Intelligent Surgery最新文献

{"title":"Robot-assisted single-port laparoscopic bilateral ovarian cystectomy using the Shurui® system: A case report","authors":"Chang Ren,&nbsp;Dawei Sun","doi":"10.1016/j.isurg.2022.06.001","DOIUrl":"10.1016/j.isurg.2022.06.001","url":null,"abstract":"<div><p>Single-port robotic technique combines the benefits of minimally invasive outcome, improved visualization and fine surgical movement. This case report describes a 33-year-old patient with bilateral ovarian cysts suspected of teratoma who received single-port robotic <em>trans</em>-umbilical endoscopic bilateral cystectomy. This case shows that single-port robotic-assisted laparoscopic surgery is feasible and could be safe using the Shurui® system in select patients.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"3 ","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000497/pdfft?md5=6b91d884571f87b011f70b33b1ba3704&pid=1-s2.0-S2666676622000497-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73119845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic control medicine promotes medical development","authors":"Yong Fan","doi":"10.1016/j.isurg.2022.05.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2022.05.002","url":null,"abstract":"","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"3 ","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000461/pdfft?md5=54727fd78c97aec13ebdee242c86522f&pid=1-s2.0-S2666676622000461-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137110792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary, robotic-assisted approach to treatment of ovarian remnant syndrome involving retrograde instillation of indocyanine green fluorescence","authors":"Kristina Duan ,&nbsp;Xiaoming Guan","doi":"10.1016/j.isurg.2022.05.001","DOIUrl":"10.1016/j.isurg.2022.05.001","url":null,"abstract":"<div><p>Our objective here is to demonstrate multidisciplinary teamwork in complex gynecological cases. To this end, we report a complicated case of ovarian remnant tissue after oophorectomy in the context of advanced-stage endometriosis. A 35-year-old G1P1001 woman with previous hysterectomy and bilateral salpingo-oophorectomy (BSO) presented with recurrence of pelvic pain less than one year after Da Vinci single-incision laparoscopic surgery (SILS) for resection of stage IV endometriosis. A multidisciplinary team of surgeons including minimally invasive gynecology, gynecologic oncology, urology and colorectal surgery was assembled to work collaboratively on this case. The patient underwent robotic-assisted removal of ovarian remnant tissue and endometriosis with bowel resection and ureterolysis. A novel technique involving indocyanine green fluorescence imaging was applied retrograde through cystoscopy guidance into ureters bilaterally to facilitate challenging dissections. The postoperative course was notable for development of a pelvic abscess leading to pleural effusion. Although recovery was prolonged, the patient has been disease-free to date after discharge. The breadth of surgical expertise allowed for the thorough removal of remnants.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"3 ","pages":"Pages 5-8"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266667662200045X/pdfft?md5=3545c74fc51849a6d5efdc4150ddc33c&pid=1-s2.0-S266667662200045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81971346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-port robot-assisted hepatic left lateral sectionectomy using the da Vinci SP® system: A case report","authors":"Rong Liu ,&nbsp;Guo-Dong Zhao ,&nbsp;Wen-Bo Zou ,&nbsp;Xiu-Ping Zhang ,&nbsp;Shuai Xu ,&nbsp;Yang Wang ,&nbsp;Yan-Zhe Liu ,&nbsp;Yuan-Xing Gao ,&nbsp;Zhi-Peng Zhou ,&nbsp;Yu-Yao Song","doi":"10.1016/j.isurg.2022.02.002","DOIUrl":"10.1016/j.isurg.2022.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>The da Vinci SP® surgical system offers improvements and refinements for the robotic single-site procedures. Here, we report the first case performing the single-port robotic-assisted left lateral sectionectomy (LLS) for hepatic tumor using the da Vinci SP® surgical system, and demonstrate the safety and technical feasibility of this platform.</p></div><div><h3>Methods</h3><p>A 69-year-old female patient with hepatic tumor underwent single-port robotic-assisted LLS using the da Vinci SP® system at the Chinese People's Liberation Army (PLA) General Hospital on December 27, 2021. And the clinical data, preoperative preparations, surgical procedures, and postoperative recovery of this patients were summarized.</p></div><div><h3>Results</h3><p>The patient with hepatic tumor underwent successful single-port robotic-assisted LLS. The intraperitoneal operation time was 49 minutes and the estimated blood loss was 10 ml. No significant intraoperative complications were observed. The Visual Analogue Scale (VAS) pain intensity score was 3/10 in the immediate postoperative period and 1/10 on postoperative day one. The patient was discharged on postoperative day four.</p></div><div><h3>Conclusion</h3><p>Herein, we report the first case of single-port robotic-assisted LLS for hepatic tumor using da Vinci SP® system, and this operation is technically safe and feasible. The present case indicated that the single-port robotic-assisted surgery is expected to further improve the application prospect of single-port surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"2 ","pages":"Pages 6-9"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266667662200031X/pdfft?md5=3de65b3c88f31e8e80130731294b3c5b&pid=1-s2.0-S266667662200031X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75058842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical observation of modified single incision robot-assisted laparoscopic radical prostatectomy","authors":"Luo Cheng ,&nbsp;Lv Qian ,&nbsp;Ren Shangqing ,&nbsp;Zhou Fang ,&nbsp;Fan Shida ,&nbsp;Chen Zhengjun ,&nbsp;Nie Yu ,&nbsp;Wei Yi ,&nbsp;Ou Yong ,&nbsp;Wang Yaoqian ,&nbsp;Yuan Jiazheng ,&nbsp;Yang Bo ,&nbsp;Wang Dong","doi":"10.1016/j.isurg.2022.04.001","DOIUrl":"10.1016/j.isurg.2022.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To retrospectively analyze the feasibility and clinical efficacy of modified single incision robot-assisted laparoscopic radical prostatectomy.</p></div><div><h3>Methods</h3><p>From November 2020 to August 2021, 203 cases of modified single incision (without special channel devices) robot-assisted laparoscopic radical prostatectomy through extraperitoneal approach were reviewed. The average age of the patients was 69 (53–89) years, and the median prostate-specific antigen (PSA) level was 10.89 (2.89, 56.44) ng/ml; Gleason score was 7.0 (6.0–9.0), including 30 cases (14.8%), 108 cases (53.2%) and 65 cases (32.0%) with scores ≤ 6, 7 and ​≥ 8 respectively; prostate volume was 59.0 (24.0–200.0) ml. Body mass index (BMI) ​≤ ​25 and ​&gt; 25 ​kg/m² were 125 cases (61.6%) and 78 cases (38.4%) respectively. Clinical stage was &lt; cT3a in 191 cases, cT3a in 12 cases; 35 cases had a history of abdominal surgery. All operations were performed by the same surgeon in the center. The operation related indexes, postoperative recovery, pathology and follow-up results were observed.</p></div><div><h3>Results</h3><p>203 operations were successfully performed as planned. The average operation time was 55.07 (37–129) min; the intraoperative blood loss was 68.3 (40–228) ml; the average time of postoperative exhaust was 1.3 (0.5–3.0) days; the average retention time of urinary catheter was 7.2 (6–14) days; the average hospitalization time was 7.5 (6–15) days. Postoperative sepsis occurred in one case. The postoperative Gleason scores ≤ 6, 7 and ​≥ 8 were 42 cases (20.7%), 132 cases (65.0%) and 29 cases (14.3%). The postoperative pathological stage was &lt; pT3a in 172 cases (84.7%) and ≥ pT3a in 31 cases (15.3%); 38 cases (18.7%) had positive margin after operation. 154 patients (75.9%) were satisfied with urinary control immediately after removing the urinary catheter, and 173 patients (85.2%) were satisfied with the recovery of urinary control within one month after operation (defined as the use of urinary pad ≤ 1 piece in 24 ​h). PSA &lt; 0.2 ​μg/ml at six weeks after operation was in 170 patients (83.7%). The average incision length was 5.91 (5.0–6.8) cm.</p></div><div><h3>Conclusion</h3><p>The modified single incision robot-assisted laparoscopic radical prostatectomy through extraperitoneal approach is safe and feasible. The clinical effect is satisfactory, and the modified method is not limited by specific special channel devices, so it is easy to be applied in clinical practice.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"2 ","pages":"Pages 22-25"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000333/pdfft?md5=52d092006330d44b3b26fbed2c8d3822&pid=1-s2.0-S2666676622000333-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73680736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic vNOTES for bilateral salpingectomy in a patient with BMI >70: A case report","authors":"Sowmya Sunkara MD ,&nbsp;Xiaoming Guan MD, PhD","doi":"10.1016/j.isurg.2022.02.001","DOIUrl":"10.1016/j.isurg.2022.02.001","url":null,"abstract":"<div><p>Surgery in any patient has risks and benefits and minimally invasive routes are typically preferred, however these techniques may be challenging in obese patients these patients are already typically considered to have increased intraoperative and postoperative risks. The following case report describes a patient with BMI &gt;70 who presented for surgical sterilization. Robotic vaginal natural orifice transluminal endoscopic surgery (robotic vNOTES) was used to perform bilateral salpingectomy. This technique combines the benefits of robotic surgery for improved visualization and fine surgical movement was as well as the vaginal, minimally invasive route. Various techniques were used for successful completion of the surgery and are described in detail in the following report.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"2 ","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000242/pdfft?md5=54180023029dc2c1001d27e44f7011b0&pid=1-s2.0-S2666676622000242-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76985643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-port robotic-assisted hepatic caudate lobectomy using the da Vinci SP® system: A case report","authors":"Rong Liu ,&nbsp;Guo-Dong Zhao ,&nbsp;Xiu-Ping Zhang ,&nbsp;Wen-bo Zou ,&nbsp;Shuai Xu,&nbsp;Ming-Gen Hu,&nbsp;Ben Ma,&nbsp;Yu-Yao Song","doi":"10.1016/j.isurg.2022.03.001","DOIUrl":"10.1016/j.isurg.2022.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>To report the first experience of performing the single-port robotic-assisted hepatic caudate lobectomy via the da Vinci SP® surgical system and demonstrate the safety and technical feasibility of this platform.</p></div><div><h3>Methods</h3><p>A 30-year-old female patient with diagnosis of hepatic hemangioma underwent single-port robotic-assisted caudate lobectomy using the da Vinci SP® system at the Chinese People's Liberation Army (PLA) General Hospital on January 20, 2022. The clinical data, preoperative preparations, surgical procedures, and postoperative recovery of this patient were summarized.</p></div><div><h3>Results</h3><p>The patient underwent single-port robotic-assisted hepatic caudate lobectomy successfully. The intraperitoneal operation time was 97 minutes, and the estimated blood loss was 20 ml. No significant intraoperative complications were observed. The Visual Analogue Scale (VAS) pain intensity score was 3/10 in the immediate postoperative period and 1/10 on postoperative day one. The patient was discharged on postoperative day 2.</p></div><div><h3>Conclusion</h3><p>Herein, we report the first case of single-port robotic-assisted caudate lobectomy using da Vinci SP® system, and this operation in complicated hepatectomy is technically safe and feasible. The present case indicated that the single-port robotic-assisted surgery is expected to further improve the application prospect of single-port surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"2 ","pages":"Pages 10-13"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000321/pdfft?md5=e8d093264364d367a0cab85a51a07b17&pid=1-s2.0-S2666676622000321-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84387774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application of holographic navigation guidance technology in malignant bone tumor surgery","authors":"Zhang Yinglong ,&nbsp;Wang Junsong ,&nbsp;Bao Zhen ,&nbsp;Wu Yanan ,&nbsp;Wang Wei","doi":"10.1016/j.isurg.2022.04.002","DOIUrl":"10.1016/j.isurg.2022.04.002","url":null,"abstract":"<div><p>Holographic navigation guidance technology mainly refers to the intraoperative holography navigation using a mixed-reality wearable computer, which can provide more probabilities to accurately remove the tumors and preserve more normal tissues. We reported a case of using this new technology to achieve precise resection of malignant bone tumors. The operation was successful, with short operative time, low blood loss, and good postoperative limb function recovery. The successful application of this technology is expected to effectively reduce the recurrence rate of malignant bone tumors, to reduce intraoperative blood loss and to avoid many perioperative complications. We believe that the novel application of holographic navigation guidance technology will bring good news to the precise and individualized treatment of bone tumor patients.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"2 ","pages":"Pages 14-21"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000345/pdfft?md5=77dad59bf2f37155e39a8942c8491506&pid=1-s2.0-S2666676622000345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87557571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative video analysis and machine learning models will change the future of surgical training","authors":"Michal Kawka ,&nbsp;Tamara MH. Gall ,&nbsp;Chihua Fang ,&nbsp;Rong Liu ,&nbsp;Long R. Jiao","doi":"10.1016/j.isurg.2021.03.001","DOIUrl":"10.1016/j.isurg.2021.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Machine learning (ML) is an application of artificial intelligence (AI) which enables automatic learning from large datasets. The advances in this computer science coupled with the increase in minimally invasive surgery (MIS) and availability of surgical videos, has resulted in ML algorithms designed to analyse intraoperative videos. This technology aims to improve surgical training and surgical assessment resulting in improved surgical safety.</p></div><div><h3>Methods</h3><p>A literature search of MEDLINE and EMBASE was conducted. The search terms included the following, individually or in combination: ‘machine learning, ‘video analysis’, ‘computer vision’, ‘neural networks’ and ‘surgery’.</p></div><div><h3>Results</h3><p>Relevant articles were scanned and included in the discussion. These include research developing ML algorithms for surgical phase recognition, instrument recognition, gestures recognition, and anatomical landmark recognition. The implications for the future of surgical training are discussed.</p></div><div><h3>Conclusions</h3><p>The next decade is likely to see a huge increase in MIS, particularly robotic surgery, and ML video analytics of these operations. This is likely to enhance surgical training and reduce surgical errors. However, there is a necessity for much bigger datasets for all operative procedures to allow increasing accuracy of the ML algorithms.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 13-15"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isurg.2021.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"94617596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sinovation SR1-3D surgery robot-assisted subthalamic nucleus deep brain stimulation in Parkinson's disease","authors":"Ronglan Zhu ,&nbsp;Tao Xin ,&nbsp;Min Yuan ,&nbsp;Chaoyang Zhou ,&nbsp;Bing Xi ,&nbsp;Dengfeng Wan ,&nbsp;Jianzhong Zhang","doi":"10.1016/j.isurg.2021.12.001","DOIUrl":"10.1016/j.isurg.2021.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>To summarize and think about the surgical process of subthalamic nucleus deep brain stimulation assisted by Sinovation SR1-3D surgery robot in Parkinson's disease patients.</p></div><div><h3>Methods</h3><p>To summarize the clinical data, preoperative preparations, surgical procedures, and postoperative recovery of a Parkinson's patient who underwent robot-assisted deep brain stimulation in Jiangxi Provincial People's Hospital in 2021. Discussion to guide future clinical work.</p></div><div><h3>Results</h3><p>With the assistance of the robot, the deep electrode was accurately implanted in the designated position. The postoperative symptoms of the patient were improved, and there were no obvious postoperative complications.</p></div><div><h3>Conclusion</h3><p>In deep brain stimulation surgery, the use of robots can improve the accuracy of electrode implantation, improve patient symptoms, and reduce postoperative complications.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676621000053/pdfft?md5=5f4336dca39bddc17602ebd13c5cc7c9&pid=1-s2.0-S2666676621000053-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91270124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}