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https://www.readbyqxmd.com/read/28319324/future-of-robotic-surgery-in-urology
#1
Jens J Rassweiler, Riccardo Autorino, Jan Klein, Alex Mottrie, Ali Serdar Goezen, Jens-Uwe Stolzenburg, Koon H Rha, Marc Schurr, Jihad Kaouk, Vipul Patel, Prokar Dasgupta, Evangelos Liatsikos
OBJECTIVES: To provide a comprehensive overview of the current status and future perspectives in the field of robotic systems for urologic surgery. MATERIALS AND METHODS: A non-systematic literature review was performed by using PubMed / Medline search electronic engines. Existing patents for robotic devices were researched using the Google search machine. Findings were critically analyzed also by taking into account personal experience of the authors. RESULTS: Relevant patents of the first generation of the da Vinci platform will expire in 2019...
March 20, 2017: BJU International
https://www.readbyqxmd.com/read/28318968/improved-glottic-exposure-for-robotic-microlaryngeal-surgery-a-case-series
#2
Dehra A McGuire, Jennifer P Rodney, Nilesh R Vasan
Robotic surgery has become the standard of care for many procedures outside of otolaryngology and now is gaining momentum within our specialty. The da Vinci (Intuitive Surgical, Sunnyvale, CA) robot has several advantages to human hands, including removal of tremor and better access to lesions because of increased degree of movement of the articulated instruments. The glottis has rarely been addressed using robotic surgery because access was previously thought to be difficult because of the limitations of currently used retractors, which include poor base of tongue and oral commissure retraction resulting in lack of exposure of the glottis in many patients and lack of space for the robotic instruments to occupy...
March 17, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28281471/robotic-roux-en-y-gastric-bypass-our-centre-s-technique-with-short-term-experience
#3
Mohit Bhandari, Winni Mathur, Arun Kumar Mishra, Daksha Chandorkar
BACKGROUND: Roux-en-Y gastric bypass (RYGB) is one of the most widely performed bariatric surgeries in the world. Performing an RYGB by a Da Vinci Surgical System is a new advancement. The aim of this study is to describe single docking-single quadrant technique and its short-term results. MATERIALS AND METHODS: Between January 2013 and December 2013, 140 robotic RYGB were performed. The RYGB was performed through single docking, single quadrant approach. The data were analysed retrospectively...
April 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28281118/evaluation-of-different-time-schedules-in-training-with-the-da-vinci-simulator
#4
C Güldner, A Orth, P Dworschak, I Diogo, M Mandapathil, A Teymoortash, U Walliczek-Dworschak
BACKGROUND: This prospective study analyzed the effect of different time schedules in training on the main performance outcomes: overall score, time to complete, and economy of motion. METHODS: The study was performed on the da Vinci Skills Simulator from December 2014 to April 2016. Forty robotic novices were randomized into two groups of 20 participants, which trained in the same three exercises but with different intervals between their training sessions. Each group performed training in Peg Board 1 in their first week, Match Board 2 in their second week, and Ring and Rail 2 in their third week...
March 9, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28279366/-impact-of-robotic-assistance-on-the-use-and-the-outcomes-of-nephron-sparing-surgery-a-single-center-experience
#5
T Fardoun, B Peyronnet, E Oger, G Verhoest, R Mathieu, Z Khene, B Pradere, Q Alimi, A Manunta, N Rioux-Leclercq, J-J Patard, S-F Kammerer-Jacquet, K Bensalah
INTRODUCTION: The aim of this study was to assess the impact of the acquisition of a Da Vinci(®) robot on the use and outcomes of partial nephrectomy (PN). PATIENTS AND METHODS: It was a single center retrospective study including 280 patients who underwent PN from January 2006 to May 2013. The number of PN, tumors and patients' characteristics and perioperative outcomes have been assessed over 3 periods defined according to the main surgical approach: 2006-2008 (open PN), 2008-2010 (laparoscopic PN) and 2010-2013 (robotic PN)...
December 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/28278402/da-vinci-robotic-surgery-in-a-pediatric-hospital
#6
Girolamo Mattioli, Alessio Pini Prato, Barbara Razore, Lorenzo Leonelli, Luca Pio, Stefano Avanzini, Alessandro Boscarelli, Paola Barabino, Nicola Massimo Disma, Clelia Zanaboni, Alfredo Garzi, Sofia Paola Martigli, Nicolò Maria Buffi, Ubaldo Rosati, Paolo Petralia
INTRODUCTION: Since the use of robotic surgery (RS) revolutionized some adult surgery procedures such as radical prostatectomy, it has been progressively and increasingly introduced in pediatric surgery. The aim of this study is to evaluate how the Da Vinci(®) Si HD technology impacts a pediatric public hospital and to define the use of a robotic system in pediatric surgery. MATERIALS AND METHODS: We prospectively included patients older than 6 months of age undergoing RS or conventional minimal access surgery (MAS): Study period ranges between February 2015 and April 2016...
March 9, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28275893/multiquadrant-robotic-colorectal-surgery-the-da-vinci-xi-vs-si-comparison
#7
Bogdan Protyniak, Jeffrey Jorden, Russell Farmer
The newly introduced da Vinci Xi Surgical System hopes to address the shortcomings of its predecessor, specifically robotic arm restrictions and difficulty working in multiple quadrants. We compare the two robot platforms in multiquadrant surgery at a major colorectal referral center. Forty-four patients in the da Vinci Si group and 26 patients in the Xi group underwent sigmoidectomy or low anterior resection between 2014 and 2016. Patient demographics, operative variables, and postoperative outcomes were compared using descriptive statistics...
March 8, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28274872/robot-assisted-laparoscopic-transplantation-of-frozen-thawed-ovarian-tissue
#8
Kutluk Oktay, Enes Taylan, Yodo Sugishita, Gabriela M Goldberg
STUDY OBJECTIVE: To demonstrate a new approach for orthotopic human ovarian tissue transplantation via robot-assisted laparoscopic surgery. DESIGN: A step-by-step video explanation of the surgical technique (Canadian Task Force Classification-III). SETTING: Although still experimental, cryopreservation and subsequent transplantation of frozen-thawed ovarian tissue is currently the only available method for prepubertal girls and young women with cancer who are not eligible for established fertility preservation options such as the oocyte or embryo cryopreservation (1)...
March 5, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28271956/diagnosing-barriers-to-safety-and-efficiency-in-robotic-surgery
#9
Ken R Catchpole, Elyse Hallett, Sam Curtis, Tannaz Mirchi, Colby P Souders, Jennifer T Anger
Recent studies exploring the effects of surgical robots on teamwork are revealing challenges not reflected in clinical studies. This study is a sub analysis of observational data collected from 89 procedures utilising the da Vinci systems. Previous analyses had demonstrated interactions between flow disruptions and contextual factors. This study sought a more granular analysis to provide better insight for improvement. Raters sub-classified disruptions, based upon the original notes, grouped according to four operative phases (pre-robot; docking; surgeon on console; undocking; and finish)...
March 8, 2017: Ergonomics
https://www.readbyqxmd.com/read/28268488/neurophysiological-measures-for-users-training-objective-assessment-during-simulated-robot-assisted-laparoscopic-surgery
#10
Gianluca Borghini, Pietro Arico, Gianluca Di Flumeri, Alfredo Colosimo, Silvia Francesca Storti, Gloria Menegaz, Paolo Fiorini, Fabio Babiloni
Minimally invasive surgery can be performed with robotic assistance, as evolution of laparoscopic surgery. Robots for assisted surgery are far from being user friendly and require extensive training. To this end, ad-hoc devices and experimental set-ups are needed. The da Vinci system is one of the most diffused surgical robotics technology. The aim of the study was two-fold: i) to propose a neurophysiological measure by which objectively assess the learning progress of the users by means of a simulator of the da Vinci system, and ii) to demonstrate the advantages of cognitive assessment with respect to the standard methodologies for the evaluation of training efficiency...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28262537/robot-assisted-retroperitoneal-lymph-node-dissection-ra-rplnd-in-the-adolescent-population
#11
A P Glaser, D K Bowen, B W Lindgren, J J Meeks
BACKGROUND: Robot-assisted retroperitoneal lymph node dissection (RA-RPLND) has built on success and techniques of laparoscopic RPLND, with the added benefits of robotic technology. This paper demonstrates use of the da Vinci Xi(®) system for RA-RPLND in two adolescent patients. METHODS: Case #1: A 17-year-old male presented with a left testicular mass and elevated alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG). Pathology revealed a mixed non-seminomatous germ cell tumor (60% embryonal, 35% yolk sac, 5% choriocarcinoma, + lymphovascular invasion)...
February 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28238959/superiority-of-robotic-surgery-for-cervical-cancer-in-comparison-with-traditional-approaches-a-systematic-review-and-meta-analysis
#12
REVIEW
Zhongyu Liu, Xiuli Li, Shuang Tian, Tongyu Zhu, Yuanqing Yao, Ye Tao
OBJECTIVES: To review the safety and effectiveness of da Vinci robotic surgery for cervical cancer in comparison with the traditional open surgery and conventional laparoscopic operation. METHODS: Based on Medline, the Cochrane library, Embase, and the Journal of Robotic Surgery prior to December 30st, 2015, we searched for controlled trials and observational studies. A systematic review with meta-analyses was conducted to compare the clinical efficacy between the da Vinci robotic surgery, open surgery, and laparoscopic surgery for cervical cancer...
February 24, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28226662/neurophysiological-measures-for-users-training-objective-assessment-during-simulated-robot-assisted-laparoscopic-surgery
#13
Gianluca Borghini, Pietro Arico, Gianluca Di Flumeri, Alfredo Colosimo, Silvia Francesca Storti, Gloria Menegaz, Paolo Fiorini, Fabio Babiloni, Gianluca Borghini, Pietro Arico, Gianluca Di Flumeri, Alfredo Colosimo, Silvia Francesca Storti, Gloria Menegaz, Paolo Fiorini, Fabio Babiloni, Gianluca Borghini, Pietro Arico, Gloria Menegaz, Fabio Babiloni, Alfredo Colosimo, Gianluca Di Flumeri, Silvia Francesca Storti, Paolo Fiorini
Minimally invasive surgery can be performed with robotic assistance, as evolution of laparoscopic surgery. Robots for assisted surgery are far from being user friendly and require extensive training. To this end, ad-hoc devices and experimental set-ups are needed. The da Vinci system is one of the most diffused surgical robotics technology. The aim of the study was two-fold: i) to propose a neurophysiological measure by which objectively assess the learning progress of the users by means of a simulator of the da Vinci system, and ii) to demonstrate the advantages of cognitive assessment with respect to the standard methodologies for the evaluation of training efficiency...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28225651/robotic-surgery-a-solution-in-search-of-a-problem-a-bayesian-analysis-of-343-robotic-procedures-performed-by-a-single-surgical-team
#14
Simona Manciu, Mihnea Dragomir, Fabiana Curea, Catalin Vasilescu
BACKGROUND: Despite the obvious technical advantages, the value of robotic surgery is highly debated and its cost-effectiveness has been questioned. The aim of this article is to provide an evaluation of the outcomes of robotic surgery in comparison to conventional laparoscopy. METHODS: A decision analysis based on the Bayes' theorem and the decision tree was used. The robotic approach was compared with the laparoscopic approach for each of the pathologies discussed in this study...
February 22, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28203539/cost-effectiveness-of-robotic-mitral-valve-surgery
#15
Emmanuel Moss, Michael E Halkos
Significant technological advances have led to an impressive evolution in mitral valve surgery over the last two decades, allowing surgeons to safely perform less invasive operations through the right chest. Most new technology comes with an increased upfront cost that must be measured against postoperative savings and other advantages such as decreased perioperative complications, faster recovery, and earlier return to preoperative level of functioning. The Da Vinci robot is an example of such a technology, combining the significant benefits of minimally invasive surgery with a "gold standard" valve repair...
January 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28203536/clinical-outcomes-of-robotic-mitral-valve-repair-a-single-center-experience-in-korea
#16
Ho Jin Kim, Joon Bum Kim, Sung-Ho Jung, Jae Won Lee
BACKGROUND: Since the inception of robotic mitral valve repair (MV) in 2007 at our institution, it has become an acceptable surgical option with proven efficacy and safety. The objective of this study is to analyze the early and long-term clinical outcomes of patients undergoing robotic MV repair. METHODS: A total of 310 patients (aged 48.4±13.7 years, 201 males) undergoing robotic MV repair using the da Vinci system (Intuitive Surgical, Inc., Sunnyvale, CA) between August 2007 and December 2015 in our institution were evaluated...
January 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28203433/robotic-assisted-double-sleeve-lobectomy
#17
Tong Qiu, Yandong Zhao, Yunpeng Xuan, Wenjie Jiao
Double-sleeve lobectomy, which includes bronchoplasty and pulmonary arterial angioplasty, is required for certain cases of central-type lung cancer. It is usually done by open surgery or video-assisted thoracoscopic surgery (VATS). In recently, da Vinci system and robotic surgery have been applied in such complicated cases. Here we describe the details associated with robotic-assisted double-sleeve lobectomy.
January 2017: Journal of Thoracic Disease
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
#18
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/28164159/migrated-mesh-plug-masquerading-as-a-bladder-tumor
#19
Claudia Sevilla, Daoud Dajani, Monish Aron
Background: The purpose of this case presentation is to demonstrate how erosion of mesh into the bladder can initially present with the same symptoms as bladder malignancy. Case Presentation: A 62-year-old Hispanic male presented with 2 years of hematuria along with imaging concerning for a bladder tumor. The patient underwent cystoscopy with biopsy of a lesion at the anterior bladder. It was ultimately determined that a mesh plug from a prior hernia repair had migrated into the bladder. The mesh plug was excised using the Da Vinci Si robot, which allowed for efficient mobilization of the bladder and other anatomic structures, as well as rapid recovery...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/28155047/transoral-robotic-thyroidectomy-a-preclinical-feasibility-study-using-the-da-vinci-xi-platform
#20
Jonathon O Russell, Salem I Noureldine, Mai G Al Khadem, Hamad A Chaudhary, Andrew T Day, Hoon Yub Kim, Ralph P Tufano, Jeremy D Richmon
Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. TORT provides an ideal scarless, midline access to the thyroid gland and bilateral central neck compartments. This approach, however, presents multiple technical challenges. Herein, we present our experience using the latest generation robotic surgical system to accomplish transoral robotic thyroidectomy (TORT). In two human cadavers, the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was used to complete TORT...
February 2, 2017: Journal of Robotic Surgery
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