Robotic-Assisted Colorectal Surgery in Obese Patients: A Case-matched Series
Jeffrey N Harr, MD, MPH1, Samuel Luka, MD1, Aman Kankaria2, YenYi Juo, MD, MPH1, Samir Agarwal, MD1, Vincent Obias, MD1. 1The George Washington University, 2University of Maryland College ParkINTRODUCTION – Laparoscopic colorectal surgeries in obese patients have higher conversions to laparotomy and complications, including increased surgical site infections, operative times, blood loss, and length of… Continue Reading
Robotic Assisted Cholecystectomy in the complex, comorbid population: Safer?
Wanda M Good, DO, Jason Cundiff, MD, Sherri L Finn, Alainna Simpson. Pacific Northwest University of Health SciencesIntroduction: The routine utilization of robotics in general surgery remains controversial, but may represent a better approach for safer, cost effective cholecystectomy in complex patient populations. Laparoscopic cholecystectomy has been the standard of care for biliary disease with… Continue Reading
Robot single-site cholecystectomy : early experience of first 1 year
Jae Hoon Lee, Ki Byung Song, Dae Wook Hwang, Song Cheol Kim, Kwang-Min Park, Young-Joo Lee. Asan Medical Center, Seoul, KoreaMinimally invasive approaches for cholecystectomy are evolving in a surge for the best possible clinical outcome for the patients. A robotic set of instrumentation to be used with the da Vinci Si Surgical System has been… Continue Reading
Robot-assisted spleen preserving distal pancreatectomy for NET
Graziano Pernazza, Stefano Mattacchione, Paolo Mazzocchi, Carlo E Vitelli. AO San Giovanni Addolorata HospitalINTRODUCTION Minimally invasive approach to pancreatic resection grew during last decade and pancreatic operations are frequently performed laparoscopically. Major pancreatic resections remain extremely challenging, long time consuming and skill requiring. Robotics still offer an additional option to achieve meticoulus dissection and delicate… Continue Reading
Robot Assisted Repair of Diaphragmatic Hernia
Matthew L Dong, MD, MPh, Kevin El-Hayek, MD. Cleveland ClinicIntroduction: Repair of Type IV paraesophageal hernias remains a technically challenging operation. Use of robot assistance in selected cases allows for easier use of intracorporeal suturing, which may allow for improved mesh fixation without the need for a laparotomy. Results: The patient is a 60-year-old female… Continue Reading
Robot-assisted hepatectomy and complete excision of the extrahepatic bile duct for type IV-A choledochal cysts
Ji Wool Ko, MD1, Sung Hoon Choi, MD1, Sung Won Kwon, MD, PhD1, Kwang Hyun Ko, MD, PhD2. 1Department of Surgery, CHA Bundang Medical Center, CHA University, 2Department of Internal Medicine, CHA Bundang Medical Center, CHA UniversityBackground: Complete removal of the dilatated biliary tree is regarded as inevitable in choledochal cysts due to its malignant… Continue Reading
Robot-Assisted Choledochotomy and Common Bile Duct Exploration As an Option for Complex Choledocholithiasis
Ahmed Almamar, MD, MSc, FRCSC, Heather Emmerton-Coughlin, MD, FRCSC, Nawar Alkhamesi, MD, PhD, FRCS, Gen, Surg, FRCS, FRCSEd, Christopher M Schlachta, BSc, MDCM, FRCSC, FACS. Department of Surgery, Western University and Canadian Surgical Technologies and Advanced Robotics (CSTAR), London, CanadaBackground: The aim of this study is to evaluate the safety and feasibility of elective, robot-assisted… Continue Reading
Robonaut 2.0 – Developing the Humanoid Robot of the Future
Vid Fikfak, MD1, Albert Huang, MD1, Myron Diftler, PhD, MS, BSE2, David A Kerr, MS3, Marc Dean, MD4, Brian J Dunkin, MD, FACS1. 1Houston Methodist Hospital, 2NASA, 3Jacobs, 4Baylor All Saints Medical CenterObjectives Over the last several years there has been a renewed interest in developing an advanced surgical robotic system. Currently available versions are… Continue Reading
Risks of subsequent abdominal operations after laparoscopic ventral hernia repair
Puraj P Patel, DO, Michael W Love, MD, Jeremy A Warren, MD, William S Cobb, MD, Joesph A Ewing, MS, Alfredo M Carbonell, DO. Greenville Health SystemLaparoscopic ventral hernia repair (LVHR) is well accepted, however, the rate of patients requiring future abdominal operations is not well understood. This study identifies the common characteristics of LVHR… Continue Reading
Risks of Laparoscopic versus Robotic-Assisted Mesh Removal after Inguinal Hernia Repair
Erfan Zarrinkhoo, BA, Shirin Towfigh, MD. Beverly Hills Hernia CenterIntroduction: Laparoscopic mesh removal after inguinal hernia repair with mesh is considered to be complex and poses risk for very serious complications such as injury to major vessels, peripheral nerves, the bladder, and the spermatic cord. Robotic-assistance may help decrease the risk of these injuries. Methods:… Continue Reading
Risk factors of the recurrence after laparoscopic gastrectomy for gastric cancer.
Hideya Kashihara, Mitsuo Shimada, Kozo Yoshikawa, Jun Higashijima, Toshihiro Nakao, Masaaki Nishi, Chie Takasu. The department of surgery, the university of TokushimaBackground: Laparoscopic gastrectomy (LG) have shown good outcomes in early gastric cancer (GC). However, recurrent cases after LG are observed. The aim of this study is to analyze risk factors of recurrence after LG.… Continue Reading
Risk factors for postoperative complications of laparoscopic cholecystectomy in acute cholecystitis
Jota Watanabe, MD, Tomoyuki Nagaoka, MD, Yusuke Nishi, MD, Katsuhiro Tomofuji, MD, Yusuke Nakagawa, MD, Naoki Ishida, MD, Yoshinori Imai, MD, Kenji Nezu, MD, Kenzo Okada, MD, Shinsuke Kajiwara, MD. Department of Surgery, Uwajima City HospitalWe analyzed risk factors that induce postoperative complications of laparoscopic cholecystectomy for acute cholecystitis. Participants comprised 289 acute cholecystitis patients… Continue Reading
Right Thoracoscopic (VATS) Truncal Vagotomy for Marginal Ulcers after Gastric Bypass Surgery
Elliot C Pennington, Donald T Hess, Hiran C Fernando, Virginia R Litle. Boston University Medical CenterIntroduction: Marginal ulcers (MUs) occur in approximately 1% of patients after bariatric surgery, especially Roux-en-Y gastric bypass. Rarely, MUs are refractory to maximal medical management and may require operative intervention. Presentation of case: We present the case of a 32-year-old… Continue Reading
Revisional Laparoscopic Sleeve Gastrectomy After Primary Obesity Surgery Endolumenal (POSE)
Salman K Alsabah, MD, MBA, FRCSC, FACS, Ahmed Almulla, MD, FACS. Royale Hayat Hospital, KuwaitWe present a case of a 30 year old female with a BMI of 37. She underwent the POSE procedure and had unsuccessful weight loss. She underwent Laparoscopic Sleeve Gastrectomy (LSG) 3 months ago with an initial weight loss of 14… Continue Reading
Revisional Laparoscopic Sleeve Gastrectomy: A Viable Option After Gastric Band Failure
Talar Tatarian, MD, Michael Kammerer, MD, Danica Giugliano, MD, Alec Beekley, MD, David Tichansky, MD. Thomas Jefferson University Hospital, Philadelphia, PAIntroduction: Laparoscopic adjustable gastric banding (LAGB) for weight loss has decreased in popularity in recent years, secondary to published high failure, complication and explantation rates in the long-term. Band removal with concurrent sleeve gastrectomy (LSG)… Continue Reading