Robotic Versus Laparoscopic Total Mesorectal Excision of Rectal Cancer. A Comparative Study of Oncological Safety and Short-term Outcomes
Background. Aim of this study is to evaluate feasibility, oncological safety and short-term outcomes of robotic total mesorectal excision (R-TME) for rectal cancer compared to laparoscopic TME (L-TME). Materials and Methods. From January 2008 to June 2009 50 patients with histological proven adenocarcinoma of middle and lower rectum were enrolled. Mean age was 64.6 years,… Continue Reading
Learning Curve for Robotic-Assisted Laparoscopic Colorectal Surgery of the Pelvis: Analysis of 50 Consecutive Cases
Objective:Robotic-assisted laparoscopic surgery is evolving as an important surgical approach in the field of colorectal surgery. Robotic techniques may help to overcome the limitations of laparoscopic and open surgery especially when operating in the narrow pelvis and neighboring critical structures. The aim of this study was to evaluate the learning curve of robotic-assisted laparoscopic procedures… Continue Reading
Robotic Nissen Fundoplication Revision
Introduction: Nissen Fundoplication is an effective treatment of gastroesophageal reflux disease. Recurrent reflux symptoms may occur due to the mechanical failure of the fundoplication. Patients who fail medical management will require surgical revision. The safety and efficacy of laparoscopic reoperation for the recurrent hiatal hernia or slipped fundoplication depend on the surgeon’s skills and experience.… Continue Reading
Stepwise Progression to Totally Robotic Bypass
Objective: We describe our strategy and experience using the da Vinci S system to develop a completely robotic gastric bypass technique in a stepwise fashion. The first robotic bariatric procedure was performed in1999 by Cardiere.1 The wristed movement and 7 degees of motion, enhanced high definition optics, superior ergonomics, and numerous other advantages have been… Continue Reading
Robotic-Assisted Laparoscopic Surgery for Diverticulitis: Experience in 19 Consecutive Cases and a Review of the Literature
Objective: Robotic-assisted laparoscopic surgery has recently received enthusiasm for application in colorectal resections involving the pelvis. We present the feasibility and safety of using the da Vinci® surgical robotic system for the treatment of sigmoid diverticulitis requiring anterior rectosigmoid resection with primary anastomosis. Methods and Procedures: Between August 2008 and September 2009, robotic-assisted laparoscopic rectosigmoid… Continue Reading
Three Port Robotic Right Hemicolectomy: A Systematic Approach to Set Up and Surgery
Robotic Surgery for colonic resections has been the topic of multiple discussions regarding cost, procedure length, safety and efficacy over the past several years. Despite, awareness generated from this research there is a paucity of video data that addresses the proper setup involved for a successful colonic resection utilizing robotic technology. We describe a systematic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Laparobotic Approach to Adrenalectomy
From the study period July 2001- July 2009, a total of 30 adrenalectomy cases were performed. Mean age of patients 71 (37-83). Of these, 11 were male and 19 females. We used the daVinci 3-arm system from July 2001- December 2004. From the period of Jan 2005 till present day we switched to the daVinci… Continue Reading
A Novel Articulated Robotic Laparoscope for Single Incision and Natural Orifice Surgical Applications; Preliminary Usability Trials in a Live Porcine Model.
IntroductionWith the exploration of increasingly less invasive surgical techniques, such as single incision or natural orifice surgery, numerous technical challenges have been identified as essential to be overcome if the techniques are to be adopted across the wider surgical community. One of the most significant includes; impaired visualisation of the operative site. For single incision… Continue Reading
Feasibility of Transvaginal Peritoneoscopy Using Novel Articulated Stereo-laparoscope Robot.
Objectives: Natural orifice translumenal endoscopic surgery (NOTES) promises to decrease patient morbidity and hospital length of stay by eliminating incisions in the anterior abdominal wall. The clinical introduction of this technique has in part been hindered by the relative complexity of operating the conventional flexible endoscope within the peritoneal cavity. Following the development of a… Continue Reading
A Comparison of Short-term Outcomes for Open, Laparoscopic, and Robotssisted Rectal Resection for Cancer
Introduction: In recent years, robotic-assisted surgery using the da Vinci System® has been proposed as an alternative to the traditional open or laparoscopic procedures. The aim of this study was to compare the short-term outcomes for open, laparoscopic, and robot-assisted rectal resection for cancer.Methods: Two hundred sixty-three patients with rectal cancer who underwent curative resection… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Multi-functional Robot for Laparoendoscopic Single-site Surgery
Introduction: This study demonstrates the effectiveness of using a multi-functional miniature in vivo robot to perform complex tasks, such as intracorporeal suturing, through a single incision. Existing technologies for Laparoendoscopic Single-Site Surgery (LESS), such as articulating, bent, and flexible instrumentation, are limited in visualization and tissue manipulation capabilities by multiple tools working through a single… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Vs. Conventional Laparoscopic Gastric Banding: A Comparison of 407 Cases
INTRODUCTION: The current indications and rationale for using a robotic technique in bariatric surgery, specifically gastric banding, remain unclear. The objective of this study was to quantify the safety and potential benefits of this novel technology in the context of both patient and surgeon outcomes as compared to the conventional laparoscopic approach. METHODS AND PROCEDURES:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Comparison Between Robotic and Laparoscopic Gastrectomy with Extraperigastric Lymphnode Dissection for Advanced Gastric Cancer
BACKGROUND: Gastrectomy with extraperigastric (D2) lymphnode dissection for advanced gastric cancer have been performed and recommended as the standard operation in Korea and Japan. Although laparoscopy gastrectomy is considered one of the minimally invasive surgeries, widespread use of this technique is limited because of the some technical difficulties. Robotic surgery was adopted to improve some… Continue Reading
Laparoscopic Robotic Posterior Retroperitoneal Adrenalectomy:technical Details
Although transabdominal lateral approach has been described robotically, the posterior retroperitoneal adrenalectomy has been done laparoscopically. Despite the recent interest in the posterior technique, there are significant limitations regarding dexterity using conventional instrumentation. We hypothesized that the use of the robot would facilitate this approach by providing better angulation of the instruments with a wider… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robotic Foregut Surgery: One Surgeon’s Experience with Nissen Fundopliction, Esophagomyotomy, and Hiatal Hernia Repair
Objective: To review the use of robotic assistance during foregut surgery including Nissen fundoplication, esophagomyotomy, and hiatal hernia repair. We evaluated a seven-year experience of one minimally invasive surgery fellowship-trained surgeon performing 124 foregut operations using the Da Vinci Telerobotic system. Surgical resident participation was tracked over this same period. Methods: An IRB approved retrospective… Continue Reading