The clinical application of neuro-robot in the resection of epileptic foci: a novel method assisting epilepsy surgery
Abstract
During surgery for foci-related epilepsy, neurosurgeons face significant difficulties in identifying and resecting MRI-negative or deep-seated epileptic foci. Here, we present a neuro-robotic navigation system that is specifically designed for resection of MRI negative epileptic foci. We recruited 52 epileptic patients, and randomly assigned them to treatment group with either neuro-robotic navigation or conventional neuronavigation system. For each patient, in the neuro-robotic navigation group, we integrated multimodality imaging including MRI and PET-CT into the robotic workstation and marked the boundary of...
Source: Journal of Robotic Surgery - June 12, 2023 Category: Surgery Source Type: research
Effect of duration of pneumoperitoneum on renal function in patients undergoing laparoscopic surgeries: a prospective observational study
This study aimed to assess the effect of pneumoperitoneum and, thereby, raised intra-abdominal pressure for different durations ( ≤ 1 h, 1–3 h and > 3 h) on renal function. One hundred and twenty adult patients were allocated to four groups—the Control Group A (N = 30; patients undergoing non-laparoscopic surgery) or Group B (N = 30; patients undergoing laparoscopic surgery with duration of pneumoperitoneum < 1 h) or Group C (N = 30; patients undergoing laparoscopic surgery with duration of pneumoperitoneum 1–3 h) or Group D (N = 30; patients undergoing laparoscopic surgery wi...
Source: Journal of Robotic Surgery - June 10, 2023 Category: Surgery Source Type: research
First case of robot-assisted radical cystectomy and intracorporeal neobladder reconstruction with the Hugo RAS system: step-by-step surgical setup and technique
In conclusion, RARC with the Hugo RAS is a feasible procedure able to reproduce all surgical steps without critical errors or complications requiring a change in surgical planning. Urinary diversion with intracorporeal reco nstruction is feasible as well, with adequate preliminary outcomes. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - June 9, 2023 Category: Surgery Source Type: research
Surgical outcomes and cost analysis of a multi-specialty robotic-assisted surgery caseload in the Australian public health system
This study aims to compare surgical outcomes and in-hospital cost between robotic-assisted surgery (RAS), laparoscopic and open approaches for benign gynaecology, colorectal and urological patients and to explore the association between cost and surgical complexity. This retrospective cohort study included consecutive patients undergoing RAS, laparoscopic or open surgery for benign gynaecology, colorectal or urological conditions between July 2018 and June 2021 at a major public hospital in Sydney. Patients ’ characteristics, surgical outcomes and in-hospital cost variables were extracted from the hospital medical record...
Source: Journal of Robotic Surgery - June 8, 2023 Category: Surgery Source Type: research
Does smoking influence the clinical outcomes of robotic ventral hernia repair? A propensity score matching analysis study
AbstractThe purpose of this study is to compare the clinical outcomes of robotic ventral hernia repair (RVHR) between smokers and non-smokers. Data for patients undergoing RVHR between 2012 and 2022 were collected. Patients were assigned to either smoking (+) or smoking ( −) groups, according to their smoking status in the last 3 months prior to their procedure. Pre-, intra- and postoperative variables including surgical site occurrences (SSO) and infections (SSI), and hernia recurrence were analyzed after a propensity score matching analysis based on the patients ’ demographics and hernia’s characteristics. Each gr...
Source: Journal of Robotic Surgery - June 7, 2023 Category: Surgery Source Type: research
Trends in surgical approach to hysterectomy and perioperative outcomes in Michigan hospitals from 2010 through 2020
The objective of this study was to determine the trends in surgical approach to hysterectomy over the last decade and compare perioperative outcomes and complications. This retrospective cohort study used clinical registry data from the Michigan Hospitals that participated in Michigan Surgical Quality Collaborative (MSQC) from January 1st, 2010 through December 30th, 2020. A multigroup time series analysis was performed to determine how surgical approach to hysterectomy [open/TAH, laparoscopic (TLH/LAVH), and robotic-assisted (RA)] has changed over the last decade. Abnormal uterine bleeding, uterine fibroids, chronic pel...
Source: Journal of Robotic Surgery - June 6, 2023 Category: Surgery Source Type: research
Comparison of surgical outcomes between robot-assisted laparoscopic hysterectomy and conventional total laparoscopic hysterectomy in gynecologic benign disease: a single-center cohort study
AbstractWe compared the surgical outcomes of robot-assisted laparoscopic hysterectomy (RAH) and total laparoscopic hysterectomy (TLH). This single-center cohort study compared 139 RAH cases from January, 2017 to September, 2021 and 291 TLH cases between January, 2015 and December, 2020. We retrospectively evaluated surgical outcomes, including total operative time (defined as the time from port wound incision to port wound closure), net operative time (defined as the time from the start of pneumoperitoneum to the end of pneumoperitoneum), estimated blood loss, weight of excised uterus ( ±adnexa), and overall complications...
Source: Journal of Robotic Surgery - June 6, 2023 Category: Surgery Source Type: research
A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy
AbstractInvestigations generally assess 30 days of perioperative outcomes with robotic-assisted and laparoscopic colectomy. Outcomes beyond 30 days serve as a quality metric of surgical services and an assessment of 90 days of outcomes may have greater clinical utility. The purpose of this study was to assess 90 days of outcomes, length of stay (LOS), and readmissions among patients who underwent a robotic-assisted versus laparoscopic colectomy using a national database. Patients undergoing either robotic-assisted or laparoscopic colectomy were identified using Current Procedural Terminology (CPT) codes within PearlDi...
Source: Journal of Robotic Surgery - June 5, 2023 Category: Surgery Source Type: research
Robot-assisted segmentectomy with improved modified inflation –deflation combined with the intravenous indocyanine green method
AbstractTo investigate the perioperative outcomes of patients who underwent robot-assisted thoracoscopic (RATS) segmentectomy for identifying the intersegmental plane (ISP) by improved modified inflation –deflation (MID) combined with near-infrared fluorescence imaging with the intravenous indocyanine green (ICG) method and to assess the feasibility of this method in a large-scale cohort according to the type of segmentectomy performed. We retrospectively analysed the perioperative data of a total of 155 consecutive patients who underwent RATS segmentectomy between April 2020 and December 2021. Data from the operation, i...
Source: Journal of Robotic Surgery - June 5, 2023 Category: Surgery Source Type: research
Retrospective analysis of operative time and time to discharge for laparoscopic vs robotic approaches to appendectomy and cholecystectomy
AbstractRobotic-assisted appendectomies and cholecystectomies are believed to increase cost compared to the gold standard laparoscopic approach. Two equally qualified surgeons performed both approaches over 2 years to evaluate intraoperative duration, time to discharge, conversion to open procedure, and readmission within 30 days. 110 laparoscopic, 81 robotic-assisted appendectomies; and 105 laparoscopic and 165 robotic-assisted cholecystectomies were performed. Intraoperative time; laparoscopic appendectomy was 1.402 vs 1.3615 h for robotic-assisted (Pvalue = 0.304); laparoscopic cholecystectomy was 1.692 vs 1.634...
Source: Journal of Robotic Surgery - June 4, 2023 Category: Surgery Source Type: research
Is robotic assistance more eye-catching than computer navigation in joint arthroplasty? A Google trends analysis from the point of public interest
AbstractComputer-assisted navigation system (CAS) and robotic assisted surgery (RAS) have been widely used in joint arthroplasty, but few studies focused on public interest. We aimed to evaluate current trend and seasonality of public interest in CAS and RAS arthroplasty over the past 10 years, and forecast the future development. All data related to CAS or RAS arthroplasty from January 2012 to December 2021 were collected through Google Trends. Public interest was described by relative search volume (RSV). Pre-existing trend was evaluated by linear and exponential models. Time se ries analysis and ARIMA model were utili...
Source: Journal of Robotic Surgery - June 3, 2023 Category: Surgery Source Type: research
Exploring the use of driving simulation to improve robotic surgery simulator training: an observational case –control study
AbstractThe correlation between driving skills and the ability to perform robotic surgery have not yet been discussed. Therefore, this study aimed to investigate the impact of driving skills on learning robotic surgery using a driving simulator and a robotic simulator. Sixty robot- and simulator-na ïve participants were recruited: 30 with a driver’s license and 30 without a driver’s license. All participants completed a test on the driving simulator and learned four tasks using a robotic surgical simulator (dV-Trainer). On the driving simulator, the lap time in the driver’s license grou p (D-Group) was significantly...
Source: Journal of Robotic Surgery - June 3, 2023 Category: Surgery Source Type: research
Ileocolic resection for Crohn ’s disease: robotic intracorporeal compared to laparoscopic extracorporeal anastomosis
AbstractLaparoscopy is the first-line approach in ileocolic resection for Crohn ’s disease. Emerging data has shown better short-term outcomes with robotic right colectomy for cancer when compared to laparoscopic approach. However, robotic ileocolic resection for Crohn’s disease has only shown faster return to bowel function. We aimed to evaluate short-term outcomes of ileo colic resection for Crohn’s disease between robotic intracorporeal anastomosis (RICA) and laparoscopic extracorporeal anastomosis (LECA). Patients undergoing minimally invasive ileocolic resections for Crohn’s disease were retrospectively identi...
Source: Journal of Robotic Surgery - June 1, 2023 Category: Surgery Source Type: research
Analysis of fixed and variable operating room (or) time point efficiency in partial nephrectomies: open versus robotic-assisted
AbstractTo analyze operating room (OR) efficiency by evaluating fixed and variable OR times for open (OPN) and robotic-assisted partial nephrectomies (RAPN). We analyzed consecutive OPN and RAPN performed by one surgeon over a 24-month period. All patients were placed in the lateral decubitus position and secured with a beanbag regardless of approach. Fixed (non-procedural) OR times were prospectively collected and defined as: in-room to anesthesia-release time (IRAT), anesthesia release to cut time (ARCT), and close to wheels-out time (CTWO). Variable OR time was procedural cut to close time (CTCT). Comparisons of fixed a...
Source: Journal of Robotic Surgery - May 24, 2023 Category: Surgery Source Type: research
Ambulatory colectomy: a pathway for advancing the enhanced recovery protocol
AbstractEnhanced recovery after surgery (ERAS) protocols employ multiple factors to decrease surgical stress and improve recovery (Lyon et al., World J Gastroenterol 18(40):5661 –5663, 2012). These protocols use multimodal approaches to improve outcomes, including length of stay and morbidities (Lyon et al., World J Gastroenterol 18(40):5661–5663, 2012; Carmichael et al., Dis Colon Rectum 60:761–784, 2017). The ERAS guidelines have evolved since development; however, the question is posed of how to improve next (Lyon et al., World J Gastroenterol 18(40):5661–5663, 2012). With the success of ERAS, in combination wit...
Source: Journal of Robotic Surgery - May 24, 2023 Category: Surgery Source Type: research
