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https://www.readbyqxmd.com/read/29442240/review-of-emerging-surgical-robotic-technology
#1
REVIEW
Brian S Peters, Priscila R Armijo, Crystal Krause, Songita A Choudhury, Dmitry Oleynikov
BACKGROUND: The use of laparoscopic and robotic procedures has increased in general surgery. Minimally invasive robotic surgery has made tremendous progress in a relatively short period of time, realizing improvements for both the patient and surgeon. This has led to an increase in the use and development of robotic devices and platforms for general surgery. The purpose of this review is to explore current and emerging surgical robotic technologies in a growing and dynamic environment of research and development...
February 13, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29440057/the-role-of-robotics-in-colorectal-surgery
#2
REVIEW
Christina L Cheng, Craig Rezac
Studies of laparoscopic approaches in colorectal surgery support the use of such methods. Compared with the open approach, laparoscopy reduces rates of postoperative complications and decreases length of stay, while providing equivalent oncologic outcomes. Nevertheless, much of colorectal surgery is still being performed by the open approach. This may be partly due to the technical challenges in performing laparoscopy, particularly when working in narrow spaces such as the pelvis. Moreover, some of the current literature has questioned the oncologic outcomes after laparoscopic surgery for rectal cancer...
February 12, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29435902/pediatric-living-donor-liver-transplantation-using-a-monosegment-procured-by-pure-3d-laparoscopic-left-lateral-sectionectomy-and-in-situ-reduction
#3
Suk Kyun Hong, Kyung-Suk Suh, Hyo-Sin Kim, Kyung Chul Yoon, Sung-Woo Ahn, Hyeyoung Kim, Nam-Joon Yi, Kwang-Woong Lee
BACKGROUND: Improvements in laparoscopic imaging systems and instruments have increased the performance of pure laparoscopic living donor hepatectomy. This operation is no longer limited to left lateral sectionectomy but is used for left hepatectomy and right hepatectomy.1-5 This report describes a donor who underwent pure laparoscopic left lateral sectionectomy and in situ reduction using 3D laparoscopy and indocyanine green (ICG) near-infrared fluorescence cholangiography to obtain a monosegment...
February 12, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29432903/use-of-the-limbs-and-things-hysterectomy-model-to-describe-the-process-for-establishing-validity
#4
Christopher C DeStephano, Anita H Chen, Michael Heckman, Nicolette T Chimato, Paulami Guha, Mariana Espinal, Tri A Dinh
OBJECTIVE: Demonstrate the process for establishing or refuting validity for the Limbs and Things hysterectomy model. DESIGN: Prospective study using Kane's framework for establishing validity (Canadian Task Force Classification: II-2). SETTING: Laparoscopic hysterectomy (TLH) assessments completed in the operating room (OR) and simulation at three academic medical centers. PARTICIPANTS: OB/GYN residents (n=26 post-graduate year 3-4), a gynecologic oncology fellow (post-graduate year 5), and a gynecology oncology attending...
February 9, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29432125/clinical-and-patient-centered-outcomes-in-obese-type-2-diabetes-patients-3-years-after-randomization-to-roux-en-y-gastric-bypass-surgery-versus-intensive-lifestyle-management-the-slimm-t2d-study
#5
Donald C Simonson, Florencia Halperin, Kathleen Foster, Ashley Vernon, Allison B Goldfine
OBJECTIVE: To compare the effect of Roux-en-Y gastric bypass (RYGB) surgery versus intensive medical diabetes and weight management (IMWM) on clinical and patient-reported outcomes in obese patients with type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: We prospectively randomized 38 obese patients with T2D (15 male and 23 female, with mean ± SD weight 104 ± 16 kg, BMI 36.3 ± 3.4 kg/m2, age 52 ± 6 years, and HbA1c 8.5 ± 1.3% [69 ± 14 mmol/mol]) to laparoscopic RYGB (n = 19) or IMWM (n = 19)...
February 6, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29423553/force-based-learning-curve-tracking-in-fundamental-laparoscopic-skills-training
#6
Sem F Hardon, Tim Horeman, H Jaap Bonjer, W J H Jeroen Meijerink
BACKGROUND: Within minimally invasive surgery (MIS), structural implementation of courses and structured assessment of skills are challenged by availability of trainers, time, and money. We aimed to establish and validate an objective measurement tool for preclinical skills acquisition in a basic laparoscopic at-home training program. METHODS: A mobile laparoscopic simulator was equipped with a state-of-the-art force, motion, and time tracking system (ForceSense, MediShield B...
February 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29417340/trans-umbilical-two-port-laparoscopic-suturing-of-the-inguinal-hernia-defect-with-percutaneous-assistance-a-safe-and-efficient-scarless-surgery-for-pediatric-inguinal-hernia-repair
#7
T Shou, H Zhong, F Wang
PURPOSE: This study was aimed to describe the technique of the modified trans-umbilical two-port laparoscopic suturing (M-TTLS), and show its feasibility and efficacy to treat pediatric inguinal hernia (PIH). METHODS: After general anesthesia, the patient was placed in the Trendelenburg position. Two trocars were set on umbilicus and a pneumoperitoneum was established at 8-12 mmHg. Under direct vision, a long syringe needle was punctured into the preperitoneal space above the internal inguinal ring (IIR)...
February 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29390591/robot-assisted-laparoendoscopic-single-site-adrenalectomy-a-comparison-of-3-different-port-platforms-with-3-case-reports
#8
Hung-Cheng Kan, See-Tong Pang, Chun-Te Wu, Ying-Hsu Chang, Chung-Yi Liu, Cheng-Keng Chuang, Po-Hung Lin
RATIONALE: Laparoscopic adrenalectomy is currently the standard of care for adrenal lesion. Minimal invasive laparoscopic surgery such as laparoendoscopic single site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to improve cosmetic outcomes and reduce postoperative pain. However, there are still some problems related to instruments and port limitation during LESS surgery. Robot-assisted laparoscopic surgery may help to overcome these problems, and port platforms selection is an important issue...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29388004/a-cost-conscious-approach-to-robotic-adrenalectomy
#9
Zuliang Feng, Michael P Feng, David P Feng, Mark J Rice, Carmen C Solórzano
In recent years, the use of robotic-assisted adrenalectomy (RA) has increased; however, many surgeons question its reported higher cost. In this study, we review our experience and strategies to reduce the cost of RA comparing it to Laparoscopic adrenalectomy (LA). Since May of 2010, 122 consecutive patients underwent minimally invasive adrenalectomy (58 RAs and 64 LA) by a high-volume adrenal surgeon at our institution. A cost analysis was performed for RA versus LA. Cost calculations included anesthesia professional fee, procedure time and consumables fees...
January 31, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29371173/temporary-simultaneous-two-arterial-occlusions-testo-during-laparoscopic-management-for-cornual-ectopic-pregnancy
#10
Haeree Yang, Taejong Song
STUDY OBJECTIVE: To demonstrate a new technique of TEmporary Simultaneous Two-arterial Occlusions (TESTO) of uterine and ovarian (or utero-ovarian) artery to reduce operative blood loss during laparoscopic cornual resection for cornual ectopic pregnancy. DESIGN: A step-by-step explanation of the surgical procedure using video (Canadian Task Force classification III). This study was approved by the Institutional Review Board. SETTING: A university hospital PATIENTS: A 41-year-old woman presented with pelvic pain with 7 weeks of amenorrhea...
January 22, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29371172/the-power-law-of-learning-in-transumbilical-single-port-laparoscopic-subtotal-hysterectomy
#11
Shu-Han You, Chen-Ying Huang, Hsuan Su, Chien-Min Han, Chyi-Long Lee, Chih-Feng Yen
STUDY OBJECTIVE: To analyze the surgical outcomes and learning curve of transumbilical single-port laparoscopic subtotal hysterectomy which requires sutures of the cervical stump. DESIGN: Prospective observational study (Canadian Task Force Classification II-2). SETTING: University-affiliated center. PATIENTS: From the first (July 2012) and consecutive patients of benign uterine disease scheduled for subtotal hysterectomy till October 2013...
January 22, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29371066/international-summit-on-laparoscopic-pancreatic-resection-islpr-coimbatore-summit-statements
#12
Chinnusamy Palanivelu, Takaori Kyoichi, Abu Hilal Mohammad, A Kooby David, Wakabayashi Go, Anil Agarwal, Stefano Berti, Besselink Marc, Chen Kuo Hsin, Andrew A Gumbs, Han Ho-Seong, Honda Goro, Hua Min Zheng, Igor Khatkov, Kim Hong Jin, Jiang Tao Li, Duy Long Tran Cong, Marcel Autran Machado, Matsushita Akira, Krishna Menon, Masafumi Nakamura, Yuichi Nagakawa, Pekolj Juan, Ignasi Poves, Shahidur Rahman Shaheed, Rong Liu, Antonio Sa Cunha, Senthilnathan Palanisamy, Shailesh Shrikhande, S Srivatsan Gurumurthy, Dong Sup Yoon, Yoo-Seok Yoon
The International Summit on Laparoscopic Pancreatic Resection (ISLPR) was held in Coimbatore, India, on 7th and 8th of October 2016 and thirty international experts who regularly perform laparoscopic pancreatic resections participated in ISPLR from four continents, i.e., South and North America, Europe and Asia. Prior to ISLPR, the first conversation among the experts was made online on August 26th, 2016 and the structures of ISPLR were developed. The aims of ISPLR were; i) to identify indications and optimal case selection criteria for minimally invasive pancreatic resection (MIPR) in the setting of both benign and malignant diseases; ii) standardization of techniques to increase the safety of MIPR; iii) identification of common problems faced during MIPR and developing associated management strategies; iv) development of clinical protocols to allow early identification of complications and develop the accompanying management plan to minimize morbidity and mortality...
December 27, 2017: Surgical Oncology
https://www.readbyqxmd.com/read/29362653/reduced-port-robotic-total-mesorectal-resection-for-rectal-cancer-using-a-single-port-access-a-technical-note
#13
Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Introduction: Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, pure single-port laparoscopic rectal cancer surgery is challenging because of the difficulties in creating triangulation and applying the laparoscopic staplers with sufficient distal margins in the narrow pelvic cavity. Recently, a reduced-port robotic operation with a robotic single-port access plus one wristed robotic arm for colon cancer was introduced to overcome the limitations of single-port laparoscopic rectal surgery...
December 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29354893/-review-of-clinical-investigation-in-minimally-invasive-gastrointestinal-surgery-in-2017-and-future-prospects
#14
Jing Sun, Sen Zhang, Minhua Zheng
Clinical investigation in minimally invasive gastrointestinal surgery has been developed by leaps and bounds in 2017. Standardizations of port placement, surgical approaches, lymphadenectomy, reconstruction, total laparoscopic surgery, incision-free technique, 3D laparoscope, as well as robotic surgeries, have been established. In the treatment for gastric cancer, the first-hand data of the laparoscopic technique for advanced gastric cancer will be released soon. Therefore, the research hotspots have been moved forward to lymphadenectomy, resection range, and reconstruction in laparoscopic advanced gastric cancer surgery...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29352453/measuring-surgical-safety-during-minimally-invasive-surgical-procedures-a-validation-study
#15
Mathijs D Blikkendaal, Sara R C Driessen, Sharon P Rodrigues, Johann P T Rhemrev, Maddy J G H Smeets, Jenny Dankelman, John J van den Dobbelsteen, Frank Willem Jansen
BACKGROUND: During the implementation of new interventions (i.e., surgical devices and technologies) in the operating room, surgical safety might be compromised. Current safety measures are insufficient in detecting safety hazards during this process. The aim of the study was to observe whether surgical teams are capable of measuring surgical safety, especially with regard to the introduction of new interventions. METHODS: A Surgical Safety Questionnaire was developed that had to be filled out directly postoperative by three surgical team members...
January 19, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29349544/interpretation-of-motion-analysis-of-laparoscopic-instruments-based-on-principal-component-analysis-in-box-trainer-settings
#16
Ignacio Oropesa, Fernando Pérez Escamirosa, Juan A Sánchez-Margallo, Silvia Enciso, Borja Rodríguez-Vila, Arturo Minor Martínez, Francisco M Sánchez-Margallo, Enrique J Gómez, Patricia Sánchez-González
BACKGROUND: Motion analysis parameters (MAPs) have been extensively validated for assessment of minimally invasive surgical skills. However, there are discrepancies on how specific MAPs, tasks, and skills match with each other, reflecting that motion analysis cannot be generalized independently of the learning outcomes of a task. Additionally, there is a lack of knowledge on the meaning of motion analysis in terms of surgical skills, making difficult the provision of meaningful, didactic feedback...
January 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29349543/saving-robots-improves-laparoscopic-performance-transfer-of-skills-from-a-serious-game-to-a-virtual-reality-simulator
#17
Wouter M IJgosse, Harry van Goor, Jan-Maarten Luursema
BACKGROUND: Residents find it hard to commit to structural laparoscopic skills training. Serious gaming has been proposed as a solution on the premise that it is effective and more motivating than traditional simulation. We establish construct validity for the laparoscopic serious game Underground by comparing laparoscopic simulator performance for a control group and an Underground training group. METHODS: A four-session laparoscopic basic skills course is part of the medical master students surgical internship at the Radboud University Medical Centre...
January 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29342018/mini-or-less-open-sublay-operation-milos-a-new-minimally-invasive-technique-for-the-extraperitoneal-mesh-repair-of-incisional-hernias
#18
Wolfgang Reinpold, Michael Schröder, Cigdem Berger, Jennifer Nehls, Alexander Schröder, Martin Hukauf, Ferdinand Köckerling, Reinhard Bittner
OBJECTIVE: Improvement of ventral hernia repair. BACKGROUND: Despite the use of mesh and other recent improvements, the currently popular techniques of ventral hernia repair have specific disadvantages and risks. METHODS: We developed the endoscopically assisted mini- or less-open sublay (MILOS) concept. The operation is performed transhernially via a small incision with light-holding laparoscopic instruments either under direct, or endoscopic visualization...
January 16, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29340824/a-software-based-tool-for-video-motion-tracking-in-the-surgical-skills-assessment-landscape
#19
Sandeep Ganni, Sanne M B I Botden, Magdalena Chmarra, Richard H M Goossens, Jack J Jakimowicz
BACKGROUND: The use of motion tracking has been proved to provide an objective assessment in surgical skills training. Current systems, however, require the use of additional equipment or specialised laparoscopic instruments and cameras to extract the data. The aim of this study was to determine the possibility of using a software-based solution to extract the data. METHODS: 6 expert and 23 novice participants performed a basic laparoscopic cholecystectomy procedure in the operating room...
January 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29336765/robotic-inguinal-hernia-repair
#20
David S Edelman
Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Concurrent robotic inguinal hernia repair at the time of prostatectomy has been shown to have a lower recurrence rate than open repair. Robotic surgery adds high definition visualization and articulating instruments which enhances dexterity that makes laparoscopic hernia repair more refined. A series of robotic, laparoscopic, inguinal hernia repairs by a single surgeon with an extensive laparoscopic hernia experience at a single institution was undertaken to determine the role of robotic laparoscopic inguinal hernia repair in minimally invasive surgery...
December 1, 2017: American Surgeon
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