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robotic colorectal

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https://www.readbyqxmd.com/read/28196361/introduction-of-robotic-surgery-into-a-community-hospital-setting-a-prospective-comparison-of-robotic-and-open-colorectal-resection-for-cancer
#1
Marek Zawadzki, Małgorzata Krzystek-Korpacka, Marek Rząca, Roman Czarnecki, Zbigniew Obuszko, Wojciech Witkiewicz
PURPOSE: The aim of this study was to compare robotic colorectal surgery (RCS) performed by a team having limited expertise in robotic surgery with open colorectal surgery (OCS) performed by experienced colorectal surgeons. METHODS: This was a prospective comparative nonrandomized study. RESULTS: Between March 2013 and June 2015, 79 patients with colon and rectal adenocarcinoma were enrolled into the study. Of these, 41 patients underwent OCS and 38 underwent RCS...
February 15, 2017: Digestive Surgery
https://www.readbyqxmd.com/read/28132735/robotic-hepatic-arterial-infusion-pump-placement
#2
Motaz Qadan, Michael I D'Angelica, Nancy E Kemeny, Andrea Cercek, T Peter Kingham
BACKGROUND: Hepatic artery infusion pump (HAIP) placement is associated with improved outcomes in the treatment of colorectal liver metastases (CRLM). In this study, we examined outcomes following robotic HAIP placement, which were compared with open and laparoscopic placement. METHODS: A retrospective review of HAIP placements by 2 surgeons at a single institution was carried out. All statistical tests were 2-sided and p < 0.05 was considered significant. RESULTS: There were a total of 53 open HAIP cases, 21 laparoscopic cases, and 24 robotic cases...
January 26, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/28078466/does-stoma-site-specimen-extraction-increase-postoperative-ileostomy-complication-rates
#3
Wanglin Li, Cigdem Benlice, Luca Stocchi, Hermann Kessler, Emre Gorgun, Meagan Costedio
BACKGROUND: Minimizing incisions has the potential to decrease hernia formation and wound complications following laparoscopic surgery. It is currently unknown if using the stoma site for specimen extraction affects outcomes. This study aims to evaluate the impact of stoma site extraction on postoperative complication rates in laparoscopic colorectal surgery. METHODS: After IRB approval, a retrospective comparative review of 738 consecutive patients (405 M) who underwent laparoscopic colorectal surgery with ileostomy between January 2008 and December 2014 was performed...
January 11, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28059913/liposomal-bupivacaine-use-in-transversus-abdominis-plane-blocks-reduces-pain-and-postoperative-intravenous-opioid-requirement-after-colorectal-surgery
#4
Audrey L Stokes, Sanjib D Adhikary, Ashley Quintili, Frances J Puleo, Christine S Choi, Christopher S Hollenbeak, Evangelos Messaris
BACKGROUND: Enhanced recovery protocols frequently use multimodal postoperative analgesia to improve postoperative outcomes in patients undergoing colorectal surgery. OBJECTIVE: The purpose of this study was to evaluate liposomal bupivacaine use in transversus abdominis plane blocks on postoperative pain scores and opioid use after colorectal surgery. DESIGN: This was a retrospective cohort study comparing outcomes between patients receiving nonliposomal anesthetic (n = 104) and liposomal bupivacaine (n = 303) blocks...
February 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28058512/a-novel-approach-for-robotic-mobilization-of-the-splenic-flexure
#5
O Isik, C Benlice, E Gorgun
BACKGROUND: The techniques of robotic splenic flexure mobilization in the colorectal surgery setting are not well defined and have been challenging due to limited range of motion of the second-generation robotic platform in multiple quadrants. METHODS: This report describes a novel technique for robotic splenic flexure mobilization with medial-to-lateral approach without a need for robotic cart repositioning during left-sided colon and rectal surgery. The dissection is started with ligation of the inferior mesenteric artery and vein...
January 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28052695/management-of-early-colonic-neoplasia-where-are-we-now-and-where-are-we-heading
#6
Gaius Longcroft-Wheaton, Pradeep Bhandari
There have been considerable advances in the endoscopic treatment of colorectal neoplasia. The development of endoscopic submucosal dissection and full thickness resection techniques is changing the way benign disease and early cancers are managed. This article reviews the evidence behind these new techniques and discusses where this field is likely to move in the future. Areas covered: A PubMed literature review of resection techniques for colonic neoplasia was performed. The clinical and cost effectiveness of endoscopic mucosal resection (EMR) is examined...
March 2017: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28028750/early-clinical-experience-with-the-da-vinci-xi-surgical-system-in-general-surgery
#7
Monika E Hagen, Minoa K Jung, Frederic Ris, Jassim Fakhro, Nicolas C Buchs, Leo Buehler, Philippe Morel
The da Vinci Xi Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) has been released in 2014 to facilitate minimally invasive surgery. Novel features are targeted towards facilitating complex multi-quadrant procedures, but data is scarce so far. Perioperative data of patients who underwent robotic general surgery with the da Vinci Xi system within the first 6 month after installation were collected and analyzed. The gastric bypass procedures performed with the da Vinci Xi Surgical System were compared to an equal amount of the last procedures with the da Vinci Si Surgical System...
December 27, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28008712/insight-into-the-da-vinci%C3%A2-xi-technical-notes-for-single-docking-left-sided-colorectal-procedures
#8
James Chi-Yong Ngu, Sarah Sim, Sulaiman Yusof, Chee-Yung Ng, Andrew Siang-Yih Wong
BACKGROUND: The adoption of robot-assisted laparoscopic colorectal surgery has been hampered by issues with docking, operative duration, technical difficulties in multi-quadrant access, and cost. The da Vinci® Xi has been designed to overcome some of these limitations. We describe our experience with the system and offer technical insights to its application in left-sided colorectal procedures. METHODS: Our initial series of left-sided robotic colorectal procedures was evaluated...
December 23, 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/27993198/a-comparison-of-trends-in-operative-approach-and-postoperative-outcomes-for-colorectal-cancer-surgery
#9
Jamin K Addae, Faiz Gani, Sandy Y Fang, Elizabeth C Wick, Azah A Althumairi, Jonathan E Efron, Joseph K Canner, David M Euhus, Eric B Schneider
BACKGROUND: Data-assessing trends and perioperative outcomes relative to surgical approach for colorectal cancer (CRC) surgery are lacking. We report national trends of CRC surgery and compare postoperative outcomes by surgical approach. METHODS: A total of 261,886 patients undergoing surgery for CRC were identified using the Nationwide Inpatient Sample from 2009 to 2012. Trends in surgical approach were assessed using the Cochrane-Armitage test of trends. Multivariable logistic and linear regression analyses were performed to compare length of stay (LOS), postoperative complications, and cost by surgical approach...
February 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/27972457/comparison-of-trend-outcome-and-cost-of-open-laparoscopic-and-robotic-surgical-treatment-for-colorectal-cancer-a-propensity-score-matched-analysis-of-a-national-database
#10
C Chiu, M G Lee, W Hsu, S Lee, T Hsu, C Lee
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27933136/critical-analysis-of-the-literature-investigating-urogenital-function-preservation-following-robotic-rectal-cancer-surgery
#11
Sofoklis Panteleimonitis, Jamil Ahmed, Mick Harper, Amjad Parvaiz
AIM: To analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery. METHODS: A comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: "rectal cancer" or "colorectal cancer" and robot* or "da Vinci" and sexual or urolog* or urinary or erect* or ejaculat* or impot* or incontinence. All original studies examining the urological and/or sexual outcomes of male and/or female patients receiving robotic rectal cancer surgery were included...
November 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27905087/robot-assisted-surgery-in-elderly-and-very-elderly-population-our-experience-in-oncologic-and-general-surgery-with-literature-review
#12
Graziano Ceccarelli, Enrico Andolfi, Alessia Biancafarina, Aldo Rocca, Maurizio Amato, Marco Milone, Marta Scricciolo, Barbara Frezza, Egidio Miranda, Marco De Prizio, Andrea Fontani
BACKGROUND: Although there is no agreement on a definition of elderly, commonly an age cutoff of ≥65 or 75 years is used. Nowadays most of malignancies requiring surgical treatment are diagnosed in old population. Comorbidities and frailty represent well-known problems during and after surgery in elderly patients. Minimally invasive surgery offers earlier postoperative mobilization, less blood loss, lower morbidity as well as reduction in hospital stay and as such represents an interesting and validated option for elderly population...
November 30, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27893300/the-use-of-robotic-and-laparoscopic-surgical-stapling-devices-during-minimally-invasive-colon-and-rectal-surgery-a-comparison
#13
Jeremy L Holzmacher, Samuel Luka, Madiha Aziz, Richard L Amdur, Samir Agarwal, Vincent Obias
PURPOSE: To date there exists no published study examining the safety and efficacy of the EndoWrist 45 (Intuitive Surgical, Inc.) robotic stapler. We compared outcomes between the robotic and comparable laparoscopic stapler in robotic-assisted colorectal procedures. MATERIALS AND METHODS: We conducted a retrospective review of 93 patients who underwent robotic-assisted colorectal surgery at our institution from 2012 to 2014. Surgeries included left, sigmoid, subtotal and total colectomies, and low anterior rectal resections...
February 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27888474/colorectal-surgery-in-elderly-patients-our-experience-with-davinci-xi%C3%A2-system
#14
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/27873506/development-of-a-robotic-colonoscopic-manipulation-system-using-haptic-feedback-algorithm
#15
Jaehong Woo, Jae Hyuk Choi, Jong Tae Seo, Tae Il Kim, Byung Ju Yi
PURPOSE: Colonoscopy is one of the most effective diagnostic and therapeutic tools for colorectal diseases. We aim to propose a master-slave robotic colonoscopy that is controllable in remote site using conventional colonoscopy. MATERIALS AND METHODS: The master and slave robot were developed to use conventional flexible colonoscopy. The robotic colonoscopic procedure was performed using a colonoscope training model by one expert endoscopist and two unexperienced engineers...
January 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/27863086/is-it-important-to-palpate-lymph-nodes-in-open-surgery-for-colorectal-cancer
#16
Yusuke Yamaoka, Yusuke Kinugasa, Akio Shiomi, Tomohiro Yamaguchi, Hiroyasu Kagawa, Yushi Yamakawa, Akinobu Furutani, Masakatsu Numata
INTRODUCTION: In laparoscopic or robotic surgery, surgeons cannot directly palpate lymph nodes (LN), which could be considered a shortcoming in that procedure. This study was performed to evaluate the importance of palpation diagnosis of LN metastasis in colorectal cancer surgery. METHODS: This study enrolled 408 patients who underwent curative resection for primary colorectal cancer in our department in 2014. The diameter of each manually dissected LN was measured, and the LN was then examined by palpation to determine whether it was metastatic based on its consistency...
November 8, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27855992/-initial-experience-in-robot-assisted-colorectal-surgery-in-mexico
#17
Eduardo Villanueva-Sáenz, Moisés Marino Ramírez-Ramírez, Gregorio Zubieta-O'Farrill, Luis García-Hernández
BACKGROUND: Colorectal surgery has advanced notably since the introduction of the mechanical suture and the minimally invasive approach. Robotic surgery began in order to satisfy the needs of the patient-doctor relationship, and migrating to the area of colorectal surgery. An initial report is presented on the experience of managing colorectal disease using robot-assisted surgery, as well as an analysis of MATERIAL AND METHODS: A retrospective study was conducted in order to review five patients with colorectal disease intervened with a robot-assisted technique during one year in the initial phase of the learning curve...
November 14, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27815747/first-series-of-total-robotic-hysterectomy-trh-using-new-integrated-table-motion-for-the-da-vinci-xi-feasibility-safety-and-efficacy
#18
Andrea Giannini, Eleonora Russo, Paolo Mannella, Giulia Palla, Silvia Pisaneschi, Elena Cecchi, Michele Maremmani, Luca Morelli, Alessandra Perutelli, Vito Cela, Franca Melfi, Tommaso Simoncini
BACKGROUND: To present the first case series of total robotic hysterectomy (TRH), using integrated table motion (ITM), which is a new feature comprising a unique operating table by Trumpf Medical that communicates wirelessly with the da Vinci Xi surgical system. ITM has been specifically developed to improve multiquadrant robotic surgery such as that conducted in colorectal surgery. METHODS: Between May and October 2015, a prospective post-market study was conducted on ITM in the EU in 40 cases from different specialties...
November 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27815742/developing-a-robotic-colorectal-cancer-surgery-program-understanding-institutional-and-individual-learning-curves
#19
Hamza Guend, Maria Widmar, Sunil Patel, Garrett M Nash, Philip B Paty, José G Guillem, Larissa K Temple, Julio Garcia-Aguilar, Martin R Weiser
IMPORTANCE: Robotic colorectal resection continues to gain in popularity. However, limited data are available regarding how surgeons gain competency and institutions develop programs. OBJECTIVE: To determine the number of cases required for establishing a robotic colorectal cancer surgery program. DESIGN: Retrospective review. SETTING: Cancer center. PATIENTS: We reviewed 418 robotic-assisted resections for colorectal adenocarcinoma from January 1, 2009, to December 31, 2014, by surgeons at a single institution...
November 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27815698/comparison-of-inflammatory-responses-following-robotic-and-open-colorectal-surgery-a-prospective-study
#20
Marek Zawadzki, Malgorzata Krzystek-Korpacka, Andrzej Gamian, Wojciech Witkiewicz
PURPOSE: Robotic colorectal surgery continues to rise in popularity, but there remains little evidence on the stress response following the procedure. The aim of this study was to evaluate the inflammatory response to robotic colorectal surgery and compare it with the response generated by open colorectal surgery. METHODS: This was a prospective nonrandomized comparative study involving 61 patients with colorectal cancer. The evaluation of inflammatory response to either robotic or open colorectal surgery was expressed as changes in interleukin-1β, interleukin-1 receptor antagonist, interleukin-6, tumor necrosis factor-α, C-reactive protein, and procalcitonin during the first three postoperative days...
November 4, 2016: International Journal of Colorectal Disease
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