Complex Pediatric Robotic Surgery: A Single-institution\’s Experience
Purpose: For advanced laparoscopists, the greatest benefit of robotic surgical technology is in its use for complex procedures, ones that require significant dexterity in limited workspace and are challenging with conventional instrumentation. We present our 3-year institutional experience using robotic-assisted laparoscopic surgery for complex pediatric surgical procedures. Methods: Retrospective review from 2003 to 2006 of… Continue Reading
Does robotic assistance improve efficiency in performing complex minimally invasive surgical procedures?
OBJECTIVE: We developed a model of biliary-enteric anastomosis to test whether assistance with the da Vinci surgical system, as compared to laparoscopy alone, improves performance on a complex minimally invasive surgical (MIS) procedure. METHODS: An ex vivo model for choledocho-jejunostomy was created using specimens of porcine liver that included an intact extrahepatic biliary system and… Continue Reading
Impact of Iq, Computer-gaming Skills, General Dexterity and Laparoscopic Experience on the Performance with the Da Vinci® Surgical System
BACKGROUND:Due to improved ergonomics and dexterity, robotic surgery is supposed to be very easy to perfom for all individuals and no special premises should be necessary. We have tested the above hypothesis by measering IQ-elements, computer-gaming-skills, general dexterity with chop sticks and evaluating laparoscopic experience in correlation to the performance with the da Vinci robot®… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Nonlinear Analysis Quantifies Learning in Robot-Assisted Laparoscopic Surgery
To determine the proficiency of surgical skills in robot-assisted laparoscopy is important to identify the learning pattern. Traditional measurements, such as time to task completion (TTC), does not quantify accuracy and quality of learning. The aim of this study was to find a better measure to evaluate quality of learning. Lyapunov Exponent (LyE) is a… Continue Reading
Robot-Assisted laparoscopic Colectomy: 70 cases – one surgeon
Background: This study reviewed the use of robot-assisted laparoscopic surgery for colon resection. We described the experience of one fellowship-trained, MIS surgeon over six years performing 70 consecutive colectomies using the da Vinci system. Methods: Between September 2002 and September 2007, data on 70 patients undergoing robotic colectomy for diverticular disease, polyps, cancer, or carcinoid… Continue Reading
Robotic-Assisted Treatment of Visceral Artery Aneurysms: New Standard of Care?
This study is a retrospective review of all patients treated with a robotic-assisted mininvasive surgery for visceral artery aneurysms (VAA) at a single Institution. Robotic surgery seems to offer an important alternative to the traditional treatment.Materials and Methods: between September 2001 and June 2007, 12 patients aged 41-78 (mean = 59.25) underwent minimally invasive robotic… Continue Reading
Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis
Biliary surgery can often be very complex with difficult access issues, small structures to be manipulated and sutured and close proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three-dimensional vision, excellent illumination and access, with steady… Continue Reading
- Topic:
- Robotics
Robotic Gastric Cancer Surgery using da Vinci system: Clinical results & lessons learned from 2-year experience.
Background: For gastric cancer, robotic surgery is still in its early years. This study is performed to evaluate the technical feasibility, effect, and safety of robot-assisted gastrectomy (RAG) with lymphadenectomy using da Vinci systemMethods: From July 2005 to April 2007, 80 RAG with lymphadenectomy were performed for patients with preoperative diagnosis of EGC. The clinicopathologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Pancreatic Surgery: A Single Institution Experience
The overall activity of robotic pancreatic surgery at Misericordia Hospital in Grosseto has been reviewed. From October 2000 to March 2007, has been performed 68 robotic pancreatic resections: 35 pancreatoduodenectomies (PD) (25Whipple, 10 Longmire procedures), 28distal pancreatectomies (DP) (13 spleen-preserving), 3 middle segment pancreatectomies and 2 insulinoma enucleations.The etiology of 35 PD were:11 ductal cancer,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Splenectomy in Children: A Single Institutional Review
Purpose: Robotic surgery is a new technology which may facilitate minimally invasive surgery (MIS). The main advantages of robotic surgery include three-dimensional visualization, complete camera control, tremor filtration, absence of the fulcrum effect, and articulating instruments with additional degrees of freedom. We report our experience with robotic splenectomies in our first seventeen consecutive pediatric splenectomies.Methods:… Continue Reading
Robotic Thoracoscopic Radical Thymectomy for Myasthenia Gravis
Introduction: A complete, radical "phrenic-to phrenic" thymectomy is the standard of care for myasthenia gravis. Patients with myasthenia gravis (MG) are often poor candidates for median sternotomy because of their significant doses of immunosuppresive drugs and/or compromised respiratory function secondary to their MG. We hypothesized that a complete, radical thymectomy could be performed thoracoscopically using… Continue Reading
Robotic Vs. Laparoscopic Placement of Gastric Electrical Stimulation Electrodes
Introduction: Gastric Electrical Stimulation (GES or Enterra® Therapy) is a low morbidity treatment option that may be effective for refractory symptoms in patients with gastroparesis of diabetic or idiopathic etiology. During surgery to initiate GES, 2 electrodes are tunneled in the muscular wall of the gastric antrum in a precise location. If these electrodes pass… Continue Reading
Telerobotic Surgery for Foregut Operations: 61 Consecutive Cases – One Surgeon
Background: This study evaluated the feasibility of using robotic assistance for foregut surgery. It described the experience, advantages, and disadvantages of using the da Vinci system on the basis of 61 consecutive foregut cases by a minimally invasive, fellowship-trained surgeon. Methods: Data were collected on 61 consecutive foregut operations performed with the da Vinci system… Continue Reading
Using the Cellular Space for Telemedicine Applications-First Remote Presence Sessions
Introduction: Telemedicine applications are necessary developments in today’s “stressed” healthcare environment. Remote Presence® applications for tele-rounding and tele-mentoring using the Wireless Local Area Network-WLAN (802.11) portion of the radio-frequency spectrum and the public internet, have been previously reported by our group. This report documents the first use of a different part of the spectrum, the… Continue Reading