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The aim of this meta‐analysis was to compare clinical outcome following laparoscopic and robotic Nissen fundoplication. A systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the requirement for re‐operation, postoperative mortality and postoperative dysphagia. Secondary outcome measures were operative time, length of hospital...
BackgroundRobotic prostatectomy (RP) is now increasingly performed because it allows for precise dissection of neurovascular structures with better outcomes. It is estimated that 5–12% of candidates for radical prostatectomy have detectable inguinal hernias, and simultaneous mesh hernioplasty is now well supported. A disadvantage of radical prostatectomy is obliteration of the preperitoneal space...
IntroductionRobotically assisted laparoscopic surgery has a different learning curve to straight stick laparoscopic surgery. The learning curve for novices is likely to be different to that for experienced surgeons. We assessed the early learning curve for trainees with 18 months or less of surgical experience.
MethodsSix surgical novices performed 120 exercises using laparoscopic instruments and...
BackgroundResection of cardia and upper gastric carcinoma is considered a demanding procedure in laparoscopic surgery. Robotics could aid laparoscopic dissection of the oesophago–gastric junction and oesophageal anastomosis, enlarging indications for a minimally invasive approach to these tumours.
MethodsData from 17 consecutive patients with histologically proved cardia carcinoma were collected...
BackgroundUsing the da Vinci robot in low anterior resection (LAR) has not been widely adopted due to limited range of motion of the robotic arms and the need to move the robot during operations. Our technique uses all three arms for both the splenic flexure and the pelvis, but with only one docking position.
MethodsThe robot is placed to the left of the patient. The camera port is 3 cm to the right...
BackgroundArthroscopy of the shoulder is a well‐established diagnostic procedure which has widespread application. Advances in technology and the search for more minimal invasive surgery will always offer new techniques in any surgical field. Robotic technology is such an advance, offering technical advantages over standard laparoscopic approaches. The aim of the present study is to test whether robotic...
BackgroundThe aim of this study was to provide pooled analysis of individually small trials comparing robotic Roux‐en‐Y gastric bypass (RRYGB) with standard laparoscopic RYGB (LRYGB).
MethodsA systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the incidence of anastomotic leak and stricture. Secondary outcome measures were post‐operative...
BackgroundDespite the recent advances in catheter design and technology, intra‐cardiac navigation during electrophysiology procedures remains challenging. Incorporation of imaging along with magnetic or robotic guidance may improve navigation accuracy and procedural safety. In the present study, the in vivo performance of a novel remote controlled Robot Assisted Cardiac Navigation System (RACN) was...
BackgroundThe feasibility, safety and outcomes of robotic presacral neurectomy were evaluated.
MethodsA retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004–March 2010.
ResultsAll patients underwent robotic presacral neurectomy and additional robotic procedures. Mean operating...
BackgroundPatients with spontaneous coronary artery dissection may require surgical revascularization. Reports on the surgical management of this pathology are primarily limited to classic coronary artery bypass grafting via sternotomy on cardiopulmonary bypass, although a limited number of reports of alternatives also exist.
MethodsWe describe a case of robotic completely endoscopic coronary surgery...
BackgroundThe objective of this research was to evaluate the feasibility of robotic nerve‐sparing radical parametrectomy for cervical cancer after simple hysterectomy.
MethodsA 41 year‐old patient was diagnosed with invasive cervical adenocarcinoma after simple hysterectomy. Hysterectomy margins were negative. A robotic nerve‐sparing radical parametrectomy was offered and performed 5 weeks later....
BackgroundThe advanced age and comorbidities often associated with bladder cancer patients creates a difficult scenario regarding further management. Robotic‐assisted laparoscopic radical cystectomy (RALRC) has had favorable results as a minimally invasive treatment option. We studied perioperative outcomes of RALRC in octogenarians to discern if there is any added benefit in this patient population...
Background and study aimsVery recently, robotic single site cholecystectomy (RSSC) has been reported feasible and safe for selected cases. While an intra‐operative cholangiography can be performed, data is scarce with respect to its use. Indocyanin green (ICG) has been shown to be a viable option to visualize biliary anatomy. Since the introduction of a new near infrared camera integrated to the da...
BackgroundStrategies to spare operating room (OR) times are crucial to limiting the costs involved in robotic surgery. Among other factors, the pre‐operative set‐up and docking phases have been incriminated at first to be time consuming. The docking process on the standard multiport da Vinci Surgical System has not been shown to significantly prolong the overall OR time. This study aims to analyse...
BackgroundCT‐guided needle biopsy of lung nodules requires breath holding during needle placement, and is thus inapplicable to patients with difficulty in holding breath.
MethodsA robotic needle biopsy technique is introduced, adapting to the patient respiratory pattern and using a robot manipulator to drive the needle towards a moving lung nodule. Based on the nodule respiratory motion model, needle...
BackgroundCurrently, hepatic resections are being performed with robotic‐assisted systems. There is little evidence regarding the outcomes of this surgical approach. This study aims to systematically review the outcomes related to robotic‐assisted hepatic resections.
MethodsA systematic search of electronic databases was completed. All human studies, limited to adults, published between 2000 to August...
Leiomyoma is the most common benign esophageal neoplasm. Different invasive surgical approaches have been described for management of such lesions.
The literature is reviewed and a robotic assisted left thoracoscopic enucleation with the patient in the right side position is described.
A 40‐year‐old male patient, otherwise healthy, found to have a lower midiastinal mass on screening X‐ray, is described...
BackgroundThe retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology.
MethodsBetween November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal...
BackgroundRobotic surgery was introduced at our institution in 2003, and we used a progressive approach advancing from simple to more complex procedures.
MethodsA retrospective chart review.
ResultsCases included totalled 129. Set‐up and operative times have improved over time and with experience. Conversion rates to standard laparoscopic or open techniques were 4.7% and 1.6%, respectively. Intraoperative...
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