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da vinci robot

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https://www.readbyqxmd.com/read/28936582/advantages-of-the-glove-port-docking-technique-in-robotic-single-site-cholecystectomy-comparison-with-the-conventional-silicone-port
#1
Ji Wool Ko, Jin Woo Lee, Sung Won Kwon, Sung Hoon Choi
Although the da Vinci Single-Site(®) silicone port allows exact alignment and effective triangulation of instruments, it also has drawbacks. We introduce an alternative docking technique using the Glove port(®). From April 2014 to December 2016, respective 50 patients of the conventional silicone port and the glove port group were compared. The mean docking time was 16.6 ± 6.6 min in the silicone port group and 10.6 ± 3.6 min in the glove port group. Re-docking during the operation was needed in three patients in the silicone port group and readjustment of cannulae without re-docking could be simply performed in five patients in the glove port group...
September 21, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28932583/anterior-bronchogenic-mediastinal-cyst-as-priority-procedure-for-robotic-thoracic-surgery
#2
Umberto Caterino, Dario Amore, Marcellino Cicalese, Carlo Curcio
We report a case of anterior bronchogenic mediastinal cyst (ABMC) in old age patient underwent Robotic Thoracic Surgery (da Vinci Surgical System). Video-assisted thoracoscopic surgery (VATS) represents the routine approach in posterior bronchogenic mediastinal cyst, but some limitation for resection of mediastinal mass located in the anterior mediastinum has been reported. The introduction of da Vinci surgical system has overcome the surgical limits of VATS as two dimensional vision (2D) and the use of long rigid instruments with poor maneuverability in case of fine dissection...
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28916892/precision-in-robotic-rectal-surgery-using-the-da-vinci-xi-system-and-integrated-table-motion-a-technical-note
#3
Sofoklis Panteleimonitis, Mick Harper, Stuart Hall, Nuno Figueiredo, Tahseen Qureshi, Amjad Parvaiz
Robotic rectal surgery is becoming increasingly more popular among colorectal surgeons. However, time spent on robotic platform docking, arm clashing and undocking of the platform during the procedure are factors that surgeons often find cumbersome and time consuming. The newest surgical platform, the da Vinci Xi, coupled with integrated table motion can help to overcome these problems. This technical note aims to describe a standardised operative technique of single docking robotic rectal surgery using the da Vinci Xi system and integrated table motion...
September 15, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28915769/robotic-lymphadenectomy-of-an-internal-mammary-lymph-node-metastasis
#4
Ludovic Melly, Jean-Luc Jansens, Grégroy Kalscheuer, Asmae Belhaj, Benoît Rondelet
A 58-year-old woman was diagnosed with a left-sided lone internal mammary swollen lymph node on a routine follow-up computer tomography, 42 months after a left mastectomy in the context of a ductal carcinoma grade III. The suspected metastasis was successfully removed in toto using a 3-port-da Vinci robotic procedure and the patient was discharged home without any complication on the third postoperative day. Robotically assisted oncological lymph node removal is safe, easily performed and economically affordable...
September 15, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/28912072/suprapubic-approach-for-robotic-complete-mesocolic-excision-in-right-colectomy-oncologic-safety-and-short-term-outcomes-of-an-original-technique
#5
W Petz, D Ribero, E Bertani, S Borin, G Formisano, S Esposito, G Spinoglio, P P Bianchi
INTRODUCTION: Right-sided colon cancer has a worse prognosis than left-sided colon cancer. Complete mesocolic excision (CME) with central vessels ligation (CVL) reduces local recurrence, but is technically demanding, particularly with a laparoscopic approach. Aim of this study is to describe a new robotic approach to right colectomy with CME and CVL and to report oncologic safety and short term outcomes. METHODS: Twenty consecutive patients were included. All patients had a right colon adenocarcinoma and underwent right colectomy with a suprapubic approach...
August 10, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28911827/single-site-robot-assisted-laparoscopic-staging-surgery-for-presumed-clinically-early-stage-ovarian-cancer
#6
Ji Geun Yoo, Woo Jin Kim, Keun Ho Lee
STUDY OBJECTIVE: To present the demonstration of Robotic-assisted laparoendoscopic single-site(R-LESS) staging surgery in presumed clinically early stage ovarian cancer. DESIGN: A step-by-step presentation of the procedure using video (Canadian Task Force classification III). SETTING: A university hospital. INTERVENTION: A 29-year-old woman was referred from a local clinic for an 8x6cm sized left ovarian tumor suggesting malignancy...
September 11, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28905287/transoral-robotic-surgery-for-the-base-of-tongue-squamous-cell-carcinoma-a-preliminary-comparison-between-da-vinci-xi-and-si
#7
Marco Alessandrini, Isabella Pavone, Alessandro Micarelli, Claudio Caporale
Considering the emerging advantages related to da Vinci Xi robotic platform, the aim of this study is to compare for the first time the operative outcomes of this tool to the previous da Vinci Si during transoral robotic surgery (TORS), both performed for squamous cell carcinomas (SCC) of the base of tongue (BOT). Intra- and peri-operative outcomes of eight patients with early stage (T1-T2) of the BOT carcinoma and undergoing TORS by means of the da Vinci Xi robotic platform (Xi-TORS) are compared with the da Vinci Si group ones (Si-TORS)...
September 13, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28893209/preliminary-experience-in-laparoscopic-resection-of-hepatic-hydatidectocyst-with-the-da-vinci-surgical-system-dvss-a-case-report
#8
Haibo Zou, Lanyun Luo, Hua Xue, Guan Wang, Xiankui Wang, Le Luo, Yutong Yao, Guangming Xiang, Xiaolun Huang
BACKGROUND: At present, Da Vinci robotic assisted hepatectomy has been routinely carried out in conditional units. But there is no report concerning the use of Da Vinci robots for hepatic hydatid cystectomy and experience on this aspect is seldom mentioned before. This study was to summarize the preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS). CASE PRESENTATION: A 29-year-old female diagnosed as hepatic hydatid in the right anterior lobe of liver was treated with laparoscopic resection by the DVSS under general anesthesia...
September 11, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28881889/fully-robotic-da-vinci-ivor-lewis-esophagectomy-in-four-arm-technique-problems-and-solutions
#9
J-H Egberts, H Stein, H Aselmann, A Hendricks, T Becker
The aim of this technical note is a step-by-step description of a fully robotic abdominothoracic esophagectomy with an intrathoracic esophagogastrostomy. We report on our technique and short-term results of 75 patients undergoing an Ivor-Lewis esophagectomy using a fully robotic 4-arm approach in the abdominal and thoracic phase with a hand-sewn intrathoracic anastomosis. There are several important steps and differences to consider compared to the conventional minimal invasive approach (patient's positioning, anaesthesiological set up, port placement, gastric conduit pull up, technique of esophagostrostomy)...
December 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/28871410/early-results-of-a-safety-and-feasibility-clinical-trial-of-a-novel-single-port-flexible-robot-for-transoral-robotic-surgery
#10
Jason Y K Chan, Eddy W Y Wong, Raymond K Tsang, F Christopher Holsinger, Michael C F Tong, Philip W Y Chiu, Simon S M Ng
The aim of this study was to describe the early results of a phase 1 safety and feasibility clinical trial of the first clinical use of a novel robot for transoral robotic surgery (TORS)-the da Vinci SP (Intuitive Surgical Inc., Sunnyvale, CA, USA). Study design of this study is prospective clinical trial. The methods used in this study are prospective innovation, development, exploration, assessment, and long-term study phase 1 clinical trial. Early results of six patients underwent TORS with the da Vinci SP (Intuitive Surgical Inc...
September 4, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28864959/transoral-robotic-assisted-surgery-for-the-approach-to-anterior-cervical-spine-lesions
#11
Gabriele Molteni, Marco Giuseppe Greco, Livio Presutti
The Da Vinci robotic surgical system is increasingly being used by head and neck surgeons in transoral approaches for head and neck cancer. Our experience using the Da Vinci system for transoral robotic-assisted surgery (TORS) is presented. The feasibility of TORS for lesions involving the anterior portion of C1-C2 and the cranio-cervical junction has been evaluated from an anatomical viewpoint in a cadaveric laboratory. Two patients treated using the Da Vinci system to reach C1-C2 benign lesions are presented...
September 1, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28859920/sponsoring-surgeons-an-investigation-on-the-influence-of-the-da-vinci-robot
#12
Cory N Criss, Samir K Gadepalli
INTRODUCTION: The integrity of the medical literature about robotic surgery remains unclear despite wide-spread adoption. We sought to determine if payment from Intuitive Surgical Incorporated (ISI) affected quality of the research produced by surgeons. METHODS: Publicly available financial data from the CMS website regarding the top-20 earners from ISI for 2015 was gathered. Studies conducted by these surgeons were identified using PubMed. Inclusion criteria consisted of publications about the da Vinci(®) robot on patient outcomes...
August 26, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28858106/robot-assisted-internal-mammary-lymph-chain-excision-for-breast-cancer-a-case-report
#13
Junze Du, Hongbiao Mo, Linjun Fan, Jun Jiang
RATIONALE: Understanding the status of internal mammary lymph nodes of breast cancer is critical in the accurate staging of breast cancer and the development of accurate therapeutic regimen for selected patients. Current techniques for dissection of internal mammary lymph node biopsy involve endoscopic or Traditional thoracic surgery, An important drawback of the current techniques is the great trauma caused by them. PATIENT CONCERNS: Da Vinci robotic surgery system (Intuitive Surgical Inc...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28842763/development-of-a-surgical-training-model-for-bilateral-axillo-breast-approach-robotic-thyroidectomy
#14
Hyeong Won Yu, Jin Wook Yi, Chan Yong Seong, Jong-Kyu Kim, In Eui Bae, Hyungju Kwon, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee
BACKGROUND: Bilateral axillo-breast approach robotic thyroidectomy (BABA RT) is an excellent surgical method, being oncologically safe and with anatomic views similar to those of open surgery. BABA RT, however, requires training and a learning curve for proficiency. We evaluated the educational effectiveness of a surgical training model for BABA RT, comparing objective BABA scores with scores on the da Vinci Skills Simulator (dVSS). METHODS: Medical students, surgical residents, and surgical fellows performed structured tasks with the BABA training model and dVSS under the same conditions...
August 25, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28840332/can-fatigue-affect-acquisition-of-new-surgical-skills-a-prospective-trial-of-pre-and-post-call-general-surgery-residents-using-the-da-vinci-surgical-skills-simulator
#15
Weston Robison, Sonya K Patel, Akshat Mehta, Tristan Senkowski, John Allen, Eric Shaw, Christopher K Senkowski
OBJECTIVE: To study the effects of fatigue on general surgery residents' performance on the da Vinci Skills Simulator (dVSS). METHODS: 15 General Surgery residents from various postgraduate training years (PGY2, PGY3, PGY4, and PGY5) performed 5 simulation tasks on the dVSS as recommended by the Robotic Training Network (RTN). The General Surgery residents had no prior experience with the dVSS. Participants were assigned to either the Pre-call group or Post-call group based on call schedule...
August 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28840328/comparison-of-8-and-5%C3%A2-mm-robotic-instruments-in-small-cavities-5-or-8%C3%A2-mm-robotic-instruments-for-small-cavities
#16
Quentin Ballouhey, Pauline Clermidi, Jérôme Cros, Céline Grosos, Clémence Rosa-Arsène, Claire Bahans, François Caire, Bernard Longis, Roxane Compagnon, Laurent Fourcade
INTRODUCTION: Robotic surgery has seen increasing use in the field of pediatric surgery. Our clinical experience suggested instrument size can impact on the surgical ability. This study aimed to compare the performance of robot-assisted laparoscopic skills in confined spaces using either 5 or 8 mm instruments. METHODS: A preclinical randomized crossover study design was implemented. 24 assessors performed three different reproducible drill procedures (M1: peg transfer, M2: circle cutting, M3: intracorporeal suturing)...
August 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28836251/-robotic-assisted-transanal-total-mesorectal-excision-for-lower-rectal-cancer
#17
Jingwang Ye, Yue Tian, Li Wang, Yong Ye, Yong Zhang, Fan Li, Baohua Liu, Weidong Tong
OBJECTIVE: To explore the availability of Da Vinci robotic-assisted transanal total mesorectal excision(taTME) for lower rectal cancer, which have been regarded as challenging situations in rectal cancer surgery. METHODS: The medical records of a patient who underwent robotic-assisted transanal total mesorectal excision, coloanal anastomosis and ileostomy for lower rectal cancer on May 31st 2017 were reported. RESULTS: The case was a sixty-three year-old male patient with a body mass index of 19...
August 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28817346/performances-on-simulator-and-da-vinci-robot-on-subjects-with-and-without-surgical-background
#18
Andrea Moglia, Vincenzo Ferrari, Franca Melfi, Mauro Ferrari, Franco Mosca, Alfred Cuschieri, Luca Morelli
OBJECTIVE: To assess whether previous training in surgery influences performance on da Vinci Skills Simulator and da Vinci robot. MATERIAL AND METHODS: In this prospective study, thirty-seven participants (11 medical students, 17 residents, and 9 attending surgeons) without previous experience in laparoscopy and robotic surgery performed 26 exercises at da Vinci Skills Simulator. Thirty-five then executed a suture using a da Vinci robot. RESULTS: The overall scores on the exercises at the da Vinci Skills Simulator show a similar performance among the groups with no statistically significant pair-wise differences (p < ...
August 17, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28808931/robotic-total-pelvic-exenteration-video-illustrated-technique
#19
Ioannis T Konstantinidis, William Chu, Federico Tozzi, Clayton Lau, Mark Wakabayashi, Kevin Chan, Byrne Lee
BACKGROUND: Robotic-assisted total pelvic exenteration (TPE) can offer a minimally invasive approach to a major multi-organ operation. METHODS: In this video, we summarize a stepwise approach to robotic TPE in a 70 year-old female Jehovah's witness with a history of cervical cancer post-chemoradiation and radical hysterectomy who experienced local recurrence at the vaginal cuff involving the rectum and bladder. RESULTS: The patient was placed in the lithotomy position...
August 14, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28792158/robotic-cholecystectomy-using-the-newly-developed-korean-robotic-surgical-system-revo-i-a-preclinical-experiment-in-a-porcine-model
#20
Chang Moo Kang, Jae Uk Chong, Jin Hong Lim, Dong Won Park, Sung Jun Park, Suhyeon Gim, Hye Jin Ye, Se Hoon Kim, Woo Jung Lee
One Korean company recently successfully produced a robotic surgical system prototype called Revo-i (MSR-5000). We, therefore, conducted a preclinical study for robotic cholecystectomy using Revo-i, and this is a report of the first case of robotic cholecystectomy performed using the Revo-i system in a preclinical porcine model. Revo-i consists of a surgeon console (MSRC-5000), operation cart (MSRO-5000) and vision cart (MSRV-5000), and a 40 kg-healthy female porcine was prepared for robotic cholecystectomy with general anesthesia...
September 2017: Yonsei Medical Journal
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