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BackgroundThe initial experience of a gynaecological oncology robotic surgery programme at a tertiary care cancer centre is described.
MethodsA retrospective study was performed to evaluate the perioperative outcomes of 76 patients offered robot‐assisted surgery.
ResultsSeventy‐three patients underwent robot‐assisted surgery; three cases were converted to laparotomy; 51% of patients underwent treatment...
BackgroundSingle‐incision laparoscopic and natural orifice translumenal endoscopic surgery (NOTES) are technically challenging methods. Robotics might have the potential to overcome such hurdles with computer technology.
MethodsThe da Vinci® Standard and S System (Intuitive, Sunnyvale, USA) were used in human cadavers and pigs to perform single‐incision transabdominal and transvaginal surgery. Robotic...
BackgroundSingle‐incision laparoscopic surgery is an emerging approach in the field of minimally invasive colon and rectal surgery. This modality utilizes a ‘scarless’ incision concealed within the umbilicus, and results in improved cosmesis with the potential for reduced trauma, pain and length of hospital stay. However, unique technical challenges have curbed its adaptation. Robotic‐assisted technique...
BackgroundIn actual surgery, smoke and bleeding due to cauterization processes provide important visual cues to the surgeon, which have been proposed as factors in surgical skill assessment. While several virtual reality (VR)‐based surgical simulators have incorporated the effects of bleeding and smoke generation, they are not realistic due to the requirement of real‐time performance. To be interactive,...
The technique of kidney transplantation has been well established. The operation is typically performed through a lower quadrant muscle cutting incision. With advances in robotic technology, many procedures are now being performed using the robot. This article describes a simple model of ex‐vivo kidney transplantation using the robotic technique. This is a good training model and could be applied...
BackgroundExisting methods used to perform laparoendoscopic single‐site surgery (LESS) require multiple laparoscopic tools that are inserted into the peritoneal cavity through a single, specialized port. These methods are inherently limited in visualization and dextrous capabilities by working through a single access point. A miniature in vivo robotic platform that is completely inserted into the...
BackgroundThe majority of previous experience with the robotic‐sssisted laparoscopic technique for gynaecological procedures has utilized a method in which the robot is centrally located (CD) between the patient's legs.
MethodsTwelve consecutive patients undergoing robotic‐assisted procedures for gynaecological malignancies were positioned in a side‐docking (SD) fashion, in which the robot is positioned...
BackgroundMinimally invasive colon surgery was first described in the early 1990s, decreasing the morbidity compared with open procedures. Recently, single port laparoscopy has emerged, with reports of applications to colon surgery. Although feasible, many new technical challenges exist.
MethodsAn optimal operative technique for colon resection entirely through the umbilicus, using a robot and a...
BackgroundCompared with conventional minimally invasive surgery and open surgery, robotic‐assisted minimally invasive surgery can overcome or eliminate drawbacks caused by operator restrictions, motion limitation by the trocar and the image system, such as fatigue, trembling, low precision, constrained degree‐of‐freedom, poor hand–eye coordination and restricted surgical vision. In this paper, a novel...
BackgroundCurrently, most of mitral valve annuloplasty surgeries are performed by using open heart surgery. However, if such operation would be performed by using minimally invasive surgery via catheter‐based techniques (CBT), it offers various advantages for both surgeons and patients.
MethodsTwo piezoresistive force sensors are used in the structure of the tactile sensor, which can easily be miniaturized...
BackgroundA population‐based case‐control study was conducted in order to investigate the advantages of robot‐assisted gastric resection (RGR) for gastric cancer as opposed to traditional open gastrectomy (OG).
MethodsData were collected in two prospectively maintained databases on patients who underwent a D2 gastrectomy with curative intent for primary gastric adenocarcinoma. All (n = 29) the first...
BackgroundRobot‐assisted systems have been widely used in minimally invasive surgery (MIS) practice, and with them the precision and accuracy of surgical procedures can be significantly improved. Promoting the development of robot technology in MIS will improve robot performance and help in tackling problems from complex surgical procedures.
MethodsA medical robot system with a new mechanism for MIS...
Minimally invasive surgery (MIS) has heralded a revolution in surgical practice, with numerous advantages over open surgery. Nevertheless, it prevents the surgeon from directly touching and manipulating tissue and therefore severely restricts the use of valuable techniques such as palpation. Accordingly a key challenge in MIS is to restore haptic feedback to the surgeon. This paper reviews the state‐of‐the‐art...
BackgroundThis systematic review evaluates the role of robotics in the surgical treatment of endometriosis.
MethodsElectronic database searches were conducted in MEDLINE, Scopus, and ISI Web of Knowledge for relevant studies over the past 10 years.
ResultsFour published articles were found that used robotic assisted laparoscopy to perform endometriosis surgery. All four studies used the da Vinci Surgical...
BackgroundColonic perforation during colonoscopy is a rare complication and is usually considered a surgical emergency. Traditionally, such perforations have required laparotomy with repair or resection. Minimally invasive approaches have recently been successfully implemented. We describe our initial experience with a robotic‐assisted laparoscopic technique for primary colorrhaphy following colonoscopic...
BackgroundAdvanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to cooperate.
MethodsIn this article, we present a robotic system that allows the physician to control an instrument...
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...
IntroductionIn the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.
MethodsRetrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and...
BackgroundThe feasibility of robotic staging for high‐risk endometrial cancer is unclear.
MethodsRetrospective review of papillary serous and clear cell endometrial cancer open staging (OS) and robotic staging (RS) cases (2009–2011) by two gynaecological oncologists.
ResultsThere were 15 OS and 17 RS cases (no conversions). Age, uterine weight and body mass index were comparable, with more stage I...
BackgroundOver the past century, abdominal surgery has seen a rapid transition from open procedures to less invasive methods, such as robot‐assisted minimally invasive surgery (MIS). This study aimed to investigate and discuss the needs of MIS in terms of instrumentation and to inform the design of a novel instrument.
MethodsA survey was conducted among surgeons regarding their opinions on surgical...
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