ROBOTIC DUODENAL SLEEVE RESECTION
Jesse K Sulzer, MD, PhD1, Ryan Pickens, MD1, Adeel Khan, MD, MPH2, David Iannitti, MD1, Dionisios Vrochides, MD, PhD1, John B Martinie, MD1. 1Atrium Health, 2Washington UniversityINTRODUCTION: We have previously presented methods for successful robotic duodenal surgery including sleeve resections. After demonstrating technical feasibility we sought to investigate the safety profile of this new option… Continue Reading
Achieving Cost Effectiveness In Robotic Rectal Cancer Surgery – Single Tertiary Hospital Experience in The Indian Subcontinent
Venkatesh Munikrishnan, FRCS, Ajay C Vallabhaneni, MD, Sudeepta K Swain, MS, DNB. Apollo Hospitals, ChennaiINTRODUCTION AND AIM: The use of robotic technique for rectal cancer surgery is slowly gaining popularity and acceptance but cost remains a main factor for more widespread uptake. The aim of this study was to find effective ways to control the… Continue Reading
Usefulness of the Teleflex mini-grasper in 160 laparoscopic cases
Hugo Bonatti. Meritus HealthBackground: The Teleflex minigrasper is a 2.4mm instrument, which is inserted into the abdominal cavity without use of a Trocar. Only limited experience in general laparoscopic surgery is available. We herein report a large case series, where the minigrasper replaced a trocar based instrument. Patients and Methods: From June 2015 to September… Continue Reading
Pressurized Intra-Peritoneal Aerosol Chemotherapy (PIPAC) for carcinomatosis patients: a laparoscopically administered palliative treatment that is well tolerated, repeatable, and safer than systemic chemotherapy.
Carl Winkler, MD1, Jaspreet Sandhu, MD2, Dasuni Niyagama Gamage, MD1, Neil Mitra, MD1, Xiaohong Yan, PhD1, Hmc Shantha Kumara, PhD1, Nipa Gandhi, MD1, Richard Whelan, MD1. 1Mount Sinai West Hospital, 2Brookdale University Hospital Medical CenterIntroduction: Most carcinomatosis patients (pts) with ovarian, colorectal, gastric, or appendiceal primary tumors are not candidates for cytoreductive surgery and HIPEC;… Continue Reading
Near Real-Time Diagnosis of Omental Metastases in Patients with Primary Colorectal Cancer Using Rapid Evaporative Ionisation Mass Spectrometry (REIMS)
Eftychios Manoli1, Afeez Adebesin1, Sam Mason1, Zsolt Bodai1, Julia Balog2, Hiromi Kudo1, Steven Pringle2, Robert Goldin1, Ara Darzi1, Jamie Murphy1, Zoltan Takats1, James Kinross1. 1Imperial College London, London, United Kingdom, 2Waters Research Center, Budapest, HungaryIntroduction: The presence of peritoneal and omental metastatic disease from primary colorectal cancer alters a patient’s optimal treatment strategy. Indeterminate lesions… Continue Reading
Laparoscopic surgery with minilap
Quintin Gonzalez, FACS, MD, Monica De Jesus, MD, Jesus Bahena, MD, Guillermo Arana, MD, Sari Mejia, MD. Hospital Humanitas Medical Group Coyoacan BACKGROUND: In recent years laparoscopic techniques have evolved trying to improve surgical results and the mini laparoscopic approach has shown its advantages in terms of morbidity, less incisional pain, greater comfort and better… Continue Reading
The first robotic pancreaticoduodenectomy in a third world country
Ruben Luna, MD, Carlos Luna, MD, Luis F Cabrera, Daniel Gomez, Mauricio Pedraza. Bosque UniversityIntroduction: Pancreatoduodenectomy is the procedure of choice with curative option for the management of solid tumors of the head of the pancreas, however, despite advances in minimally invasive surgery in laparoscopy and robotic surgery of the last two decades, the vast majority… Continue Reading
DO ATTENDING PHYSICIANS AND TRAINEES AGREE ABOUT WHAT HAPPENS IN THE OPERATING ROOM DURING ROBOT-ASSISTED LAPAROSCOPIC HYSTERECTOMIES?
Alexandra J Berges1, S. Swaroop Vedula, MBBS, PhD2, Edward J Tanner, MD3, Amanda N Fader, MD3, Stacey Scheib, MD3, Betty Chou, MD3, Gregory D Hager, PhD2, C. C. Grace Chen, MD, MHS3, Anand Malpani, PhD2. 1Johns Hopkins University School of Medicine, 2Malone Center for Engineering in Healthcare, 3Johns Hopkins Medicine Department of Gynecology and ObstetricsINTRODUCTION:… Continue Reading
Are small community hospitals ready for robotic surgery residency training?
Allyne Topaz, MD, Lauren Poliakin, MD, Luca Milone, MD. The Brooklyn HospitalBackground: Previous studies have shown positive outcomes involving dedicated resident training in robotic general surgery cases in small community hospitals. The aim of this study is to provide more evidence regarding a robotics curriculum in a general surgery residency program at a small community… Continue Reading
Novel Fluorescent IV Dye For Real-Time Laparoscopic Identification Of Ureters In An Inflammatory Swine Model
Lung W Lau, MD1, Michael Luciano, PhD2, Martin Schnermann, PhD2, Jaepyeong Cha, PhD1. 1Children's National Medical Center, 2National Cancer InstituteIntroduction: Ureteral identification during laparoscopic surgery can be difficult, with iatrogenic ureteral injuries reported as high as 7.6 percent during colorectal and gynecologic surgeries. Current methods of identification, such as ureteral stents or watching for peristalsis,… Continue Reading
The surgical outcomes of a mesocolon Right Hole approachversus that of the traditional approachfor laparoscopic enucleation of pancreatic head and uncinateneuroendocrine tumors:a comparative study of a single center.
Yuyao Song, Guodong Zhao, Rong Liu, Zhiming Zhao, Yuanxing Gao, Zhuzeng Yin, Yong Xu. Chinese PLA General hospitalBackground: Laparoscopic surgery for proximal pancreatic disease remains controversial due to the challenging anatomic pathways involving the gastrocolic ligament. In this study, we present a novel laparoscopic approach through an operation of the stoma of the right side… Continue Reading
AUTOMATIC PIXELWISE SEGMENTATION AND WORKFLOW RECOGNITION IN LAPAROSCOPIC SIGMOIDECTOMY USING CONVOLUTIONAL NEURAL NETWORKS
Nobuyoshi Takeshita, Daichi Kitaguchi, Masaaki Ito. National Cancer Center Hospital EastIntroduction: Tracking and analyzing surgical tool movements, anatomical structures and bleeding in laparoscopic-surgical views are beneficial for training and safety. Furthermore, automatic recognition of surgical workflow is useful for operating room management and prediction of adverse event during surgery. In this work, we made use… Continue Reading
Minilap laparoscopic cholecystectomy vs single port
Quintin Gonzalez, FACS, MD, Monica De Jesus, MD, Jesus Bahena, MD, Victoria Hernandez, MD. Humanitas Medical Group Coyoacan BACKGROUND: In recent years there have been many attempts to improve the laparoscopic technique in order to minimize tissue trauma and invasion by reducing the size and number, so it has begun the surgical technique of minimally… Continue Reading
The Use of Ureteral Stents with Indocyanine Green (ICG) in Robotic Colon Surgery
Matthew J Pergamo, MD, Michael A Granieri, MD, Aaron Weinberg, MD, Lee Zhao, MD, Mitchell Bernstein, MD, Alexis Grucela, MD. NYU School of MedicineIntroduction: Ureteral injury during colon resection (reported range 0.28-7.6%.) can have devastating consequences for patients including increased morbidity, mortality, and cost. Ureteral stenting is commonly used to aid in ureteral identification and… Continue Reading
Minimally Invasive Robotic Liver Resections for Benign and Malignant Tumors. Institutional Outcomes of The Modern Technique
Iswanto Sucandy, MD, Janelle D Spence, BA, Sydni Schlosser, Sharona B Ross, MD, Alexander S Rosemurgy, MD. Florida Hospital TampaIntroduction: The nascent robotic approach for hepatic resections for benign and malignant liver tumors is gaining momentum because of perceived efficacy and utility with reduced morbidity. Herein, in considering this, we document our outcomes with robotic… Continue Reading