Anterior Minithoracotomy As a Safety Measure in Robotic Lung Resection
OBJECTIVE: After introduction in the 1990s, the minimally invasive approach for lung resection is performed in specialized institutions. Various minimally invasive techniques have been proposed, with and without minithoracotomy. Variations in the technique include an anterior versus a posterior approach, either with or without rib spreading. This study discusses a technique using anterior minithoracotomy for… Continue Reading
Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” often collide when working coaxially. This study tests a new technique of “chopstick surgery” to enable use of the robotic arms through a single incision without collision.METHODS:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” collide when working coaxially. This video demonstrates a new technique of “chopstick surgery” which enables use of the robotic arms through a single incision without collision.METHODS: Experiments… Continue Reading
- Topic:
- Robotics
Comparing the Learning Curves of Minimally Invasive Biliary-enteric Anastomosis Using Laparoscopy or Robot Assistance
OBJECTIVE: To test whether assistance with the da Vinci surgical system improves the learning curve for a complex minimally invasive (MIS) operation over laparoscopy alone using an ex-vivo model of biliary enteric anastomosis. METHODS: An ex-vivo model for choledocho-jejunostomy (CDJ) was created using specimens of porcine liver that included an intact extrahepatic biliary system and… Continue Reading
Dexterous Robot for Single Incision Advanced Minimally Invasive Surgery
Introduction: This study demonstrates the feasibility of using a miniature robot platform to perform complex, single-incision, minimal access surgery, including colon resection and Nissen fundoplication. Open surgical procedures are highly invasive; single-incision laparoscopic surgery is complicated by instrument position and lack of triangulation. Using minimally invasive techniques with miniature robotic platforms offers significant clinical benefits.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Robotics
Fundamental Surgical Skills Were Retained Three Months After Completion of Our Robotic Surgery Training Program
Introduction: Evaluation of the learning curve of robotic surgery has shown reduced errors and decreased task completion and training times, as compared with regular laparoscopic surgery. However, most training evaluations of robotic surgery have only addressed retention in less than a month after completion of training. Aim: Our goal was to investigate the amount of… Continue Reading
Laparoscopic Robot Assisted Distal Pancreatectomy in an Hiv + Patient for Mucinous Cystic Neoplasm with Ovarian Struma: a Case Report
Background: Mucinous cystic neoplasms of the pancreas are distinct entities with malignant potential, the vast majority occurring in middle aged women. The presence of ovarian struma and lack of communication with the main pancreatic duct is required for the diagnosis of mucinous cystic neoplasm. Case history: We report on a twenty six year old female,… Continue Reading
Laparoscopic Robot-Assisted Pancreatic Cystgastrostomy: Surgical Technique and Short-term Outcomes
Background: Pancreatic pseudocysts are a relatively common complication of acute pancreatitis. While there a number of approaches to the management of pseudocysts, internal surgical drainage is generally the most effective in preventing recurrence. The use of minimally invasive techniques for pseudocyst drainage is rising. The use of the da Vinci surgical system allows for a… Continue Reading
Multipurpose Surgical Robot As a Laparoscope Assistant
Introduction: This study demonstrates the effectiveness of a new, compact surgical robot at improving laparoscope guidance. Currently, the assistant guiding the laparoscope camera tends to be less experienced and requires physical and verbal direction from the surgeon. Human guidance has disadvantages of fatigue and shakiness leading to inconsistency in the field of view. This study… Continue Reading
Robotic Assisted Pancreatic Surgery: Single Surgeon Experience.
BACKGROUND: Robotic surgery had widespread in the last years. There are few reports for advanced pancreatic robotic surgery. The indication of robotic surgery for pancreatic diseases has created controversy. The purpose of this review is to analyze the indications and outcomes of robotic surgery for complex pancreatic diseases trying to give an answer to the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic-Assisted, Thoracoscopic Mediastinal Parathyroidectomy for Persistent Hyperparathyroidism
Persistent / recurrent primary hyperparathyroidism is a challenging surgical problem. In a subset of these patients, the source of excess PTH production will be an ectopic parathyroid gland in the mediastinum. A number of these glands will be inaccessible through a low cervical incision. Minimally invasive approaches to these glands are preferable due to the… Continue Reading
- Topic:
- Robotics
Simultaneous Robotic-Assisted Preperitoneal Inguinal Hernioplasty and Prostatectomy
OBJECTIVE: Robotic-assisted prostatectomy for prostate cancer is increasingly performed. A subset of these patients presenting for prostatectomy also have inguinal herniae. Simultaneous surgical intervention of these conditions could provide several advantages. Our aim was to describe the feasibility, technique and outcome of robotic-assisted preperitoneal inguinal hernia repair performed simultaneously with robotic-assisted prostatectomy.METHODS: Retrospective review of… Continue Reading
The Huge Hiatal Hernias. Can the Robot Help?
Introduction: Over the past decade, laparoscopic surgery became the standard approach for the repair of hiatal hernias. Large hiatal hernias remain challenging to the laparoscopic surgeon. The difficulties originate from the depth of the hernia in the mediastinum as well as the narrow orifice (hiatus) to dissect beyond.We present a novell study for the robotic… Continue Reading