Propensity matched analysis of robotic and laparoscopic operations for mid-low rectal cancer: short-term comparison of anal function and oncological outcomes
This study adopted a propensity matched analysis to compare the functional and oncological short-term outcomes of laparoscopic and robotic surgery. All patients who underwent proctectomy have been collected prospectively between December 2019 and November 2022. After censoring for inclusion criteria, we performed a propensity matching analysis. A detailed collection of post-operative examination indicators was performed, while the K –M survival curves were plotted to analyze post-operative oncology outcomes. The LARS scale was designed to evaluate the anal function of patients in the form of questionnaires. Totally, 215 ...
Source: Journal of Robotic Surgery - July 4, 2023 Category: Surgery Source Type: research
Implementation of a structured robotic colorectal curriculum for general surgery residents
AbstractThere is increasing demand for colorectal robotic training for general surgery residents. We implemented a robotic colorectal surgery curriculum expecting that it would increase resident exposure to the robotic platform and would increase the number of graduating general surgery residents obtaining a robotic equivalency certificate. The aim of this study is to describe the components of the curriculum and characterize the immediate impact of the implementation or residents. Our curriculum started in 2019 and consists of didactics, simulation, and clinical performance. Objectives are specified for both junior reside...
Source: Journal of Robotic Surgery - June 28, 2023 Category: Surgery Source Type: research
The future of robotic pancreaticoduodenal surgery: a bibliometric analysis
ConclusionsThis study is the first bibliometric study in the field of RPD. Our data will help us better understand the development trend of the field, and determine research hotspots and research directions. The research results provide practical information for other scholars to understand key directions and cutting-edge information. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - June 28, 2023 Category: Surgery Source Type: research
Parameters that may affect detection rates of SLN in morbidly obese patients with endometrial cancer and changes in everyday practice
(Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - June 28, 2023 Category: Surgery Source Type: research
Evaluating robotic-assisted partial nephrectomy surgeons with fully convolutional segmentation and multi-task attention networks
AbstractWe use machine learning to evaluate surgical skill from videos during the tumor resection and renography steps of a robotic assisted partial nephrectomy (RAPN). This expands previous work using synthetic tissue to include actual surgeries. We investigate cascaded neural networks for predicting surgical proficiency scores (OSATS and GEARS) from RAPN videos recorded from the DaVinci system. The semantic segmentation task generates a mask and tracks the various surgical instruments. The movements from the instruments found via semantic segmentation are processed by a scoring network that regresses (predicts) GEARS and...
Source: Journal of Robotic Surgery - June 27, 2023 Category: Surgery Source Type: research
Comparison of bilateral axillo-breast approach robotic thyroidectomy and open thyroidectomy for papillary thyroid carcinoma
AbstractFor papillary thyroid carcinoma (PTC) surgery requiring total thyroidectomy and central lymph node dissection, it is controversial whether the bilateral axillo-breast approach robotic thyroidectomy (BABA RT) can replace the open thyroidectomy (OT). To evaluate the efficacy of two surgical approaches. Relevant literatures were searched from PubMed, EMBASE and Cochrane Library. Studies comparing two surgical approaches and meeting the inclusion criteria were selected. Compared with OT, BABA RT showed a similar incidence of postoperative complications, including recurrent laryngeal nerve palsy, hypocalcemia, hypoparat...
Source: Journal of Robotic Surgery - June 26, 2023 Category: Surgery Source Type: research
Perioperative, functional, and oncologic outcomes of minimally-invasive surgery for highly complex renal tumors (RENAL or PADUA score ≥ 10): an evidence-based analysis
This study comprised a total of eight comparative trials involving 1161 patients. MIPN demonstrated a significant reduction in length of hospital stay (weighted mean difference [WMD] − 2.08 days, 95% confidence interval [CI] − 2.48, − 1.68; p < 0.00001), blood loss (WMD − 39.86 mL, 95% CI − 75.32, − 4.39; p = 0.03), transfusion rates (odds ratio [OR] 0.30, 95% CI 0.13, 0.71; p = 0.006), and overall complications (OR 0.46, 95% CI 0.31, 0.70; p = 0.0003). However, there were no significant differences between MIPN and OPN in terms of operative time, warm ischemia time, conversio...
Source: Journal of Robotic Surgery - June 22, 2023 Category: Surgery Source Type: research
Implementation of totally robotic right hemicolectomy: lessons learned from a prospective cohort
AbstractRobotics facilitates the realization of intra-corporeal anastomosis during right hemicolectomy and allows extracting the operative specimen through a C-section, offering potential benefits in terms of post-operative recovery and incidence of incisional hernia. Therefore, we progressively implemented robotic right hemicolectomy (robRHC) in our centre, and would like to report our initial experience with the technique. Consecutive patients who underwent robRHC within a single centre were prospectively included. Variables related to patients ’ demographics, surgical procedures, post-operative recovery and pathologic...
Source: Journal of Robotic Surgery - June 21, 2023 Category: Surgery Source Type: research
Endoaortic balloon occlusion versus transthoracic cross-clamp for totally endoscopic robotic mitral valve surgery: a retrospective cohort study
AbstractEndoaortic balloon occlusion (EABO) and transthoracic cross-clamping have been shown to have comparable safety profiles for aortic occlusion in minimally invasive mitral valve surgery (MIMVS). However, few studies have focused exclusively on the totally endoscopic robotic approach. We sought to compare outcomes for patients undergoing totally endoscopic robotic mitral valve surgery with aortic occlusion via EABO and transthoracic clamping after a period where EABO was unavailable required us to use the transthoracic clamp. Retrospective review identified 113 patients who underwent robotic mitral valve surgery at ou...
Source: Journal of Robotic Surgery - June 20, 2023 Category: Surgery Source Type: research
Impact of modified bladder neck suspension on early recovery of continence after robot-assisted radical prostatectomy (RARP)
AbstractThe incontinence after RARP significantly decreases the quality of life in prostate cancer patients. A number of techniques have been introduced for the recovery of continence after RARP. Although, the mechanism of the continence recovery is still unclear. We aimed to evaluate the early recovery of continence after RARP by inducing early anterior adhesion and reducing the hypermobility of the urethra through the modified bladder neck suspension (BNS) procedure. From March 2018 to February 2020, a total of 227 consecutive patients who underwent RARP (by single surgeon) were included. Patients were divided into two g...
Source: Journal of Robotic Surgery - June 19, 2023 Category: Surgery Source Type: research
Robotic-assisted colectomy in children: a comparative study with laparoscopic surgery
AbstractThe aim of this study was to compare outcomes of laparoscopic and robotic-assisted colectomy in children. All children who underwent a colectomy with a laparoscopic (LapC) or robotic-assisted (RobC) approach in our institution (January 2010 –March 2023) were included. Demographics, surgical data, and post-operative outcomes within 30 days were collected. Additional cost related to the robotic approach was calculated. Comparisons were performed using Fisher tests for categorical variables and Mann–Whitney tests for continuous varia bles. A total of 55 colectomies were performed: 31 LapC and 24 RobC (median age:...
Source: Journal of Robotic Surgery - June 19, 2023 Category: Surgery Source Type: research
Using LAP PROTECTOR ™ to prevent subcutaneous emphysema after robotic gastrectomy
AbstractSubcutaneous emphysema (SE), a complication of robotic gastrectomy (RG), occurs when the gas used to establish pneumoperitoneum escapes and enters the soft tissue. SE typically does not result in major clinical problems, but massive SE can have life-threatening consequences. Hence, developing adequate preventive methods against postoperative SE is essential. We aimed to determine whether an existing protective device, the LAP PROTECTOR ™ (LP), can be used to reduce the incidence of SE after RG. We analyzed the data of 194 patients who underwent RG at our hospital between August 2016 and December 2022. Since Septe...
Source: Journal of Robotic Surgery - June 19, 2023 Category: Surgery Source Type: research
Robotic right versus left colectomy for colorectal neoplasia: a systemic review and meta-analysis
AbstractPrevious studies comparing right and left colectomies have shown variable short-term outcomes. Despite the rapid adoption of robotics in colorectal operations, few studies have addressed outcome differences between robotic right (RRC) and left (RLC) colectomies. Therefore, we sought to compare the short-term outcomes of RRC and RLC for neoplasia. This is a systematic review and meta-analysis of articles published from the time of inception of the datasets to May 1, 2022. The electronic databases included English publications in Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, and ...
Source: Journal of Robotic Surgery - June 13, 2023 Category: Surgery Source Type: research
Quadrifecta outcomes and their predictors following robotic radical prostatectomy: a study of newly established robotic center in India
AbstractActive surveillance (AS), radical prostatectomy (RP), and radical radiotherapy (RT) are the three options for localized prostate cancer. Only a few studies have been conducted in developing countries or in centers in their initial learning curve that predict the outcomes of RARP. Therefore, this study aimed to present data from a novice center; how we started and progressed, and to compare our results with the rest of the world. This is a retrospective analysis to study the outcomes following robot-assisted radical prostatectomy and to identify the predictors of quadrifecta outcomes, i.e., the patients who were con...
Source: Journal of Robotic Surgery - June 13, 2023 Category: Surgery Source Type: research
Robot-assisted surgery versus laparoscopic surgery of ureteropelvic junction obstruction in children: a systematic review and meta-analysis
AbstractThe clinical effectiveness and safety of robot-assisted laparoscopic pyeloplasty (RP) compared with laparoscopic pyeloplasty (LP) have not been clearly established in ureteropelvic junction obstruction (UPJO) children and require review. We searched in the Cochrane, MEDLINE, EMBASE, Web of Science, and CNKI database on 30 June 2022. This systematic review and meta-analysis were performed in RevMan 5.4 based on studies comparing RP versus LP in children with UPJO and subgroup analysis in children < 2 years of age has been performed. The Newcastle–Ottawa Scale was used to evaluate the studies. We included...
Source: Journal of Robotic Surgery - June 13, 2023 Category: Surgery Source Type: research
