Severe intraoperative bleeding predicts the risk of perioperative blood transfusion after robot-assisted radical prostatectomy
AbstractTo evaluate potential factors associated with the risk of perioperative blood transfusion (PBT) with implications on length of hospital stay (LOHS) and major post-operative complications in patients who underwent robot-assisted radical prostatectomy (RARP) as a primary treatment for prostate cancer (PCa). In a period ranging from January 2013 to August 2019, 980 consecutive patients who underwent RARP were retrospectively evaluated. Clinical factors such as intraoperative blood loss were evaluated. The association of factors with the risk of PBT was investigated by statistical methods. Overall, PBT was necessary in...
Source: Journal of Robotic Surgery - June 15, 2021 Category: Surgery Source Type: research

Robotic nipple-sparing mastectomy complication rate compared to traditional nipple-sparing mastectomy: a systematic review and meta-analysis
AbstractBreast cancer is worldwide the most common cause of cancer in women and causes the second most common cancer-related death. Nipple-sparing mastectomy (NSM) is commonly used in therapeutic and prophylactic settings. Furthermore, (preventive) mastectomies are, besides complications, also associated with psychological and cosmetic consequences. Robotic NSM (RNSM) allows for better visualization of the planes and reducing the invasiveness. The aim of this study was to compare the postoperative complication rate of RNSM to NSM.  A systematic search was performed on all (R)NSM articles. The primary outcome was deter...
Source: Journal of Robotic Surgery - June 14, 2021 Category: Surgery Source Type: research

Functional outcomes rather than complications predict poor health-related quality of life at 6  months after robot-assisted radical prostatectomy
The objective is to evaluate the effect of robot-assisted radical prostatectomy (RARP)-related postoperative complications on the 6-month postoperative health-related quality of life (HRQoL). A total of 1008 patients underwent a RARP with or without pelvic lymph node dissection (PLND) between 2012 and 2020 and were invited to complete questionnaires about HRQoL and functional outcomes (urinary incontinence (UI), erectile dysfunction (ED) and urinary complaints (UC)) before and 6  months after RARP. Patient characteristics and postoperative complications up to 90 days after surgery were prospectively recorded. Ass...
Source: Journal of Robotic Surgery - June 12, 2021 Category: Surgery Source Type: research

The concept of spatial motion restriction zones in a robot-assisted surgical system
AbstractThe development of robotics and medicine in recent years leads to increasing mutual integration of these two disciplines. The use of specialized robotic solutions in medicine poses new challenges, including the issue of safety. The paper analyzes existing solutions aimed at improving safety in medical robotics. The concept of spatial motion restriction zones —areas of space affecting the process of robot-assisted surgery and designed to minimize risks for the patient is proposed. Various applications of such zones are considered, such as: creating an optimal medical tool path when planning an operation, an ad...
Source: Journal of Robotic Surgery - June 8, 2021 Category: Surgery Source Type: research

The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men
This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay...
Source: Journal of Robotic Surgery - June 3, 2021 Category: Surgery Source Type: research

Comparison of outcome and costs of robotic and laparoscopic right hemicolectomies
AbstractTo compare the outcomes of patients undergoing right hemicolectomy using laparoscopic or robotic approaches and perform a cost analysis. Retrospective review of all patients undergoing elective laparoscopic and robotic right hemicolectomies at a public and private hospital in NSW/QLD from January 2015 to June 2018. Cost analysis was calculated using actual and estimated costs by the local health district. A total of 101 patients were identified. 59 (58%) had Robotic resection, of which 44 (75%) had an intra-corporeal anastomosis. There were no demographic or oncological differences between the two groups. The robot...
Source: Journal of Robotic Surgery - June 3, 2021 Category: Surgery Source Type: research

Postoperative opioid use for patients with chronic pelvic pain undergoing robotic surgery for resection of endometriosis
In conclusion, patients undergoing robotic surgery for endometriosis used over two times as many opioids postoperatively as patients without endometriosis and have a higher perceived postoperative pain. Providers should be aware of this difference in order to provide better pain control for this patient population. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - June 2, 2021 Category: Surgery Source Type: research

Robotic versus laparoscopic hysterectomy in morbidly obese women for endometrial cancer
AbstractSurgery is the mainstay treatment for endometrial cancer and complex atypical endometrial hyperplasia. These conditions are more common in the obese women and as such these patients pose additional risks and challenges to surgery. Laparoscopic hysterectomy (LH) is preferred over open surgery in obese patients as it reduces surgical morbidity. However, more recently, robotic-assisted hysterectomy (RH) has been used in morbidly obese patients to overcome the limitations of conventional laparoscopy. To compare the surgical outcomes of morbidly obese patients undergoing LH or RH for endometrial cancer or complex atypic...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Establishing a successful robotic surgery program and improving operating room efficiency: literature review and our experience report
AbstractThe benefits and outcomes of robotic surgery are well established in the literature across multiple specialties. The increasing need for and dissemination of this technology associated with high costs, demand adequate planning during its implementation. Therefore, after years of training several robotic surgeons and establishing multiple robotic programs worldwide, the purpose of this article is to focus on the necessary elements in the initial phase of establishing a robotics program. We summarized in our article crucial factors when implementing a robotic program. Therefore, we explained in detail the critical as...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Perioperative and midterm outcomes of emergent robotic repair of incarcerated ventral and incisional hernia
AbstractThe literature  surrounding emergent robotic ventral hernia repair (RVHR) is scarce. We aimed to present the results of 6 years of experience of RVHR in the emergency setting. Data were retrospectively analyzed from patients who underwent RVHR in an emergent setting between 2013 and 2019. Complications were ass essed with the Clavien-Dindo (CD) and Comprehensive Complication Index (CCI®) scoring systems. Kaplan –Meier’s time-to-event analysis was performed to calculate freedom-of-recurrence. Out of 589 patients who underwent RVHR, 34 patients were included. Median APACHE-II scores wer...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Incidence of acute postoperative robotic port-site hernias: results from a high-volume multispecialty center
AbstractFascial closure at 8-mm robotic port sites continues to be controversial. As the use of the robotic platform increases across multiple abdominal specialties, there are more case reports describing reoperation and small bowel resection for acute port-site hernias. A retrospective review of all robotic abdominal surgeries performed from 2012 to 2019 at NYU Langone Medical Center was conducted. Patients who had a reoperation in our facility within 30  days were identified, and medical records reviewed for indications for reoperation and findings. The study included 11,566 patients, of which 82 patients (0.71%) un...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Robotic ileocolic resection with intracorporeal anastomosis for Crohn ’s disease
AbstractThe robotic platform can overcome limitations of the laparoscopic approach, particularly in the facilitation of intracorporeal anastomosis creation. We aim to share our institutional experience with robotic ileocolic resection for Crohn ’s disease (CD) and compare it to a laparoscopic cohort. We identified patients who underwent ileocolic resection for CD with a purely robotic (R) or laparoscopic (L) approach between February 2015 and 2018. Chart review was performed and preoperative, intraoperative, and postoperative data was co llected. A total of 47 patients with a mean age of 35.2 years old were iden...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Training novice robot surgeons: Proctoring provides same results as simulator-generated guidance
This study showed that novice surgeons. Significantly increase their dexterity skills in RAS after a short time of practicing on simulator. The lack of difference in results between the intervention groups could indicate there is a limited impact of “human proctoring” on dexterity skills during surgical simulation training. Since there is no difference between the intervention groups the exposure alone of novice surgeons to the robotic surgery simulator could possibly be sufficient to achieve a significant improvement of dexterity skills du ring the initial steps of RAS learning. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

An evaluation of live porcine simulation training for robotic surgery
AbstractTo assess the role of live porcine simulation in robotic surgical skills training. A qualitative and quantitative survey was conducted of participants of a live porcine robotic simulation course undertaken in a regional training centre. Data on participants ’ experience, robotic surgical ability, the educational impact and outcomes from the course were collected. Thirty-nine participants from four different countries completed the survey. Clinical experience varied; however, prior robotic surgical experience (median 0 cases, range 0–100) and techni cal ability were low. The perceived usefulness, effecti...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute
AbstractThe main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterectomy in patients from August 2019 through February 2020. All the surgeries were performed by a single surgeon (Puntambekar S). Since August 2019, 30 patients with early cervical cancer/endometrial cancer were selected for radical hysterectomy. All patients were in good general condition with controlled medical comorbidit...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Intracorporeal versus extracorporeal urinary diversion following robot-assisted radical cystectomy: a meta-analysis, cumulative analysis, and systematic review
This study is registered at International Prospective Register of Systematic Reviews (PROSPERO) CRD42020164074. A systematic literature review was conducted using PubMed, EMBASE, and Cochrane databases in August 2019. A total of six studies comparing ICUD vs ECUD were identified and meta-analysis was conducted on these studies. In addition, a cumulative analysis was also performed on 83 studies that reported perioperative outcomes after RARC and ICUD or ECUD. The Weighed Mean Difference of operative time and blood loss between ICUD and ECUD group was (16; 95% confidence interval − 34 to 66) and (−&thinsp...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

Medical student experience with robot-assisted surgery after limited laparoscopy exposure
AbstractThe purpose of the study was to evaluate the objective and subjective experience of medical students completing robotic surgery tasks after limited laparoscopy exposure. Twenty-three medical students without previous laparoscopy and robotic surgery experience self-enrolled into 0  min (n = 11), 20 min (n = 6), and 40 min (n = 6) laparoscopy training groups. Subjects completed rope passing and ball placement tasks on a laparoscopy trainer before repeating similar tasks on the Senhance Surgical System, a robot-assisted digital laparoscopy device. Videos were re...
Source: Journal of Robotic Surgery - May 20, 2021 Category: Surgery Source Type: research

A cost analysis of two- versus three-instrument robotic-assisted inguinal hernia repair with mesh: time is money
AbstractEquipment expenses and operating times can lead to higher costs with robotic surgery. We compared the cost-effectiveness of 2- vs. 3-instrument (2i vs. 3i) approach to robotic transabdominal preperitoneal inguinal hernia repair. We conducted a retrospective study of 172 patients, with 86 patients in each group. Procedure cost, operative time, morbidity, length of stay, readmission rate, and hernia recurrence at 90  days were compared. Statistical significance was assigned top 
Source: Journal of Robotic Surgery - May 17, 2021 Category: Surgery Source Type: research

Robotic retroperitoneal lymph node dissection for primary and post-chemotherapy testis cancer
AbstractThe role of retroperitoneal lymph node dissection (RPLND) in testicular cancer is well established in both the primary and post-chemotherapy setting. The aim of this study was to report our 2 years oncological outcomes of robotic RPLND. A retrospective review was performed of all patients undergoing robotic RPLND by a single surgeon at Princess Margaret Cancer Centre. Demographic, perioperative, and oncologic data were analyzed using descriptive statistics. Between September 2014 and June 2020, 141 patients underwent an RPLND [33 (23.4%) were primary, 108 (76.6%) were post-chemotherapy]. 27 (19.1%) patients underwe...
Source: Journal of Robotic Surgery - May 12, 2021 Category: Surgery Source Type: research

Assessment of accuracy of an imageless hand-held robotic-assisted system in component positioning in total knee replacement: a prospective study
This study demonstrated that semi-autonomous hand-held robotic system, Navio (Smith& Nephew) for total knee arthroplasty produced accurate component positioning as per plan in all planes. The maximum RMSE was 0.56 °. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - May 4, 2021 Category: Surgery Source Type: research

Recent progress of robotic head and neck surgery using a flexible single port robotic system
AbstractWe performed robotic neck surgery through a transoral or retroauricular approach (RA) using the DaVinci SP and analyzed our experiences to evaluate the feasibility and safety of this system for performing RA neck surgeries. A total of 63 patients were enrolled in this study, consisting of 37 males and 26 females. All operations were successfully completed without significant complication in 63 patients with head and neck tumor. Using DaVinci SP, it is easy to insert three robotic arms into a long and narrow working space because all robotic arms and an endoscope are inserted through a single arm. Using the navigati...
Source: Journal of Robotic Surgery - May 3, 2021 Category: Surgery Source Type: research

Can robotics be the future of ophthalmic surgery?
AbstractThe future of robotic ophthalmologic surgery looks promising. Innovations in robotic technology and artificial intelligence may provide an ideal machine –human interface with planned and precise movements minimizing unwanted tissue damage and improving clinical outcomes. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - April 30, 2021 Category: Surgery Source Type: research

Analysis of abdominal vs . robotic radical hysterectomies for patients with cervical cancer: a Bulgarian experience
AbstractTo assess and compare the peri-operative, oncologic, and survival outcomes for women with cervical cancer (CC) treated with abdominal radical hysterectomy (ARH) versus robotic radical hysterectomy (RRH) approaches in Bulgaria. We retrospectively analyzed patients with histologically diagnosed CC operated via ARH or RRH methods during January-2008 to April-2019. The data analyzed include patients and tumor characteristics, peri-operative outcomes, and disease status. Kaplan –Meier method and Cox regression analysis were performed to determine disease-free survival (DFS) and overall survival (OS). There were co...
Source: Journal of Robotic Surgery - April 28, 2021 Category: Surgery Source Type: research

Extraperitoneal versus transperitoneal approach for robot-assisted radical prostatectomy: a contemporary systematic review and meta-analysis
This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered with PROSPERO. A leave-one-out sensitivity analysis was performed to control for heterogeneity and risk of bias. A total of 16 studies were included with 3897 patients, including 2201 (56.5%) EP-RARPs and 1696 (43.5%) TP-RARPs. When compared to TP-RARP, EP-RARP offers faster operative time (MD − 14.4 min; 95% CI − 26.3, − 2.3), decreased length of post-operative stay (MD − 0.9 days, 95% CI − 1.3, − 0.4), a...
Source: Journal of Robotic Surgery - April 27, 2021 Category: Surgery Source Type: research

Robotic transoral approach for salvage retropharyngeal node dissection: an analysis of functional and oncological outcomes
We present here our 5-year experience and the outcomes of transoral robotic retropharyngeal node dissection (RPND) in salvage settings. Hospital database was accessed to extract details of patients with head and neck cancer who developed retropharyngeal (RP) node metastasis. Patients who underwent transoral robotic surgery (TORS) for RPND in salvage settings were included for the study. Patients were first followed-up after 10  days of discharge and then on a monthly basis after completion of treatment. At each follow-up, swallow functions and disease status were recorded. A total of 10 patients met the inclusion crit...
Source: Journal of Robotic Surgery - April 26, 2021 Category: Surgery Source Type: research

Urine leak after robotic radical prostatectomy: not all urine leaks come from the anastomosis
AbstractRadical prostatectomy is the gold standard in patients that are surgical candidates with localized prostate cancer. While most postoperative urine leaks are from vesico-urethral anastomosis, urologists must be aware that a small percentage of patients may have a urine leak from other sites that may have been inadvertently injured during the procedure. We propose a systematic workup to evaluate the source of the urinary leak as well as appropriate management of such injuries. The mid-ureter can be injured during lymph node dissection. The distal ureter is at risk of injury when performing the Montsouris approach. Th...
Source: Journal of Robotic Surgery - April 24, 2021 Category: Surgery Source Type: research

Short-term outcomes of robotic-assisted versus conventional laparoscopic-assisted surgery for rectal cancer: a propensity score-matched analysis
AbstractIt remains controversial whether the advantages of robotic-assisted surgery are beneficial for rectal cancer (RC). The study aimed to evaluate the short-term outcomes of robotic-assisted rectal surgery (RARS) compared with those of conventional laparoscopic-assisted rectal surgery. We retrospectively analyzed 539 consecutive patients with stage I –IV RC who had undergone elective surgery between January 2010 and December 2020, using propensity score-matched analysis. After propensity score matching, we enrolled 200 patients (n = 100 in each groups). Before matching, significant group-dependent d...
Source: Journal of Robotic Surgery - April 22, 2021 Category: Surgery Source Type: research

Robotic colorectal surgery and ergonomics
AbstractImproved ergonomics for the operating surgeon may be an advantage of robotic colorectal surgery. Perceived robotic ergonomic advantages in visualisation include better exposure, three-dimensional vision, surgeon camera control, and line of sight screen location. Postural advantages include seated position and freedom from the constraints of the sterile operating field. Manipulation benefits include articulated instruments with seven degrees of freedom movement, elimination of fulcrum effect, tremor filtration, and scaling of movement. Potential ergonomic detriments of robotic surgery include lack of haptic feedback...
Source: Journal of Robotic Surgery - April 22, 2021 Category: Surgery Source Type: research

Real-world comparison of curative open, laparoscopic and robotic resections for sigmoid and rectal cancer –single center experience
AbstractThere has been an increase in the utilization of robotic surgery in addition to traditional open or laparoscopic approaches. Aim of this study is to compare the short-term outcomes for open, laparoscopic, and robotic surgery for rectal and sigmoid cancer. One hundred and forty-seven patients (openn = 48, laparoscopicn = 49, roboticn = 50) undergoing curative resections by two surgeons between 2013 and 2020 were included. Data analyzed included patient demographics, tumor characteristics, length of stay, post-operative outcomes, and pathologic surrogates of oncologic results...
Source: Journal of Robotic Surgery - April 19, 2021 Category: Surgery Source Type: research

Safe transition to opioid-free pathway after robotic-assisted laparoscopic prostatectomy
AbstractTo determine whether local anesthetic infiltration and non-narcotic pain medications can safely reduce or eliminate opioid use following robotic-assisted laparoscopic prostatectomy while maintaining adequate pain control. After initiation of this quality-improvement project, patients undergoing robotic-assisted laparoscopic prostatectomy had surgeon-administered local anesthesia around all incisions into each successive layer from peritoneum to skin, with the majority infiltrated into the transversus abdominis muscle plane and posterior rectus sheath of the midline extraction incision. Post-operatively patients rec...
Source: Journal of Robotic Surgery - April 15, 2021 Category: Surgery Source Type: research

The follow-up of the robotic-assisted Soave procedure for Hirschsprung ’s disease in children
This study described the follow-up of the Robotic-assisted Soave procedure for Hirschsprung’s disease in children. Robotic-assisted endorectal pull-through was performed using three robotic arms and an additional 5-mm trocar. The ganglionic and aganglionic segments were i nitially identified by seromuscular biopsies. The rest of the procedure was carried out according to the Soave procedure. We left a short rectal seromuscular sleeve of 1.5–2 cm above the dentate line. From December 2014 to December 2017, 55 pediatric patients were operated on. Age ranged from 6  months to 10 years old (median&th...
Source: Journal of Robotic Surgery - April 11, 2021 Category: Surgery Source Type: research

Single-port robotic-assisted simple prostatectomy is associated with decreased post-operative narcotic use in a propensity score matched analysis
AbstractRobotic-assisted simple prostatectomy (RASP) has proven to be an effective minimally invasive option for benign prostatic enlargement (BPE) in recent years. Single-site surgery is theorized to reduce post-operative pain beyond traditional minimally invasive approaches. We sought to assess whether use of a single-port robotic platform decreases post-operative opioid use in patients undergoing robotic-assisted simple prostatectomy (RASP). A retrospective review was performed of all patients undergoing RASP our institution from November 2017 to July 2019. Demographic, intraoperative, and post-operative data, including...
Source: Journal of Robotic Surgery - April 10, 2021 Category: Surgery Source Type: research

Outcomes of robotically assisted laparoscopic lateral suspension (RALLS) with mesh for anterior and apical prolapse
The objective of our study was to evaluate outcomes of robotically assisted laparoscopic lateral suspension (RALLS) with mesh for anterior and apical pelvic organ prolapse (POP). From March 2012 to January 2018, 59 consecutive patients underwent RALLS using titanized polypropylene mesh. Between August 2017 and September 2019, all patients were contacted to assess outcome. We performed a clinical exam and asked them to complete the patient global impression of improvement (PGI-I) questionnaire. Fifty-four patients (91.5%) were available for follow-up. Mean age was 58.5  years (28.8–79.8). There were no perioperat...
Source: Journal of Robotic Surgery - April 5, 2021 Category: Surgery Source Type: research

The impact of body mass index on outcomes in robotic colorectal surgery: a single-centre experience
AbstractObesity is an independent risk factor for postoperative morbidity and mortality in laparoscopic colorectal surgery (LCRS). The technological advantages of robotic colorectal surgery (RCRS) may allow surgeons to overcome the limitations of LCRS in obese patients, but it is largely unknown if this translates to superior outcomes. The aim of this study was to compare perioperative, postoperative and short-term oncological outcomes in obese (BMI  ≥ 30.0 kg/m2) and non-obese (BMI  
Source: Journal of Robotic Surgery - April 3, 2021 Category: Surgery Source Type: research

Preoperative multiparametric MRI does not lower positive surgical margin rate in a large series of patients undergoing robot-assisted radical prostatectomy
In this study, we evaluated whether the availability of information from MRI influenced the incidence of PSM. A total of 523 patients undergoing RARP for localized prostate cancer in a single Dutch reference centre for prostate-cancer surgery were retrospectively evaluated (2013 –2017). Patient characteristics and postoperative outcomes were retrieved. Patients were stratified according to the presence of a preoperative MRI. The incidence of PSM and proportion of patients receiving NSS was analysed using Chi-square tests and logistic regression analysis.N = 139 of 523 (26.6%) patients had a preoperative...
Source: Journal of Robotic Surgery - April 3, 2021 Category: Surgery Source Type: research

Intraoperative conversion and complications in robotic assisted primary and redo gastric bypass surgery
AbstractThe rise of robotic assisted surgery in the treatment of morbidly obese patients has enlarged the armamentarium for surgeons involved in bariatric surgery. This in particular is of great advantage not only in primary cases, but also in patients undergoing revisional procedures following preceding upper GI surgery. In the following, our experience with intraoperative conversions and complications in revisional robotic surgery using the Da Vinci robotic system will be reported and compared to primary robotic bypass surgery and the literature. In a 36-month period, a total of 157 minimally invasive bariatric procedure...
Source: Journal of Robotic Surgery - April 1, 2021 Category: Surgery Source Type: research

Outcomes of robotic surgery in revisional bariatric cases: a propensity score-matched analysis of the MBSAQIP registry
The objective of our study is to compare the outcomes of Robotic RBS (R-RBS) to Laparoscopic RBS (L-RBS). Using the 2015 –2017 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database, we selected all RBS and we matched R-RBS to L-RBS using a propensity score matching system to create balanced groups. Our primary outcomes were 30-day Serious Adverse Events (SAE), 30-day Organ Specific Infection (OSI), 30-day reoperation and 30-day interventions. Our secondary outcomes included length of operation and 30-day readmission. We conducted separate Mann–Whitney rank sums tests o...
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

Building a predictive model of U.S. patient willingness to undergo robotic surgery
AbstractPrior research regarding robotic surgery (RS) has largely focused on the engineering or medical aspects of these tools. A few studies have examined consumer opinions toward, or willingness to use, robotic surgeons; however, no study to date has examined what type of person would be willing to undergo RS. Across two studies, the current research fills this gap by building both a descriptive and predictive regression model used to predict what type of user would be willing to undergo RS. To build the descriptive model, 1324 potential patients were asked a series of questions about demographics, attitudes, opinions, a...
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

Robot-assisted sialolithotomy with sialoendoscopy: a review of safety, efficacy and cost
ConclusionRASS is a safe modality for submandibular hilar sialolith removal with a high success rate, low risk for temporary tongue paresthesia, and lower rate of permeant lingual nerve damage compared to CAS. Compared with CAS, RASS may result in a net reduction of operative room costs given its shorter procedure time. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

An analysis of operating time over the years for robotic-assisted surgery in gynecology and gynecologic oncology
This study analyzed how the time taken for robotic-assisted procedures in gynecology and gynecologic oncology has changed over the years in a university teaching institution. Details were taken from a prospectively maintained electronic database after obtaining permission from the hospital ethics committee. All patients who underwent robotic surgery for gynecologic problems at this center from February 2015 till December 2019 were included. The clinical, perioperative, postoperative and pathologic details were collected from the prospectively maintained database. To analyze quantitative data, studentt test was used. Chi-sq...
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

Comparison of perioperative outcomes and technical features using da Vinci Si and Xi robotic platforms for early stages of endometrial cancer
AbstractWe directly compared perioperative outcomes and technical features between previous da Vinci Si and the newer Xi robotic platform during total hysterectomy plus salpingo-oophorectomy with or without lymphadenectomy for early-stage endometrial cancer. We retrospectively analyzed147 patients with histological confirmation of endometrial carcinoma stage IA: grade 1 –2, 3 and stage IB: grade 1–2 who underwent surgery with da Vinci Si or Xi system between January 2016 and December 2018. Perioperative data, technical features and postoperative complications were considered. 91 patients underwent surgery with ...
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

Retzius-sparing robotic-assisted laparoscopic radical prostatectomy: racial considerations for 250 consecutive cases
AbstractOur objective is to report the functional and oncologic outcomes of a cohort of 250 consecutive prostate cancer patients undergoing a Retzius-sparing approach and to assess for racial differences in continence outcomes. This was a prospective, single-center, case series of 250 consecutive prostate cancer patients who underwent a Retzius-sparing robotic-assisted laparoscopic radical prostatectomy by a single surgeon between May 2015 and April 2019. Our primary objective was to report post-operative continence outcomes of patients undergoing this technique. Continence was defined as using zero or one precautionary pa...
Source: Journal of Robotic Surgery - March 26, 2021 Category: Surgery Source Type: research

Robotic-assisted radical prostatectomy with preceptor ’s assistance: the training experience and outcomes in South America
This study reports the intraoperative, functional, and oncological outcomes of patients who underwent radical prostatectomy for prostate cancer performed by robotic surgeons during a training period supervised by a proctor. We also compared these results with the literature reporting the experience of different Brazilian centers. We retrospectively analyzed prospectively collected data of 58 initial cases of robotic-assisted radical prostatectomy at a private Brazilian hospital in Fortaleza, Ceará. The surgeries were performed by two robotic surgeons during the training period under proctor supervision. We reported ...
Source: Journal of Robotic Surgery - March 24, 2021 Category: Surgery Source Type: research

Sustained results of robotic mitral repair in a lower volume center with extensive minimally invasive mitral repair experience
AbstractThe literature for robotic mitral repair is dominated by a small number of large volume institutions, and intermediate-term outcomes out to 5  years are rare. Whether and under what circumstances a lower volume institution could obtain durable outcomes is not known. A retrospective review was performed on all 133 patients undergoing robotically assisted mitral repair from 2011 to 2019 at a single institution. Mean volume of robotic mitra l repair was 16 ± 7 cases per year, while mean institutional total volume of mitral repair was 116 ± 16 cases per year. Mean age was ...
Source: Journal of Robotic Surgery - March 24, 2021 Category: Surgery Source Type: research

Robotic-assisted harvest of latissimus dorsi muscle flap for breast reconstruction: review of the literature
AbstractRobotic-assisted surgery continues to gain ground over conventional surgical methods, due to reported better results regarding the aesthetic outcome and the decreased percentage of complications. Although latissimus dorsi flap harvesting for breast reconstruction has been already used for several years, a plethora of serious complications has been reported. Recently, minimally invasive surgical approaches, such as robotic-assisted technique, have been suggested with conflicting outcomes to overcome technical difficulties. Therefore, the literature review was conducted regarding robotic-assisted harvesting of the la...
Source: Journal of Robotic Surgery - March 23, 2021 Category: Surgery Source Type: research

Robotic upper tract surgery in infants 6  months or less: is there enough space?
AbstractRobot-assisted laparoscopic surgery (RALS) has recently been described in children  
Source: Journal of Robotic Surgery - March 22, 2021 Category: Surgery Source Type: research

Outcomes of robotic-assisted vs conventional laparoscopic surgery among patients undergoing resection for rectal cancer: an observational single hospital study of 300 cases
AbstractRobotic-assisted laparoscopic surgery attempts to facilitate rectal surgery in the narrow space of the pelvis. The aim of this study is to compare the outcomes of robotic versus laparoscopic surgery for rectal cancer. Monocentric retrospective study including 300 patients who underwent robotic (n = 178) or laparoscopic (n= 122) resection between Jan 2009 and Dec 2017 for high, mid and low rectal cancer. The robotic and laparoscopic groups were comparable with regard to pretreatment characteristics, except for sex and ASA status. There were no statistical differences between groups in the conversion rate to open sur...
Source: Journal of Robotic Surgery - March 20, 2021 Category: Surgery Source Type: research

Robotic-assisted radical prostatectomy following colo-rectal surgery: a user ’s guide
AbstractTo assess the feasibility and operative outcomes of RARP following colo-rectal surgery. A prospective database of patients undergoing RARP is maintained at our Institution since January 2015. We reviewed all patients undergoing RARP after previous colo-rectal surgery. Overall, 49 (7.4%) of 658 RARPs were performed after previous pelvic surgery, 14 (2.1%) of which following colo-rectal surgery after an interval of 5  years. (a)Colo-rectal surgery. Previous colo-rectal surgery included resection of the left colon (n = 6), and right colon (n = 4), and rectum (n = 4). Hist...
Source: Journal of Robotic Surgery - March 20, 2021 Category: Surgery Source Type: research

Potential urinary function benefits of initial robotic surgery for rectal cancer in the introductory phase
This study retrospectively evaluated patients who underwent initial robotic surgery (n = 36) vs. patients who underwent conventional laparoscopic surgery (n = 95) for rectal cancer. We compared the clinical and pathological characteristics of patients using a propensity score analysis and clarified short-term outcomes, urinary function, and sexual function at the time of robotic surgery introduction. The mean surgical duration was longer in the rob ot-assisted laparoscopy group compared with the conventional laparoscopy group (288.4 vs. 245.2 min, respectively;p = 0.051). With...
Source: Journal of Robotic Surgery - March 16, 2021 Category: Surgery Source Type: research

Teaching and learning robotic surgery at the dual console: a video-based qualitative analysis
AbstractRobotic-assisted surgery (RAS) involves training processes and challenges that differ from open or laparoscopic surgery, particularly regarding the possibilities of observation and embodied guidance. The video recording and the dual-console system creates a potential opportunity for participation. Our research, conducted within the department of visceral surgery of a big Swiss, public, academic hospital, uses a methodology based on the co-analysis of video recordings with surgeons in self-confrontation interviews, to investigate the teaching activity of the lead surgeon supervising a surgeon in training at the dual...
Source: Journal of Robotic Surgery - March 16, 2021 Category: Surgery Source Type: research