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https://www.readbyqxmd.com/read/29679342/fundoplication-with-180-degree-wrap-during-esophagogastrostomy-after-robotic-proximal-gastrectomy-for-early-gastric-cancer
#1
Toshiyasu Ojima, Mikihito Nakamori, Masaki Nakamura, Keiji Hayata, Shimpei Maruoka, Hiroki Yamaue
BACKGROUND: Compared with total gastrectomy, proximal gastrectomy (PG) has potential advantages from a nutritional perspective, such as anemia and postoperative loss of body weight. However, PG is associated with some postoperative functional disorders, such as reflux esophagus (13-31%) and anastomotic stenosis (3-29%).1 We therefore developed a new procedure for fundoplication during esophago-gastrostomy after robotic PG (RPG). METHODS: We performed RPG for early gastric cancer localized in the upper third of the stomach using the da Vinci Surgical System (Intuitive, Sunnyvale, CA)...
April 20, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29629224/successful-robotic-gastrectomy-does-not-require-extensive-laparoscopic-experience
#2
Ji Yeong An, Su Mi Kim, Soohyun Ahn, Min-Gew Choi, Jun-Ho Lee, Tae Sung Sohn, Jae-Moon Bae, Sung Kim
Purpose: We evaluated the learning curve and short-term surgical outcomes of robot-assisted distal gastrectomy (RADG) performed by a single surgeon experienced in open, but not laparoscopic, gastrectomy. We aimed to verify the feasibility of performing RADG without extensive laparoscopic experience. Materials and Methods: Between July 2012 and December 2016, 60 RADG procedures were performed by a single surgeon using the da Vinci® Surgical System (Intuitive Surgical)...
March 2018: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/29618918/head-to-head-comparison-of-three-virtual-reality-robotic-surgery-simulators
#3
Alexandria M Hertz, Evalyn I George, Christine M Vaccaro, Timothy C Brand
Background and Objectives: There are several different commercially available virtual-reality robotic simulators, but very little comparative data. We compared the face and content validity of 3 robotic surgery simulators and their pricing and availability. Methods: Fifteen participants completed one task on each of the following: dV-Trainer (dVT; Mimic Technologies, Inc., Seattle, Washington, USA), da Vinci Skills Simulator (dVSS; Intuitive Surgical Inc., Sunnyvale, California, USA), and RobotiX Mentor (RM; 3D Systems, Rock Hill, South Carolina, USA)...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29617931/robotic-mitral-valve-replacements-with-bioprosthetic-valves-in-52-patients-experience-from-a-tertiary-referral-hospital
#4
Chia-Cheng Kuo, Hsiao-Huang Chang, Chung-Hsi Hsing, Hiong-Ping Hii, Nan-Chun Wu, Chin-Ming Hsu, Chun-I Chen, Bor-Chih Cheng
OBJECTIVES: Robotic mitral valve replacement (MVR) emerged in the late 1990s as an alternative approach to conventional sternotomy. With the increased use of bioprosthetic valves worldwide and strong patient desire for minimally invasive procedures, the safety and feasibility of robotic MVRs with bioprosthetic valves require investigation. METHODS: Between January 2013 and May 2017, 52 consecutive patients underwent robotic MVRs using the da Vinci Si surgical system (Intuitive Surgical Inc...
March 30, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29605864/robotic-kidney-autotransplantation-in-a-porcine-model-a-procedure-specific-training-platform-for-the-simulation-of-robotic-intracorporeal-vascular-anastomosis
#5
Ho Yee Tiong, Benjamin Yen Seow Goh, Edmund Chiong, Lincoln Guan Lim Tan, Anatharaman Vathsala
Robotic-assisted kidney transplantation (RKT) with the Da Vinci (Intuitive, USA) platform has been recently developed to improve outcomes by decreasing surgical site complications and morbidity, especially in obese patients. This potential paradigm shift in the surgical technique of kidney transplantation is performed in only a few centers. For wider adoption of this high stake complex operation, we aimed to develop a procedure-specific simulation platform in a porcine model for the training of robotic intracorporeal vascular anastomosis and evaluating vascular anastomoses patency...
March 31, 2018: Journal of Robotic 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
#6
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/29579026/targeted-muscle-reinnervation-considerations-for-future-implementation-in-adolescents-and-younger-children
#7
Kevin J Zuo, Michael P Willand, Emily S Ho, Sandra Ramdial, Gregory H Borschel
Prosthetic options for patients with proximal upper limb absence are limited. Current above elbow prostheses may restore basic motor functions for crucial activities, but they are cumbersome to operate, lack sensory feedback, and are often abandoned. Targeted muscle reinnervation (TMR) is a novel surgical procedure that enhances the ability of patients with above elbow amputations to intuitively control a myoelectric prosthesis. By transferring multiple severed peripheral nerves to a robust target muscle, TMR restores physiologic continuity and enables more intuitive prosthetic control...
March 19, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29575601/three-dimensional-augmented-reality-surgical-navigation-with-hybrid-optical-and-electromagnetic-tracking-for-distal-intramedullary-nail-interlocking
#8
Longfei Ma, Zhe Zhao, Boyu Zhang, Weipeng Jiang, Ligong Fu, Xinran Zhang, Hongen Liao
BACKGROUND: Intramedullary nail (IMN) fixation improves functional outcomes for the diaphyseal fractures of long bones. However, locking the distal holes of the IMN is challenging. Although several navigation methods have been proposed, an intuitive, radiation-free and accurate navigation method that does not suffer from problems of hand-eye coordination has not yet been described. METHODS: This paper proposes an augmented reality (AR) surgical navigation method with hybrid optical and electromagnetic (EM) tracking for distal IMN interlocking...
March 25, 2018: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/29554323/intraoperative-nerve-monitoring-in-robotic-assisted-resection-of-presacral-ganglioneuroma-operative-technique
#9
Tomas Garzon-Muvdi, Allan Belzberg, Mohamad E Allaf, Jean-Paul Wolinsky
BACKGROUND: Robotic-assisted techniques have been implemented in the surgical treatment of tumors in the pelvis, abdomen, and thorax. In pelvic tumors, robotic-assisted techniques evade the need for sizable surgical exposure, but make stimulation of the nerves of the sacral plexus very difficult. OBJECTIVE: To describe how laparoscopic robotic-assisted surgery can couple with tools such as the nerve stimulator to aid in the resection of presacral masses emanating from the neural elements and potentially improve neurological outcome by preventing inadvertent injury to involved nerves...
March 14, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29531968/development-of-a-modular-fluorescence-overlay-tissue-imaging-system-for-wide-field-intraoperative-surgical-guidance
#10
John Quan Minh Nguyen, Melanie McWade, Giju Thomas, Bryce T Beddard, Jennifer L Herington, Bibhash C Paria, Herbert S Schwartz, Jennifer L Halpern, Ginger E Holt, Anita Mahadevan-Jansen
Fluorescence imaging is a well-established optical modality that has been used to localize and track fluorophores in vivo and has demonstrated great potential for surgical guidance. Despite the variety of fluorophores currently being researched, many existing intraoperative fluorescence imaging systems are specifically designed for a limited number of applications. We present a modular wide-field fluorescence overlay tissue imaging system for intraoperative surgical guidance that is comprised of commercially available standardized components...
April 2018: Journal of Medical Imaging
https://www.readbyqxmd.com/read/29529913/smartphone-assisted-minimally-invasive-neurosurgery
#11
Mauricio Mandel, Carlo Emanuel Petito, Rafael Tutihashi, Wellingson Paiva, Suzana Abramovicz Mandel, Fernando Campos Gomes Pinto, Almir Ferreira de Andrade, Manoel Jacobsen Teixeira, Eberval Gadelha Figueiredo
OBJECTIVE Advances in video and fiber optics since the 1990s have led to the development of several commercially available high-definition neuroendoscopes. This technological improvement, however, has been surpassed by the smartphone revolution. With the increasing integration of smartphone technology into medical care, the introduction of these high-quality computerized communication devices with built-in digital cameras offers new possibilities in neuroendoscopy. The aim of this study was to investigate the usefulness of smartphone-endoscope integration in performing different types of minimally invasive neurosurgery...
March 13, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29519647/transoral-robotic-surgery-for-the-treatment-of-laryngeal-chondrosarcoma-a-case-report
#12
Ashley J Guthrie, Raymond L Chai
IMPORTANCE: Transoral robotic surgery has revolutionized the practice of head and neck surgery over the past decade, with indications now expanding to include laryngeal pathology. Although laryngeal chondrosarcoma is a rare entity, trends in otolaryngology literature suggest that it can frequently be managed with conservative approaches. We hope to inspire other head and neck surgeons to consider transoral robotic surgery for the treatment of such tumors so that outcomes data can be collected and studied...
March 1, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29511579/robotic-perineal-radical-prostatectomy-and-robotic-pelvic-lymph-node-dissection-via-a-perineal-approach-the-tugcu-bakirkoy-technique
#13
Volkan Tuğcu, Oktay Akça, Abdulmuttalip Şimşek, İsmail Yiğitbaşı, Mustafa Gürkan Yenice, Selçuk Şahin, Ali İhsan Taşcı
Objective: To describe The Tugcu Bakirkoy robotic perineal radical prostatectomy and pelvic lymph node dissection technique, and present the results of seven patients. Material and methods: We performed seven robotic perineal radical prostatectomy and pelvic lymph node dissection operation using Da Vinci Xi HD Surgical System (Intuitive Surgical, Inc., Sunnyvale, California, USA) on single Gel-port platform. The operation is completed in 4 stages: stage 1 open perineal dissection and gel port placement, stage 2 robotic perineal radical prostatectomy, stage 3 robotic pelvic lymph node dissection, stage 4 vesico-urethral anastomosis...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29500506/-3d-augmented-reality-visualization-for-navigated-osteosynthesis-of-pelvic-fractures
#14
REVIEW
N Befrui, M Fischer, B Fuerst, S-C Lee, J Fotouhi, S Weidert, A Johnson, E Euler, G Osgood, N Navab, W Böcker
BACKGROUND: Despite great advances in the development of hardware and software components, surgical navigation systems have only seen limited use in current clinical settings due to their reported complexity, difficulty of integration into clinical workflows and questionable advantages over traditional imaging modalities. OBJECTIVES: Development of augmented reality (AR) visualization for surgical navigation without the need for infrared (IR) tracking markers and comparison of the navigation system to conventional imaging...
March 2, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29497099/association-of-clinicopathological-features-and-prognosis-of-tert-alterations-in-phyllodes-tumor-of-breast
#15
Julia Y S Tsang, Yau-Kam Hui, Michelle A Lee, Maribel Lacambra, Yun-Bi Ni, Sai-Yin Cheung, Cherry Wu, Ava Kwong, Gary M K Tse
Phyllodes tumor (PT) of the breast is a rare but clinically important fibroepithelial tumor with potential risks of recurrence and metastasis. Recent studies identified recurrent TERT promoter mutations in PTs. However, the clinical significance of this alteration has not been fully examined. Two hundred and seven PTs from two intuitions were included. All cases were subjected to immunohistochemical analysis for TERT expression. Analysis of TERT promoter mutations was further performed by Sanger sequencing targeting the hotspot mutation region on cases from one of the involved institutions...
March 1, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29457945/factors-that-influence-nurses-assessment-of-patient-acuity-and-response-to-acute-deterioration
#16
Mark Dalton, John Harrison, Anitra Malin, Conan Leavey
BACKGROUND: nurses play a crucial role in the early recognition and management of the deteriorating patient. They are responsible for the care they provide to their patients, part of which is the monitoring of vital signs (blood pressure, pulse, respiratory rate and temperature), which are fundamental in the surveillance of deterioration. The aim of this study was to discover what factors influence how nurses assess patient acuity and their response to acute deterioration. METHODS: a generic qualitative approach was used...
February 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29427003/robotic-surgery-new-robots-and-finally-some-real-competition
#17
Pradeep P Rao
PURPOSE: For the last 20 years, the predominant robot used in laparoscopic surgery has been Da Vinci by Intuitive Surgical. This monopoly situation has led to rising costs and relatively slow innovation. This article aims to discuss the two new robotic devices for laparoscopic surgery which have received regulatory approval for human use in different parts of the world. MATERIALS: A short description of the Senhance Surgical Robotic System and the REVO-I Robot Platform and their pros and cons compared to the Da Vinci system is presented...
April 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29423742/the-effect-of-preoperative-pneumonia-on-postsurgical-mortality-and-morbidity-a-nsqip-analysis
#18
Sarah Jamali, Michael Dagher, Nadeem Bilani, Aurelie Mailhac, Mohamad Habbal, Salah Zeineldine, Hani Tamim
BACKGROUND: Currently, only indirect evidence suggests that preoperative pneumonia is a significant risk factor for poor postsurgical outcomes. Although this relationship is clinically intuitive, this is the first study that aims to quantify the extent to which pneumonia impacts morbidity and mortality. The objective of this study was to determine the impact of preoperative pneumonia on 30-day mortality and morbidity among both elective and emergency surgical patients. METHODS: We conducted a retrospective cohort study using 2008-2012 data from the American College of Surgeons National Surgical Quality Improvement Program database...
February 8, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29421921/robot-assisted-radical-prostatectomy-a-step-by-step-guide
#19
Linda My Huynh, Tom Ahlering
Radical prostatectomy has been performed as an open surgery for quite some time with good success, however as minimally invasive surgery has evolved, it has become possible to perform radical prostatectomies laparoscopically. Recent leaps in technology with the advent of Intuitive Surgical Inc.'s da Vinci robot have taken radical prostatectomy past laparoscopy to an all new level of success. In the hands of a skilled surgeon like Dr. Ahlering, of UC Irvine Medical in Orange County, this new tool allows the radical prostatectomy to be performed minimally invasively with greater precision and ease to both the patient and the surgeon than ever before...
February 8, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29401548/-current-status-of-therapy-and-prophylaxis-of-oropharyngeal-carcinoma
#20
Andreas Dietz, Markus Pirlich, Susanne Wiegand
Incidence of oropharyngeal carcinoma (OPSCC) is increasing significantly worldwide. Due to its association with chronic tobacco/alcohol consumption, but increasingly also with the human papillomavirus HPV-16, oropharyngeal carcinoma is a genetically heterogeneous tumor group with high prognostic diversification. HPV-associated OPSCC respond significantly better to previous treatment concepts than non-HPV-associated. Both after primary surgical as well as after radiotherapie, radiochemotherapie and anti-EGFR treatment, this tumor group shows a significantly better survival...
February 2018: Laryngo- Rhino- Otologie
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