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
Robotic Posterior Retroperitoneal Adrenalectomy: Initial Report
Robotic Posterior Retroperitoneal Adrenalectomy: Initial ReportIntroduction: There has been a recent interest in robotic adrenalectomy due to improvement of technology. The lateral transabdominal robotic approach has been reported. The posterior retroperitoneal (PR) approach has been described laparoscopically, but there are no reports robotically. The challenge with this latter technique is related to close spacing of… Continue Reading
Robotic Assisted Esophagectomy for Treatment of Esophageal Hemangioma
We reported a case of primary esophageal hemangioma treated by Robotic assisted esophagectomy for video presentation. This is a 69 years old lady who presented with passage of tarry stool in December 2008. Upper endoscopy showed bluish discoloration of the mucosa with bulging from 20-25cm which occupied 2/3 of circumference of esophagus. Clinically this was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robotic-Assisted Thyroidectomy Using a Gasless Transaxillary Approach: A Preliminary Experience
Background: The robotic-assisted endoscopic thyroidectomy using the W.Y.Chung technique appears to provide absence of any scar in the neck, potential advantage in the protection of the recurrent laryngeal nerves, and similar to the open approach results, in selected patients with benign and malignant thyroid diseases Patients and Methods: Five patients (3 females and 2 males,… Continue Reading
Robotic Gastrectomies Offer a Sound Oncologic Surgical Alternative for the Treatment of Early Gastric Cancers Comparing Favorably with Laparoscopic Resections
Background: Patients diagnosed with early gastric cancers (EGC) are treated by endoscopic or surgical resections achieving five-year survival rates greater than 90% in some series. Rapidly maturing experience with laparoscopic gastrectomies and appropriate lymph node dissectionsfor the management of ECG offers these patients the many benefits of the minimally – invasive surgical (MIS) approach to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Gastric Bypass: The Future of Bariatric Surgery?
Objective: Compare robotic versus laparoscopic roux-en-Y gastric bypass (RYGB) for the treatment of morbid obesity in a community hospital. Introduction: Since receiving Food and Drug Administration approval in 2000, surgery utilizing a robot (da Vinci® Surgical System) has been successfully performed in numerous procedures including RYGB. However, despite the proven safety profile, reported lower complication… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Enhancing Robot-Assisted Fundamental Surgical Proficiency Using Portable Virtual Simulator
Introduction: Robot-assisted surgeries are widely adaptable in various medical fields, such as urology, cardiothoracic surgery and gynecology. However, training programs using actual surgical robots are costly. The development of Virtual Reality (VR) training platform alternatively provides an inexpensive and user-friendly interface. The learning effect of VR training system and the capability of skill transfer from… Continue Reading
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
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
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
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
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
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
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 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