Robotic Resection of a Ge Junction Adenocarcinoma
Eric Davies, MD, Rupert Horoupian, MD. Department of Surgery, Alta Bates Summit Medical Center, Oakland, CABackground: Resection of type II and III gastroesophageal junction tumors can be challenging given their anatomical location. Transabdominal minimally invasive resection with D1 lymphadenectomy have been described, though controversy remains regarding the optimal anastomotic technique. Adjuvant radiation can cause stricturing… Continue Reading
Robotic Repair of Large Paraesophageal Hernia with Keyhole Mesh
Jeffrey R Watkins, MD, D Rohan Jeyarajah, MD. Methodist Dallas Medical CenterWe present a 57 year old female with a large paraesophageal hernia. A hital hernia repair was performed robotically using the da Vinci Xi System with placement of a keyhole mesh. Using an acellular human dermis keyhole mesh is a novel technique which offers… Continue Reading
Robotic Proctectomy for Rectal Cancer: Analysis of 71 Patients from a Single Institution
Philip M Spanheimer, MD1, John G Armstrong, MD1, Sunyang Fu, BBA1, Junlin Liao, PhD1, Scott E Regenbogen, MD2, John C Byrn, MD1. 1University of Iowa, 2University of MichiganBackground: Despite increasing use of robotic surgery for rectal cancer, reported outcomes have come from highly specialized units and few series have been published from the practice of… Continue Reading
Robotic Perineal Hernia Repair
Summer N Rochester, DO, Puraj P Patel, DO, William S Cobb, MD, Jeremy A Warren, MD, Alfredo M Carbonell, DO. Greenville Health SystemPerineal hernia after abdominoperineal resection (APR) is a rare phenomenon. There is a paucity of information on how best to repair this rare type of hernia. We demonstrate a video of robotic repair… Continue Reading
Robotic pancreaticoduodenectomy with preservation of totally replaced right hepatic artery coming from the superior mesenteric artery
Mario Masrur. University of IllinoisBackground: The most common variation of the hepatic artery is a replaced right hepatic artery (RHA) arising from the superior mesenteric artery (SMA). Recognition of anatomic abnormalities is fundamental during surgery, especially in complex procedures, such as pancreaticoduodenectomies. We herein report a case of robotic pancreaticoduodenectomy with preservation of a replaced… Continue Reading
Robotic Ileocecal Resection with Enterovesicular Fistula Takedown
Timothy Feldmann, Jason Weiss, Andreas Kaiser. USCThis video shows a robotic ileocecal resection in conjunction with a takedown of an enterovesicular fistula. The patient had a three year history of fistulizing Crohn's disease and suffered from fecaluria and pneumaturia along with recurrent urinary tract infections. The video displays the dissection along with reconstruction using an… Continue Reading
Robotic extralevator abdominoperineal excision of the rectum with pelvic floor reconstruction using biologic mesh
Heather M Emmerton-Coughlin, MD, FRCSC, Christopher M Schlachta, BSc, MDCM, FRCSC, FACS, Ahmed Almamar, MD, MSc, FRCSC, Newar Alkhamesi, MD, PhD, FRCSGEN, SURG, FRCS, FRCSEd, FRCSC. Western University and London Health Sciences CentreExtralevator excision of the rectum has been shown to improve margin negativity in abdominoperineal resection. This can be technically challenging, and the resultant… Continue Reading
Robotic-Assisted Repair of a Giant Paraesophageal Hiatal Hernia in a Patient with Scoliosis
Federico Serrot, MD1, Julia Samame, MD1, Matthew Apel, MD1, Hannah Loebl, MS2, Iman Ghaderi, MD1, Carlos Galvani, MD1. 1Banner University Medical Center, 2University Of Arizona, College of MedicineIntroduction: The association between scoliosis and giant paraesophageal hernia has been previously described in the literature. To date there is no standard surgical approach. This video descibes a Robotic-assisted… Continue Reading
Robotic-Assisted Recurrent Hiatal Hernia Repair, takedown of Nissen Fundoplication and Conversion to Roux-en Y Gastric Bypass
Federico Serrot, MD1, Julia Samame, MD1, Matthew Apel, MD1, Hannah Loebl, MS2, Iman Ghaderi, MD1, Carlos Galvani, MD1. 1Banner University Medical Center, 2University Of Arizona, College of MedicineIntroduction: Hiatal hernia repair is reported to have an increased recurrence rate in morbidily obese patients. This video describes a case of Robotic assisted recurrent hiatal hernia repiar, takedown of… Continue Reading
Robotic Assisted Portal Lymphadenectomy and Partial Hepatectomy for Incidentally Discovered Gallbladder Adenocarcinoma
Zeljka Jutric, MD1, Chet W Hammill, MD, MCR2. 1Portland Providence Cancer Center, 2The Oregon ClinicGallbladder carcinoma can be incidentally identified after laparoscopic cholecystectomy. Our patient is a 61 year old, otherwise healthy female, who was diagnosed with a T1b adenocarcinoma incidentally after cholecystectomy for symptomatic cholelithiasis. We perform a robotic-assisted portal lymphadenectomy and a hepatectomy… Continue Reading
Robotic-Assisted Heineke-Mikulicz Pyloroplasty and Gastric Electrical Stimulation Therapy for Diabetic and Post-Surgical Gastroparesis: A Case Report
Morgan D Floyd, Kent R Van Sickle, MD. UTHSCSAWe present a case of surgical treatment for complex gastroparesis using a robotic-assisted approach. The patient is a 57 y.o woman with Type II Diabetes referred to our institution following a laparoscopic nissen fundoplicaiton and hiatal hernia repair with biologic mesh. Her chief complaints were dysphagia, nausea,… Continue Reading
Robotic Assisted General Surgery: Really cost prohibitive?
Wanda M Good, DO, Jason Cundiff, MD, Sherri L Finn, Alainna Simpson. Pacific Northwest University of Health SciencesIntroduction: Robotic assisted general surgery procedures have increased annually since 2011. Although the advanced technical capabilities inherent to the robotic approach provide many surgical advantages, it is still not perceived to be as cost effective as laparoscopic procedures. … Continue Reading
Robotic-Assisted Excision of Type I Choledochal Cyst with Hepaticoduodenostomy
Maitham A Moslim, MD, Matthew Davis, MD, Gareth Morris-Stiff, MD, Federico G Seifarth, MD. Cleveland Clinic FoundationCase Presentation: A 15-year-old female with morbid obesity who underwent workup for recurrent right upper quadrant abdominal pain. Ultrasonography detected extra-hepatic cystic lesion. Subsequent Magnetic Resonance cholangiopancreatography demonstrated 3.7 x 3.0 cm type I choledochal cyst. She underwent robotic-assisted… Continue Reading
Robotic-Assisted Esophagectomy with Fluorescence Angiography
Jonathan C DeLong, MD, Shanglei Liu, MD, Ran B Luo, MD, Alisa M Coker, MD, Caitlin Houghton, MD, Garth R Jacobsen, MD, Bryan J Sandler, MD, Michael Bouvet, MD, Santiago Horgan, MD. Department of Surgery UC San DiegoThis video demonstrates the use of indocyanine green (ICG) fluorescence angiography to identify the blood supply to the… Continue Reading
Robotic assisted completion cholecystectomy. the utility of a robot in a difficult opeartion
Imran Siddiqui, MD, FACS, Russell Kirks, MD, Erin Baker, MD, Allyson Cochran, MSPH, Ryan Swan, MD, David Iannitt, MD, Dionisios Vrochides, MD, John Martinie, MD. Carolinas Medical CenterBackground: We retrospectively analyzed six cases of robotic-assisted completion cholecystectomy to evaluate the safety and efficacy of the robotic platform for this treatment indication. Partial cholecystectomy may be… Continue Reading