Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: a single-center retrospective study
In conclusion, our data suggest that patient satisfaction is equal between the conventional and ambulatory mode of performing robotic-assisted ad renalectomy. Patient satisfaction was probably associated with shorter hospitalization days, adequate preoperative preparation and standardized, high-quality post-discharge information and guidance. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - January 17, 2024 Category: Surgery Source Type: research
Robot-assisted vs laparoscopic bariatric procedures in super-obese patients: clinical and economic outcomes
AbstractThe increased operative time and costs represent the main limitations of robotic technology application to bariatric surgery. Robotic platforms may help the surgeon to overcome the technical difficulties in super-obese (SO, BMI ≥ 50 kg/m2) patients, in which multi-quadrant operations could be challenging. We aimed to evaluate the effect of robot-assisted (R) versus laparoscopic (L) approaches in Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) and Roux-en-Y Gastric Bypass (RYGB) in SO and Super-Super Obese (SSO, BMI ≥ 60 kg/m2) patients in terms of outcomes and cost-effective...
Source: Journal of Robotic Surgery - January 17, 2024 Category: Surgery Source Type: research
Cost comparison between medicare and private insurance for robotic transhiatal esophagectomy
This study aimed to compare hospital reimbursement after robotic THE for patients with Medicare versus private insurance. With IRB approval, a prospective study of 85 patients from 2012 to 2022 who underwent robotic THE was conducted. Private insurance was defined as coverage excluding Medicare, Medicaid, or self-pay. Statistical analyses involved Student ’st test, Chi-square test, and Fisher ’s exact test, withp ≤ 0.05 considered statistically significant. Data are presented as median (mean ± standard deviation). Among the 85 patients, 64 had Medicare, and 21 had private insurance. Medicare patients exhibit...
Source: Journal of Robotic Surgery - January 17, 2024 Category: Surgery Source Type: research
Stereo attention-based all-in-one super-resolution for robot-assisted minimally invasive surgery
AbstractRobot-assisted minimally invasive surgery (MIS) faces challenges in obtaining high-quality imaging results due to the limited spatial environment. In this paper, we present an all-in-one image super-resolution (SR) algorithm designed to tackle this challenge. By utilizing the stereo information from binocular images, we effectively convert low-resolution images into high-resolution ones. Our model architecture amalgamates the prowess of Convolutional Neural Networks (CNNs) and Transformers, capitalizing on the advantages of both methodologies. To achieve super-resolution across all scale factors, we employ a traina...
Source: Journal of Robotic Surgery - January 17, 2024 Category: Surgery Source Type: research
Inguinal hernia leads to worse immediate urinary continence after robot-assisted radical prostatectomy
ConclusionsThis study first reported that IH may be one of the risk factors of urinary incontinence after RARP. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Analysis of KangDuo-SR-1500 and KangDuo-SR-2000 robotic partial nephrectomy from an operative and ergonomic perspective: a prospective controlled study in porcine models
The objective of this study is to explore the safety and effectiveness of two new models of KangDuo surgical robots for partial nephrectomy in porcine models, and evaluate the ergonomic characteristics from both subjective and objective perspectives. Twelve porcine models were equally divided for KD-SR-1500 (three-arm) and KD-SR-2000 (four-arm). The perioperative outcomes, and physical and mental workload of the surgeon were compared. Physical workload was evaluated with surface electromyography. Mental workload was evaluated with NASA-TLX. All surgeries were performed successfully. There were no differences in perioperati...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Job satisfaction, depression severity and quality of life ratings of perioperative nurses in robotic-assisted and laparoscopic surgery
AbstractThe rapid introduction of technological developments into healthcare systems adds another layer of complexity to the already demanding jobs of nurses, particularly for those working in perioperative care. In the present study, our primary aim is job satisfaction, whereas the secondary outcomes are psychological well-being and quality of life (QoL) ratings of perioperative nurses who take part in robotic-assisted and pure laparoscopic surgery. A total of 101 perioperative nurses in six different centers were included in the study. Fifty-one of the nurses were working in robotic-assisted laparoscopic surgery and 50 o...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study
AbstractIt is known that over half of previously surveyed surgeons performing Robot-Assisted Laparoscopic Surgery (RALS) and three-quarters of those performing Traditional Laparoscopic Surgery (TLS) experience intraoperative pain. This survey study aimed to expand upon the ongoing impact of that pain as well as perceived tool usability associated with TLS and RALS, for which considerably less documentation exists. A survey regarding the presence and impact, either immediate or ongoing, of intraoperative pain and Likert scale questions regarding tool usability was administered to TLS and RALS surgeons on the European Associ...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Robot-assisted surgery outperforms video-assisted thoracoscopic surgery for anterior mediastinal disease: a multi-institutional study
AbstractAnterior mediastinal procedures are increasingly being performed using robot-assisted thoracic surgery (RATS) or video-assisted thoracoscopic surgery (VATS). While both approaches have shown superior outcomes compared to open surgery, their comparative benefits are not as distinct. The aim of this retrospective study was to bridge this knowledge gap using a multicenter dataset. Patients who underwent elective minimally invasive surgery for anterior mediastinal disease between 2015 and 2022 were deemed eligible. The study participants were grouped based on whether a robot was used or not, and perioperative outcomes ...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Measures of performance and proficiency in robotic assisted surgery: a systematic review
AbstractRobotic assisted surgery (RAS) has seen a global rise in adoption. Despite this, there is not a standardised training curricula nor a standardised measure of performance. We performed a systematic review across the surgical specialties in RAS and evaluated tools used to assess surgeons ’ technical performance. Using the PRISMA 2020 guidelines, Pubmed, Embase and the Cochrane Library were searched systematically for full texts published on or after January 2020–January 2022. Observational studies and RCTs were included; review articles and systematic reviews were excluded. The papers’ quality and bias score we...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Outcomes of lateral approach in robot-assisted radical prostatectomy: insights from a single-surgeon experience
This study aims to present the first cases of lateral-approach robot-assisted radical prostatectomy (LRRP) performed by a novice surgeon. We conducted a retrospective analysis of 70 prostate cancer patients who underwent LRRP between October 2019 and September 2021, analyzing the perioperative and functional outcomes. The median operative time and intraoperative blood loss were 102 (92 –108) minutes and 150 (130–180) mL, respectively. Five minor postoperative complications were reported, and the median hospital stay was 2 (1–2) days. Eleven positive surgical margins occurred. Potency and urinary continence recovery w...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
A novel miniature flexible robotic system for endoscopic mucosal dissection: an animal experimental study
AbstractEndoscopic submucosal dissection (ESD) is a standard treatment for early gastrointestinal cancer due to its higher rate of en-bloc resection and lower recurrence rate. However, the technical challenges lead to long learning curve and high risks of adverse events. A gastrointestinal flexible robotic-tool system (GIFTS) was proposed to reduce the difficulty and shorten the learning curve of novices. This is an animal study to evaluate the feasibility of GIFTS in ESD. The GIFTS provides a total of 13 degrees of freedom within 10 mm in diameter and variable stiffness function to achieve endoscopic intervention and subm...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Robotic-assisted surgery for gynecological indications in children and adolescents: European multicenter report
AbstractRobotic-assisted surgery (RAS) is increasingly adopted in the pediatric population. This retrospective multicenter study aimed to report application of RAS for gynecological indications in pediatric patients. The medical records of all girls with gynecological pathology, operated in 4 different institutions over a 3-year period, were retrospectively collected. Robot docking time, total operative time, length of stay (LOS), requirement time of pain medication, complication rate, conversion rate, and pathology were analyzed. Twenty-three girls, with median age of 12.3 years (range 0.6–17.8) and median weight of 4...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Evaluating body mass index ’s impact on Da Vinci Robotic rectal cancer surgery, a retrospective study
This study assessed the implications of BMI on short outcomes and postoperative complications, highlighting its unique role in the outcomes. Retrospective analysis of 119 patients who underwent robotic-assisted surgery for rectal cancer (January 2022 to March 2023). Patients grouped by BMI: normal weight (BMI < 23.9 kg/m2), overweight (BMI ≥ 23.9 kg/m2 and BMI < 27.9 kg/m2), and obese (BMI ≥ 27.9 kg/m2). Investigated BMI ’s impact on surgical outcomes and postoperative complications. Statistically significant differences (P < 0.05) in Clavien–Dindo, ASA scores. The obese grou...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
Timing of recovery of quality of life after robotic anatomic lung resection
AbstractPatient-reported outcomes (PROs) are an underreported aspect of surgical recovery. The purpose of our study was to track PROs after robotic anatomic lung to determine the timing to recovery of baseline patient baseline quality of life. This was a prospective cohort study at an academic medical center (4/2021 –12/2022). Patients who underwent robotic anatomic lung resection were asked to complete PROMIS-29 surveys at the preoperative clinic visit, postoperative clinic visit, 30 days and 90 days postoperatively via in-person and email-based electronic surveys. The PROPr score, a summary of health-rela ted quality...
Source: Journal of Robotic Surgery - January 13, 2024 Category: Surgery Source Type: research
