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robotic cholecystectomy

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https://www.readbyqxmd.com/read/28601325/adoption-of-robotics-in-a-general-surgery-residency-program-at-what-cost
#1
J Hunter Mehaffey, Alex D Michaels, Matthew G Mullen, Kenan W Yount, Max O Meneveau, Philip W Smith, Charles M Friel, Bruce D Schirmer
BACKGROUND: Robotic technology is increasingly being utilized by general surgeons. However, the impact of introducing robotics to surgical residency has not been examined. This study aims to assess the financial costs and training impact of introducing robotics at an academic general surgery residency program. METHODS: All patients who underwent laparoscopic or robotic cholecystectomy, ventral hernia repair (VHR), and inguinal hernia repair (IHR) at our institution from 2011-2015 were identified...
June 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28585107/a-technique-to-define-extrahepatic-biliary-anatomy-using-robotic-near-infrared-fluorescent-cholangiography
#2
Ajay V Maker, Nicholas Kunda
BACKGROUND: Bile duct injury is a rare but serious complication of minimally invasive cholecystectomy. Traditionally, intraoperative cholangiogram has been used in difficult cases to help delineate anatomical structures, however, new imaging modalities are currently available to aid in the identification of extrahepatic biliary anatomy, including near-infrared fluorescent cholangiography (NIFC) using indocyanine green (ICG).1-5 The objective of the study was to evaluate if this technique may aid in safe dissection to obtain the critical view...
June 5, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28584501/-scarless-inguinal-herniorrhaphy
#3
Hiba Abdel-Aziz, Elisha A Chance
INTRODUCTION: Laparoscopic inguinal herniorrhaphy is widely accepted. Robotic-assisted surgery provides improved 3-dimensional visualization and enhanced dexterity. The purpose of this case series was to demonstrate the feasibility of a modified, robotic, single-site, unilateral inguinal herniorrhaphy. TECHNIQUE: Six patients 18 years of age or older with a body mass index <35 provided informed consent and underwent hernia repair with a modified herniorrhaphy technique from January to July 2014...
April 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28488073/incisional-hernia-after-robotic-single-site-cholecystectomy-a-pilot-study
#4
A Balaphas, N C Buchs, S P Naiken, M E Hagen, A Zawodnik, M K Jung, G Varnay, L H Bühler, P Morel
PURPOSE: Robotic LaparoEndoscopic Single-Site Surgery Cholecystectomy has been performed for 5 years using a dedicated platform (da Vinci(®) Single-Site(®)) with the da Vinci(®) Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA). While short-term feasibility has been described, long-term assessment of this method is currently outstanding. The aim of this study was to assess long-term parietal complications of this technique. METHODS: In this retrospective study, patients operated between 2011 and 2013 were evaluated...
May 9, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28359408/robotic-versus-conventional-laparoscopic-cholecystectomy-a-comparative-study-of-medical-resource-utilization-and-clinical-outcomes
#5
COMPARATIVE STUDY
Yu-Pei Li, Shen-Nien Wang, King-Teh Lee
Conventional laparoscopic cholecystectomy (CLC) is currently the standard of surgical procedure for gallstone disease. Robotic cholecystectomy (RC) has revolutionized the field of minimally invasive surgery; it is safe and ergonomic, but expensive. The aim of this study is to compare the medical resource utilization and clinical outcomes between the two procedures. This study was conducted retrospectively by assessing data of the clinical outcomes and medical resource of 78 patients receiving RC and 367 patients receiving CLC...
April 2017: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/28266977/requesting-patient-characteristics-for-readmissions-noted-in-single-site-robotic-cholecystectomy-in-a-broadly-inclusive-patient-population-a-prospective-study
#6
Stephanie Biglarian, Namir Katkhouda
No abstract text is available yet for this article.
April 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28251840/pose-optimization-and-port-placement-for-robot-assisted-minimally-invasive-surgery-in-cholecystectomy
#7
Mei Feng, Xingze Jin, Weihua Tong, Xiaoyu Guo, Ji Zhao, Yili Fu
BACKGROUND: Pose optimization and port placement are critical issues for preoperative preparation in robot-assisted minimally invasive surgery (RMIS), and affect the robot performance and surgery quality. METHODS: This paper proposes a method for pose optimization and port placement for RMIS in cholecystectomy that considers both the robot and surgery requirements. The robot pose optimization was divided into optimization of the positioning joint configuration and optimization of the end effector configuration...
March 2, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28183345/robot-assisted-single-site-compared-with-laparoscopic-single-incision-cholecystectomy-for-benign-gallbladder-disease-protocol-for-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Lukasz Filip Grochola, Christopher Soll, Adrian Zehnder, Roland Wyss, Pascal Herzog, Stefan Breitenstein
BACKGROUND: Recent advances in robotic technology suggest that the utilization of the da Vinci Single-Site™ platform for cholecystectomy is safe, feasible and results in a shorter learning curve compared to conventional single-incision laparoscopic cholecystectomy. Moreover, the robot-assisted technology has been shown to reduce the surgeon's stress load compared to standard single-incision laparoscopy in an experimental setup, suggesting an important advantage of the da Vinci platform...
February 9, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28058471/a-comparative-study-of-outcomes-between-single-site-robotic-and-multi-port-laparoscopic-cholecystectomy-an-experience-from-a-tertiary-care-center
#9
COMPARATIVE STUDY
Banujan Balachandran, Theadore A Hufford, Taha Mustafa, Kunal Kochar, Suela Sulo, Joubin Khorsand
BACKGROUND: The aim of this study was to compare the outcomes of single-site robotic cholecystectomy with multi-port laparoscopic cholecystectomy within a high-volume tertiary health care center. METHODS: A retrospective analysis of prospectively maintained data was conducted on patients undergoing single-site robotic cholecystectomy or multi-port laparoscopic cholecystectomy between October 2011 and July 2014. A single surgeon performed all the surgeries included in the study...
May 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28011011/robotic-cholecystectomy-versus-conventional-laparoscopic-cholecystectomy-a-meta-analysis
#10
Yeqian Huang, Terence C Chua, Guy J Maddern, Jaswinder S Samra
BACKGROUND: Robotic cholecystectomy is a novel approach that offers the surgeon improved high-definition, 3-dimensional views and enhanced instrument ergonomics, which represent a technical development from previous operative platforms that include conventional and single-incision laparoscopy. This review compares its short-term outcomes with conventional laparoscopic cholecystectomy by a meta-analysis. METHODS: A literature search was conducted using the MEDLINE, EMBASE, and PubMed databases (January 1990-October 2015)...
December 20, 2016: Surgery
https://www.readbyqxmd.com/read/28000648/robotics-in-general-surgery-a-systematic-cost-assessment
#11
REVIEW
Ioannis D Gkegkes, Ioannis A Mamais, Christos Iavazzo
The utilisation of robotic-assisted techniques is a novelty in the field of general surgery. Our intention was to examine the up to date available literature on the cost assessment of robotic surgery of diverse operations in general surgery. PubMed and Scopus databases were searched in a systematic way to retrieve the included studies in our review. Thirty-one studies were retrieved, referring on a vast range of surgical operations. The mean cost for robotic, open and laparoscopic ranged from 2539 to 57,002, 7888 to 16,851 and 1799 to 50,408 Euros, respectively...
December 21, 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27992297/single-port-robotic-cholecystectomy-in-pediatric-patients-single-institution-experience
#12
Armando Rosales-Velderrain, Fuad Alkhoury
INTRODUCTION: Modifications to conventional laparoscopic cholecystectomy are aimed to decrease abdominal pain and improve cosmetic results. Single-port robotic cholecystectomy is a safe and feasible approach that has been reported in adults, though reports are limited in children. This study aims to report our experience with single-port robotic cholecystectomy in children, and to evaluate the safety, feasibility, and outcomes of this approach. METHODS: After single-port robotic approach was available at our institution, we prospectively followed our patients who underwent a single-port robotic cholecystectomy from March 2013 to May 2015 in our children's hospital...
April 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27989604/why-i-think-the-robot-will-be-the-future-for-laparoscopic-cholecystectomies
#13
EDITORIAL
Pier Cristoforo Giulianotti
No abstract text is available yet for this article.
March 2017: Surgery
https://www.readbyqxmd.com/read/27981823/robotic-single-port-cholecystectomy-current-data-and-future-perspectives
#14
Anastasios Angelou, Athanasios Skarmoutsos, Georgios A Margonis, Demetrios Moris, Christos Tsigris, Emmanouil Pikoulis
INTRODUCTION: Minimally invasive techniques are used more and more frequently. Since conventional laparoscopic approach has been the gold standard, surgeons in their effort to further reduce the invasiveness of conventional laparoscopic cholecystectomy have adopted Single Incision approach. The widespread adoption of robotics has led to the inevitable hybridization of robotic technology with laparoendoscopic single-site surgery (LESS). As a result, employment of the da Vinci surgical system may allow greater surgical maneuverability, improving ergonomics...
December 16, 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27964803/web-video-mining-supported-workflow-modeling-for-laparoscopic-surgeries
#15
Rui Liu, Xiaoli Zhang, Hao Zhang
MOTIVATION: As quality assurance is of strong concern in advanced surgeries, intelligent surgical systems are expected to have knowledge such as the knowledge of the surgical workflow model (SWM) to support their intuitive cooperation with surgeons. For generating a robust and reliable SWM, a large amount of training data is required. However, training data collected by physically recording surgery operations is often limited and data collection is time-consuming and labor-intensive, severely influencing knowledge scalability of the surgical systems...
November 2016: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/27896657/performing-the-difficult-cholecystectomy-using-combined-endoscopic-and-robotic-techniques-how-i-do-it
#16
Deepa Magge, Jennifer Steve, Stephanie Novak, Adam Slivka, Mellissa Hogg, Amer Zureikat, Herbert J Zeh
Laparoscopic cholecystectomy is the standard of care for cholelithiasis as well as cholecystitis. However, in the setting of Mirizzi syndrome or gangrenous cholecystitis where the critical view cannot be ascertained, subtotal cholecystectomy may be necessary. Using the robot-assisted approach, difficult cholecystectomies can be performed upfront without need for partial cholecystectomy. Even in the setting of Mirizzi syndrome where severe scarring and fibrosis are evident, definitive cholecystectomy and takedown of the cholechystocholedochal fistula can be performed in a safe and feasible fashion following successful endoscopic common bile duct stent placement...
March 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27885325/current-role-of-minimally-invasive-radical-cholecystectomy-for-gallbladder-cancer
#17
REVIEW
Giuseppe Zimmitti, Alberto Manzoni, Francesca Guerini, Marco Ramera, Paola Bertocchi, Francesca Aroldi, Alberto Zaniboni, Edoardo Rosso
Background. For Tis and T1a gallbladder cancer (GbC), laparoscopic cholecystectomy can provide similar survival outcomes compared to open cholecystectomy. However, for patients affected by resectable T1b or more advanced GbC, open approach radical cholecystectomy (RC), consisting in gallbladder liver bed resection or segment 4b-5 bisegmentectomy, with locoregional lymphadenectomy, is considered the gold standard while minimally invasive RC (MiRC) is skeptically considered. Aim. To analyze current literature on perioperative and oncologic outcomes of MiRC for patients affected by GbC...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27873012/robotic-cholecystectomy-using-revo-i-model-msr-5000-the-newly-developed-korean-robotic-surgical-system-a-preclinical-study
#18
Jin Hong Lim, Woo Jung Lee, Dong Won Park, Hye Jin Yea, Se Hoon Kim, Chang Moo Kang
BACKGROUND: Laparoscopic surgery has become the standard option for gastrointestinal surgeries. However, laparoscopic procedures require extended training times and are difficult for inexperienced surgeons. Robot-assisted laparoscopic surgery facilitates easy adaptation of laparoscopic procedures, but robotic surgical systems are expensive. In addition, their cost has remained high because there is currently only one manufacturer of commercially available systems. Recently, a new Korean robotic surgical system, Revo-i, has been developed...
November 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27864724/cosmesis-patient-satisfaction-and-quality-of-life-after-da-vinci-single-site-cholecystectomy-and-multiport-laparoscopic-cholecystectomy-short-term-results-from-a-prospective-multicenter-randomized-controlled-trial
#19
Omar Yusef Kudsi, Andres Castellanos, Srinivas Kaza, Justin McCarty, Eugene Dickens, David Martin, Frederick M Tiesenga, Konstantinos Konstantinidis, Petros Hirides, Shilpa Mehendale, Anthony Gonzalez
BACKGROUND: Single-incision laparoscopic cholecystectomy evolved from the traditional multiport laparoscopic technique. Prior trials have demonstrated improved cosmesis with the single-incision technique. Robotic single-site surgery minimizes the technical difficulties associated with laparoscopic single-incision approach. This is the first prospective, randomized, controlled study comparing robotic single-site cholecystectomy (RSSC) and multiport laparoscopic cholecystectomy (MPLC) in terms of cosmesis and patient satisfaction...
November 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27860142/single-incision-robotic-cholecystectomy-a-special-emphasis-on-utilization-of-transparent-glove-ports-to-overcome-limitations-of-single-site-port
#20
Hongeun Lee, Doo-Ho Lee, Hongbeom Kim, Youngmin Han, Sun-Whe Kim, Jin-Young Jang
BACKGROUND: The current robotic platform overcomes some limitations of single-incision laparoscopic cholecystectomy (SILC), however, whether robotic surgery is a safe and feasible approach must be investigated. METHODS: Patients referred for elective surgery willing to undergo single-incision robotic cholecystectomy (SIRC) by consent were enrolled. All procedures were performed by the same team using the same surgical equipment. RESULTS: Thirty patients underwent SIRC...
November 17, 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
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