#18
Raymond K Tsang, Eddy W Y Wong, Jason Y K Chan
BACKGROUND: The purpose of this study was to describe the use of a novel flexible, single-arm robot in performing a transoral radical tonsillectomy and retropharyngeal lymph node dissection. METHODS: A 63-year-old man with a T1N2bM0 (American Joint Committee on Cancer seventh edition classification) squamous cell carcinoma (SCC) of the left tonsil underwent a transoral robotic radical tonsillectomy and retropharyngeal lymph node dissection, followed by a left selective neck dissection of levels I to IV...
February 23, 2018: Head & Neck
https://www.readbyqxmd.com/read/29453728/single-site-port-robotic-assisted-hysterectomy-an-update
#19
REVIEW
Christos Iavazzo, Evelyn Eleni Minis, Ioannis D Gkegkes
Single-incision approach in robotic gynecology is a relatively new concept. The role of single-port systems in robotic hysterectomy, their advantages and disadvantages, as well as the technical challenges, are still under investigation. A systematic review was performed by searching in PubMed and Scopus databases. In 810 out of 1225 patients, hysterectomy was performed for non-neoplastic disease. Single-Site® was the most common port system. Duration of the procedure and relative blood loss ranged from 60 to 311 min and 7 to 750 ml, respectively...
February 16, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29406807/quantifying-the-additional-difficulty-of-pediatric-robot-assisted-laparoscopic-re-do-pyeloplasty-a-comparison-of-primary-and-re-do-procedures
#20
Minki Baek, Mesrur Selcuk Silay, Jason K Au, Gene O Huang, Rodolfo A Elizondo, Kathleen Puttmann, Nicolette K Janzen, Abhishek Seth, David R Roth, Chester J Koh
BACKGROUND: Re-do pyeloplasty after failed open or laparoscopic ureteropelvic junction (UPJ) obstruction correction can be a challenging procedure because of scar formation at the previous anastomosis site and decreased vascularity of the ureter. This study compared the perioperative parameters for pediatric robot-assisted laparoscopic (RAL) primary and re-do pyeloplasties with an emphasis on the intra-operative parameters. MATERIALS AND METHODS: We compared the perioperative parameters of pediatric RAL procedures performed by a single surgeon at a tertiary care children's hospital for both primary ureteropelvic junction obstruction (UPJO) and recurrent UPJO after a previous open or laparoscopic procedure over 2013-2015...
February 6, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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