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Robotic surgery complications

Ismail Hamzaoglu, Bilgi Baca, Eren Esen, Erman Aytac, Volkan Ozben, Afag Aghayeva, Ismail A Bilgin, Tayfun Karahasanoglu
In this study, we aimed to present our initial experience on totally robotic total restorative proctocolectomy in ulcerative colitis (UC) patients. Patients undergoing a totally robotic restorative total proctocolectomy with ileal J-pouch anal anastomosis for UC between January 2015 and November 2017 were included. The da Vinci Xi was used for the operations. Patient demographics, perioperative and short-term operative outcomes were evaluated. Ten patients were included. The median operative time was 380 minutes(range, 300 to 480 min)...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Chih-Jung Wang, Ying-Jui Chao, Edgar D Sy, Yan-Shen Shan
BACKGROUND: Minimally invasive gastric cancer surgery requires an extended liver retraction in order to provide optimal operative view, working space for lymph node dissection, and esophageojejunal reconstruction. Ideally, it should avoid reposition of the retractor, additional skin incision or puncture, and liver parenchyma injury. Herein, we introduced an intracorporeal W-shaped liver retraction technique (W-LRT) for minimally invasive gastric cancer surgery without an additional incision or abodminal puncture...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Osamah Hasan, Grant S Johnson, James J Siegert, Francisco Garcini, Thai T Nguyen
Ureteral injury is an uncommon but potentially morbid complication following any open or endoscopic pelvic procedure. Gynecologic surgeries alone make up 50 percent of nonurologic ureteral injuries leading to prolonged hospital stays, secondary interventions, and potential loss of renal function. The use of AmnioFix ® a processed dehydrated, immunologically privileged cellular amniotic membrane allograft has been well established in urologic and gynecologic procedures. These allografts contain human extracellular matrix components, growth factors, and cytokines that mediate inflammation and facilitate would healing...
2019: Case Reports in Obstetrics and Gynecology
Won Tae Cho, Tae Yoo, Sung Min Kim
With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. However, after postoperative day 2, she presented to the emergency room with small bowel obstruction secondary to a herniated bowel loop through the left 8-mm port site...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Giovanni E Cacciamani, Nieroshan Rajarubendra, Walter Artibani, Inderbir S Gill
PURPOSE OF REVIEW: We review historical aspects and current status of the emerging approach of robotic urinary diversion (rUD). Established surgical principles of constructing a low-pressure, large-capacity reservoir are described and the open surgical literature succinctly reviewed to establish the gold standard. Incontinent and continent rUD types [ileal conduit, orthotopic neobladder (all varieties), continent cutaneous diversion, cutaneous ureterostomy] and techniques (extra-corporeal, intra-corporeal) are discussed...
February 11, 2019: Current Opinion in Urology
Smriti Panda, Kapil Sikka, Alok Thakar, Suresh C Sharma, Padmavathi Krishnamurthy
To analyze the feasibility, surgical outcomes and possible risks and complications encountered during transoral robotic surgery (TORS) for approaching parapharyngeal space (PPS) tumours, a retrospective cohort study was conducted. Out of 108 TORS procedures performed, 5 PPS tumours were identified from May 2011- November 2017. This study included 2 retrostyloid (benign nerve sheath tumour) and 3 prestyloid tumours (pleomorphic adenoma), of which one patient had previously undergone a transcervical approach for deep lobe of parotid pleomorphic adenoma...
February 14, 2019: Journal of Robotic Surgery
Marcus J Adair, Samer Alharthi, Jorge Ortiz, Weikai Qu, Mohanad Baldawi, Munier Nazzal, Arunkumar Baskara
The aim of this study was to compare postoperative outcomes after robotic-assisted and laparoscopic bariatric sleeve gastrectomy (SG). Sleeve gastrectomy is traditionally performed using laparoscopic techniques. Robotic-assisted surgery enables surgeons to perform minimally invasive SG, but with unknown benefits. Using a national database, we compared postoperative outcomes after laparoscopic SG and robotic-assisted SG. National data from individuals undergoing elective SG in the National Inpatient Sample database between 2011 and 2013 were analyzed...
January 1, 2019: American Surgeon
Ran Cui, Min-Hao Yu, Jian-Jun Chen, Jun Qin, Ben Yue, Yang Luo, Yi-Zhou Huang, Hong Zhou, Ming Zhong
BACKGROUND: Robot-assisted surgical techniques have been introduced in recent years as an alternative minimally invasive approach for colorectal surgery. In practice, we found that the monopolar electrosurgical scissors had its unique advantages in preservation of the pelvic autonomic nerves. We performed a retrospective review of short-term results between using monopolar electrosurgical scissors and harmonic scalpel in robotic anterior resection (using the da Vinci® Surgical System) in rectal cancer patients...
February 13, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Chi-Chung Foo, Chung-Kwong Yeung, Biji Sreedhar, Jo Lai-Ken Cheung, Wai-Lun Law
BACKGROUND: With increasing experience and technological advancement in surgical instruments, surgeons have explored the feasibility of single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery (NOTES). These techniques aim to further reduce surgical trauma, but are not popular due to their inherent pitfalls including clashing of instruments, lack of counter traction, lengthy operating time, and so on. A novel surgical robotic system was designed to overcome the limitations of the existing technologies...
February 12, 2019: Surgical Innovation
Scott R Kelley, Emilie Duchalais, David W Larson
Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. One hundred and fourteen consecutive patients who underwent a right colectomy by two colorectal surgeons between 2012 and 2017 were included. Patients were separated into two groups: laparoscopic technique with extracorporeal anastomosis (n = 87) and robotic technique with intracorporeal anastomosis (n = 27)...
November 1, 2018: American Surgeon
Peng-Fei Han, Cheng-Long Chen, Zhi-Liang Zhang, Yi-Chen Han, Lei Wei, Peng-Cui Li, Xiao-Chun Wei
BACKGROUND: Several studies have compared robotics-assisted (RA) and conventional manual (CM) approaches for total hip arthroplasty (THA), but their results are controversial. METHODS: A literature search was conducted for controlled clinical trials (CCTs) comparing the clinical efficacy of the RA and CM approaches for THA and published between August 1998 and August 2018. The obtained data were analyzed using the statistical software Review manager 5.3. RESULTS: Fourteen articles were included in the meta-analysis, which revealed that the RA group had less intraoperative complications, better cup angle, and more cases of cup placement in the safe zone than the CM group...
February 12, 2019: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
Raul Caso, Thomas J Watson, Puja G Khaitan, M Blair Marshall
Background: Sleeve resection allows for preservation of lung parenchyma and improved long-term outcomes when compared with pneumonectomy. Little is known about minimally invasive sleeve resection, especially indications, feasibility, technical aspects, complications, and outcomes. We reviewed our institutional experience with sleeve resections via a minimally invasive approach. Methods: We performed a retrospective review of a prospectively maintained database from 01/01/2010 to 11/01/2017...
December 2018: Journal of Thoracic Disease
P Rouanet, S Gourgou, I Gogenur, D Jayne, A Ulrich, T Rautio, G Spinoglio, N Bouazza, A Moussion, M Gomez Ruiz
BACKGROUND: Total mesorectal excision (TME) is the standard of care for rectal cancer, which can be combined with low anterior resection (LAR) in patients with mid-to-low rectal cancer. The narrow pelvic space and difficulties in obtaining adequate exposure make surgery technically challenging. Four techniques are used to perform the surgery: open laparotomy, laparoscopy, robot-assisted surgery, and transanal surgery. Comparative data for these techniques is required to provide clinical data on the surgical management of rectal cancers...
February 10, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Angelica Beatriz Hernandez, Luis G Medina, Pierre A Hueber, Felipe Placco Araujo Glina, Hannah Landsberger, Daniel Oberlin, Giovanni Cacciamani, Byron Lopez, Ketan Patel, Rene J Sotelo
INTRODUCTION: Simple prostatectomy is the gold standard for prostates >80 grams, robotic system has proven to help into speed the recovery of the patient and in morbid obesity the advantages of the robotic system can help to perform a suc¬cessful surgery. CASE: 80 years old male with morbid obesity (BMI 45) and several other comorbidities, with history of an umbilical hernia and obstructive lower urinary tract symptoms in acute urinary retention. PSA was 7 ng/dl, DRE demonstrates a >100gr prostate gland...
January 30, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Uzoma A Anele, Michele Marchioni, Bo Yang, Giuseppe Simone, Robert G Uzzo, Clayton Lau, Maria C Mir, Umberto Capitanio, James Porter, Ken Jacobsohn, Nicolo de Luyk, Andrea Mari, Kidon Chang, Cristian Fiori, Jay Sulek, Alexandre Mottrie, Wesley White, Sisto Perdona, Giuseppe Quarto, Ahmet Bindayi, Akbar Ashrafi, Luigi Schips, Francesco Berardinelli, Chao Zhang, Michele Gallucci, Miguel Ramirez-Backhaus, Alessandro Larcher, Patrick Kilday, Michael Liao, Peter Langenstroer, Prokar Dasgupta, Ben Challacombe, Alexander Kutikov, Andrea Minervini, Koon Ho Rha, Chandru P Sundaram, Lance J Hampton, Francesco Porpiglia, Monish Aron, Ithaar Derweesh, Riccardo Autorino
OBJECTIVE: To compare the outcomes of robotic radical nephrectomy (RRN) to those of laparoscopic radical nephrectomy (LRN) for large renal masses. METHODS: This was a retrospective analysis of RRN and LRN cases performed for large (≥ cT2) renal masses from 2004 to 2017 and collected in the multi-institutional international database (ROSULA: RObotic SUrgery for LArge renal masses). Peri-operative, functional, and oncologic outcomes were compared between each approach...
February 7, 2019: World Journal of Urology
Ramnath Subramaniam
Purpose: To report the current status of Robotic approach to creation of Catheterisable channel (CC) with the author's personal experience compared to published literature on technical steps, follow up, and outcomes. Methods: CC data was extracted from the prospective database set up for all Robotic pediatric urology procedures performed by the author at his institution. A literature search was then performed to look at the evidence base. Results: Eighteen consecutive cases (8M:7F) of Robotic approach to creation of CC was identified and included...
2019: Frontiers in Pediatrics
Matthew J Bott, Stephen C Yang, Bernard J Park, Prasad S Adusumilli, Valerie W Rusch, James M Isbell, Robert J Downey, Julie R Brahmer, Richard Battafarano, Errol Bush, Jamie Chaft, Patrick M Forde, David R Jones, Stephen R Broderick
OBJECTIVE: We conducted a phase I trial of neoadjuvant nivolumab, a monoclonal antibody to the programmed cell death protein 1 checkpoint receptor, in patients with resectable non-small cell lung cancer. We analyzed perioperative outcomes to assess the safety of this strategy. METHODS: Patients with untreated stage I-IIIA non-small cell lung cancer underwent neoadjuvant therapy with 2 cycles of nivolumab (3 mg/kg), 4 and 2 weeks before resection. Patients underwent invasive mediastinal staging as indicated and post-treatment computed tomography...
December 13, 2018: Journal of Thoracic and Cardiovascular Surgery
Alberto Mangano, Eduardo Fernandes, Federico Gheza, Roberto Bustos, Liaohai Leo Chen, Mario Masrur, Pier Cristoforo Giulianotti
BACKGROUND: Leakage of the anastomosis after colorectal surgery is a severe complication, and one of the most important causes is poor vascular supply. However, a microvascular deficit is often not detectable during surgery under white light. Near-infrared indocyanine green (ICG)-enhanced fluorescence may be useful for assessing microvascular deficits and conceivably preventing anastomotic leakage. OBJECTIVES: This paper presents a preliminary retrospective case series on robotic colorectal surgery...
February 1, 2019: Surgical Technology International
Robin Schmitz, Frank Willeke, Justin Barr, Michael Scheidt, Heike Saelzer, Ibrahim Darwich, Sabino Zani, Dietmar Stephan
INTRODUCTION: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance™ Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach. MATERIALS AND METHODS: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance™ Robotic System. Patients were between 18 and 90 years of age, eligible for a laparoscopic procedure with general anesthesia, had no life-threatening disease with a life expectancy of less than 12 months, and a body mass index (BMI) < 35...
February 1, 2019: Surgical Technology International
Huashui Liu, Shengjun Duan, Fuzhen Xin, Zhen Zhang, Xueguang Wang, Shidong Liu
OBJECTIVE: To investigate the indications, surgical strategy and techniques, safety, and efficacy of robot-assisted minimally-invasive internal fixation of pelvic ring injuries. METHODS: The clinical data of 86 patients with anterior and posterior pelvic ring injuries who underwent robot-assisted minimally-invasive internal fixation were retrospectively analyzed. The patients included 57 men and 29 women aged between 22 and 75 years, with an average age of (40...
February 3, 2019: Orthopaedic Surgery
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