Robotic-Assisted, Thoracoscopic Mediastinal Parathyroidectomy for Persistent Hyperparathyroidism
Persistent / recurrent primary hyperparathyroidism is a challenging surgical problem. In a subset of these patients, the source of excess PTH production will be an ectopic parathyroid gland in the mediastinum. A number of these glands will be inaccessible through a low cervical incision. Minimally invasive approaches to these glands are preferable due to the… Continue Reading
- Topic:
- Robotics
Fundamental Surgical Skills Were Retained Three Months After Completion of Our Robotic Surgery Training Program
Introduction: Evaluation of the learning curve of robotic surgery has shown reduced errors and decreased task completion and training times, as compared with regular laparoscopic surgery. However, most training evaluations of robotic surgery have only addressed retention in less than a month after completion of training. Aim: Our goal was to investigate the amount of… Continue Reading
The Huge Hiatal Hernias. Can the Robot Help?
Introduction: Over the past decade, laparoscopic surgery became the standard approach for the repair of hiatal hernias. Large hiatal hernias remain challenging to the laparoscopic surgeon. The difficulties originate from the depth of the hernia in the mediastinum as well as the narrow orifice (hiatus) to dissect beyond.We present a novell study for the robotic… Continue Reading
Multipurpose Surgical Robot As a Laparoscope Assistant
Introduction: This study demonstrates the effectiveness of a new, compact surgical robot at improving laparoscope guidance. Currently, the assistant guiding the laparoscope camera tends to be less experienced and requires physical and verbal direction from the surgeon. Human guidance has disadvantages of fatigue and shakiness leading to inconsistency in the field of view. This study… Continue Reading
Dexterous Robot for Single Incision Advanced Minimally Invasive Surgery
Introduction: This study demonstrates the feasibility of using a miniature robot platform to perform complex, single-incision, minimal access surgery, including colon resection and Nissen fundoplication. Open surgical procedures are highly invasive; single-incision laparoscopic surgery is complicated by instrument position and lack of triangulation. Using minimally invasive techniques with miniature robotic platforms offers significant clinical benefits.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Robotics
Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” often collide when working coaxially. This study tests a new technique of “chopstick surgery” to enable use of the robotic arms through a single incision without collision.METHODS:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” collide when working coaxially. This video demonstrates a new technique of “chopstick surgery” which enables use of the robotic arms through a single incision without collision.METHODS: Experiments… Continue Reading
- Topic:
- Robotics
Robotic Assisted Pancreatic Surgery: Single Surgeon Experience.
BACKGROUND: Robotic surgery had widespread in the last years. There are few reports for advanced pancreatic robotic surgery. The indication of robotic surgery for pancreatic diseases has created controversy. The purpose of this review is to analyze the indications and outcomes of robotic surgery for complex pancreatic diseases trying to give an answer to the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Simultaneous Robotic-Assisted Preperitoneal Inguinal Hernioplasty and Prostatectomy
OBJECTIVE: Robotic-assisted prostatectomy for prostate cancer is increasingly performed. A subset of these patients presenting for prostatectomy also have inguinal herniae. Simultaneous surgical intervention of these conditions could provide several advantages. Our aim was to describe the feasibility, technique and outcome of robotic-assisted preperitoneal inguinal hernia repair performed simultaneously with robotic-assisted prostatectomy.METHODS: Retrospective review of… Continue Reading
Laparoscopic Robot-Assisted Pancreatic Cystgastrostomy: Surgical Technique and Short-term Outcomes
Background: Pancreatic pseudocysts are a relatively common complication of acute pancreatitis. While there a number of approaches to the management of pseudocysts, internal surgical drainage is generally the most effective in preventing recurrence. The use of minimally invasive techniques for pseudocyst drainage is rising. The use of the da Vinci surgical system allows for a… Continue Reading
Laparoscopic Robot Assisted Distal Pancreatectomy in an Hiv + Patient for Mucinous Cystic Neoplasm with Ovarian Struma: a Case Report
Background: Mucinous cystic neoplasms of the pancreas are distinct entities with malignant potential, the vast majority occurring in middle aged women. The presence of ovarian struma and lack of communication with the main pancreatic duct is required for the diagnosis of mucinous cystic neoplasm. Case history: We report on a twenty six year old female,… Continue Reading
Anterior Minithoracotomy As a Safety Measure in Robotic Lung Resection
OBJECTIVE: After introduction in the 1990s, the minimally invasive approach for lung resection is performed in specialized institutions. Various minimally invasive techniques have been proposed, with and without minithoracotomy. Variations in the technique include an anterior versus a posterior approach, either with or without rib spreading. This study discusses a technique using anterior minithoracotomy for… Continue Reading
Minimally-invasive Adrenalectomy: A Comparison of Surgical Approaches and Patient Outcomes
Background: Laparoscopic transabdominal adrenalectomy (LTA) is the most common procedure for the surgical treatment of adrenal tumors. Although the retroperitoneoscopic adrenalectomy (RPA) is becoming more common, few studies have examined the safety and outcomes of both procedures.Objective: To compare the safety and surgical outcomes between LTA and RPA.Methods: Retrospective review of 142 patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Efficacy of Hand-Assisted Laparoscopic Splenectomy for Portal Hypertension Patients with Thrombocytopenia
Peg-interferon and ribavirine therapy is promising for hepatitis C virus positive patients; however thrombocytopenia as its adverse event limits the treatment. We perform hand-assisted laparoscopic (HALS) splenectomy tonincrease the thorombocyte before interferon treatment for patients with thrombocytopenia.From March, 2006 to August 2008, we performed HALS splenectomy in 26 patients. 5 cases underwent Hassab operation. An… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Use of Flexible Retractor to Facilitate Vascular Length in Living Related Total Laparoscopic Donor Nephrectomies
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine