Intelligent Surgery最新文献

{"title":"Robotic duodenum-preserving pancreatic head resection with preoperative three-dimensional visualization and intraoperative real-time indocyanine green fluorescence navigation","authors":"Yaqiang Shu,&nbsp;Chuanfu Li,&nbsp;Bo Liu,&nbsp;Fan Wu,&nbsp;Chao Zhang,&nbsp;Muyu Fu,&nbsp;Xiaohua Lei,&nbsp;Guodong Chen","doi":"10.1016/j.isurg.2024.01.003","DOIUrl":"10.1016/j.isurg.2024.01.003","url":null,"abstract":"<div><p>Duodenum-preserving pancreatic head resection (DPPHR) has been widely used in benign tumors, low-grade malignant tumors of the pancreatic head and chronic pancreatitis. Nevertheless, to date, there has been no report about indocyanine (ICG) fluorescence in robotic DPPHR. This report describes the technique of robotic DPPHR with preoperative three-dimensional reconstruction visualization and intraoperative real-time ICG fluorescence imaging navigation. The results show that the technique is safe and effective for benign masses of the head of the pancreas and may offer a benefit for maintaining the integrity of duodenal blood flow and the biliary system.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 27-29"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000036/pdfft?md5=066572f0234d3943e2827bb26f033a29&pid=1-s2.0-S2666676624000036-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139892483","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":"Corrigendum to “RETML-4: Advancements in esophageal cancer surgery with four-arm robotic thoracic esophagectomy with total mediastinal lymphadenectomy” [Intell Surg 7 (2024) 7–11]","authors":"Xuefeng Leng ,&nbsp;Koshiro Ishiyama ,&nbsp;Hiroyuki Daiko","doi":"10.1016/j.isurg.2024.01.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2024.01.002","url":null,"abstract":"","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Page 21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000024/pdfft?md5=ec1a40ab8837228876f29e8268348242&pid=1-s2.0-S2666676624000024-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653618","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":"Current status and prospects of minimally invasive hepatobiliary surgery","authors":"Jie Li,&nbsp;Ping Chen","doi":"10.1016/j.isurg.2024.07.001","DOIUrl":"10.1016/j.isurg.2024.07.001","url":null,"abstract":"<div><p>In recent years, minimally invasive surgery has developed rapidly and has become an important means of treating hepatobiliary diseases. The development of minimally invasive surgery includes advancements in surgical instruments, laparoscopic equipment, surgical techniques, and related theories. Currently, most traditional hepatobiliary surgeries can be performed using laparoscopic methods. Minimally invasive surgery is the direction for future surgical development, with goals of becoming more intelligent, compact, and multifunctional. In the future, the continuous integration of artificial intelligence, robotic technology, virtual reality and augmented reality technologies, and remote technologies with medicine will further promote the development of minimally invasive surgery. This article provides a brief overview of the current status and prospects of minimally invasive surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 47-52"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000097/pdfft?md5=7ed4b5ac02378f190cc9611520e345f2&pid=1-s2.0-S2666676624000097-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838854","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":"Pioneering case: Robot-assisted remote radical distal gastrectomy for gastric cancer based on 5G communication technology","authors":"Honghai Guo ,&nbsp;Yuan Tian ,&nbsp;Jia Shi ,&nbsp;Peigang Yang ,&nbsp;Jiaxuan Yang ,&nbsp;Pingan Ding ,&nbsp;Xuefeng Zhao ,&nbsp;Zhidong Zhang ,&nbsp;Qun Zhao","doi":"10.1016/j.isurg.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.isurg.2024.01.004","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study is to describe technical considerations and short-term outcomes of the first officially published robot-assisted remote radical distal gastrectomy for gastric cancer with 5G technology.</p></div><div><h3>Methods</h3><p>A 51-year-old gastric cancer patient with clinical stage T2N0M0 underwent 5G-enabled robot-assisted remote radical distal gastrectomy on September 11, 2023 ​at the Third Department of Surgery, the Fourth Hospital of Hebei Medical University.</p></div><div><h3>Results</h3><p>The surgery procedure was successfully performed with an average total intraoperative delay of 225 ​ms, average round-trip delay of 30 ​ms and no packet loss rate. The operative time was 140 ​min and intraoperative blood loss was 20 ​ml. The patient was discharged on postoperative day 6 without any postoperative complications.</p></div><div><h3>Conclusion</h3><p>This case has preliminarily verified the feasibility and safety of 5G-enabled robot-assisted remote radical distal gastrectomy for patients with gastric cancer. The initial study fills in the gaps in related fields and lays a solid foundation for subsequent research. To verify its superior operative outcomes, further clinical trials are needed.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 22-26"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000048/pdfft?md5=dd5906a351feedaf76cb5365022f1237&pid=1-s2.0-S2666676624000048-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139709149","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":"Pioneering case: Robotic single port (SP) transvaginal NOTES (RSP-vNOTES) for hysterectomy in ten steps","authors":"Xiaoming Guan,&nbsp;Daniel Lovell,&nbsp;Emily Sendukas","doi":"10.1016/j.isurg.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.11.003","url":null,"abstract":"<div><p>Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) has become popular since its inception in 2012, offering advantages by combining vaginal surgery principles with laparoscopic instruments for procedures like hysterectomy and myomectomy. The da Vinci Xi robotic system for transvaginal NOTES has been used successfully in over 300 cases, including advanced surgeries like sacrocolpopexy and endometriosis procedures. The new da Vinci SP platform, designed for single-port surgery, was employed in the first transvaginal NOTES hysterectomy on November 11, 2023, at Baylor College of Medicine. The surgical steps and outcomes of the procedure are detailed in this case report, showcasing the feasibility and success of utilizing the da Vinci SP system for transvaginal NOTES. The patient was discharged on the same day with an unremarkable post-operative course, and pathology results revealed adenomyosis and endometriosis after the comprehensive surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000261/pdfft?md5=4cfec9156f34d13fab39e86da86c0c1c&pid=1-s2.0-S2666676623000261-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557241","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":"Integrating robotic surgery and pharmacotherapy: A dual approach to lung cancer management","authors":"Gnanendra Sai Kumar Nareboina ,&nbsp;Prudhvi Raj Chalapaka","doi":"10.1016/j.isurg.2024.08.002","DOIUrl":"10.1016/j.isurg.2024.08.002","url":null,"abstract":"<div><p>Medication and robotic surgery are new approaches in the treatment of lung cancer. To obtain the goal of radical surgical treatment of the tumor, this effective approach takes advantage of the accuracy of robotic surgical system in combination with the pharmacological strategies that are aimed at achieving the highest therapeutic intervention and the minimal toxic effects.</p><p>Patient selection and survival data are required for desired long-term effects. The success of this method depends on training and learning curves for health care providers. Clinical applications emphasize the necessity of robotic assisted strategies and efficient use of consumables and advanced robotic bronchoscopy. This innovative approach helps to improve the lung cancer treatment by setting a new standard for patient outcomes.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 66-73"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000127/pdfft?md5=440c50cce96dbd5d70bf4377a12433da&pid=1-s2.0-S2666676624000127-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149196","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":"Current applications of da vinci SP surgical system in gynecologic surgery","authors":"Johnny Yi","doi":"10.1016/j.isurg.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2024.06.001","url":null,"abstract":"<div><p>Single incision surgery is a form of minimally invasive surgery performed typically through a 2–3 ​cm incision in the umbilicus. Single incision laparoscopy has significant challenges and a long learning curve due to the difficulties in triangulation and the lack of articulating instrumentation. Single site robotics attempted to overcome this with advantages of 3-D visualization and some introduction to articulating instrumentation. In 2019, the single port robotic platform (SPORT) was introduced, which has significant advantages in single incision surgery. Applications in gynecologic surgery have been described for benign, reconstructive and malignant conditions. This technology shows promise in further minimizing surgical approach for gynecologic surgery, but further level 1 studies are needed to demonstrate its place compared to other existing technologies.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 43-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000085/pdfft?md5=19f05aa1018d7efa53f909d6c065b77c&pid=1-s2.0-S2666676624000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480520","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":"Robot-assisted surgery for gynecological cancer","authors":"Hao Liang,&nbsp;Hang Yu,&nbsp;Jiangtao Fan","doi":"10.1016/j.isurg.2024.11.002","DOIUrl":"10.1016/j.isurg.2024.11.002","url":null,"abstract":"<div><div>With the advancements in technology and the progression of modern times, robotic surgical systems have emerged as a new trend in minimally invasive surgery and, have been applied to a variety of gynecological surgery. Robotic surgery has become a crucial treatment for gynecological cancer due to its unique advantages. This article outlines the history of minimally invasive surgery in common gynecological surgery, analyzes and summarizes the scope and current status of its application in gynecological tumor surgery. Based on the author's experience with thousands of robotic-assisted surgeries and the latest research progress, this article compares the learning curve and postoperative complications of robotic-assisted laparoscopic surgery versus traditional laparoscopic surgery. The strengths, weaknesses, and challenges faced by robotic-assisted systems in gynecological tumor surgery are also discussed. This comprehensive guidance provides valuable insights for young or novice gynecological oncologic surgeons in choosing appropriate surgical techniques for tumor procedures.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 95-100"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148481","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":"A visual walkthrough of robotic partial mesorectal excision using the Versius surgical system","authors":"Amro Mureb","doi":"10.1016/j.isurg.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2024.04.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Study objective&lt;/h3&gt;&lt;p&gt;To demonstrate a step-by-step surgical technique for partial mesorectal excision using the Versius robotic platform.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Stepwise demonstration with narrated video footage.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Our patient is a 62-year-old male with locally advanced rectal cancer involving the middle rectum. The radiological staging was T3N2M0. The multidisciplinary team's recommendation was to give total neoadjuvant chemoradiotherapy (TNT). Post-TNT magnetic resonance image (MRI) showed significant tumour regression and flexible sigmoidoscopy showed stricture around 11 cm from the anal verge. The patient had an uneventful postoperative course and was discharged on postoperative day 3. Final histopathology staging showed a complete response, ypT0N0.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;p&gt;The required distal margin in partial mesorectal excision (PME) is controversial. Several publications have shown that partial excision of the mesorectum, also called tumour-specific mesorectal excision (TSME), with the division of mesorectum 5 cm below the tumour could be a reasonable approach although total mesorectal excision (TME) is still considered the gold standard for all rectal cancer in many studies. A recent systematic review on distal mesorectal spread and PME showed that for partial mesorectal excision, substantial overtreatment is present if a distal margin of more than 5 cm is routinely utilized; in addition, PME has good oncological results and leads to the best-fitted functional results possible for the patient's condition.&lt;span&gt;1&lt;/span&gt;, &lt;span&gt;2&lt;/span&gt; Regarding the morbidity and oncological outcomes after PME, Kanso et al. showed that PME can be performed safely, with a low risk of definitive stoma and local recurrence and the survival rate that was observed, indicates that the prognosis is not altered compared with TME in the treatment of upper and some middle rectal tumour.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; Another study evaluating the oncological outcomes of PME in patients with upper and middle rectal cancer showed that PME and shorter resection margins do not jeopardize the oncological outcomes.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; Robotic colorectal surgery has gained popularity in the last few years as it overcomes most of the limitations of conventional laparoscopic surgery, especially when working in a confined, narrow pelvis. The robotic platform uses multiple technologies like 3-D and stable, precise vision, tremor filtration, and a wide range of instrument tip movement. All these features help the colorectal surgeon complete the rectal surgery more safely and effectively, and like any surgical procedure, standardization of the technique can lead to a shorter learning curve and better outcomes. In this video, we demonstrated a step-by-step approach to tumour-specific mesorectal excision operation using the Versius robotic system platform, starting the mesorectal dissection posteriorly along the plane","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000073/pdfft?md5=bfed0bad1dd0300b44ab5e9e03889556&pid=1-s2.0-S2666676624000073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140901430","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":"RETML-4: Advancements in esophageal cancer surgery with four-arm robotic thoracic esophagectomy with total mediastinal lymphadenectomy","authors":"Xuefeng Leng ,&nbsp;Koshiro Ishiyama ,&nbsp;Hiroyuki Daiko","doi":"10.1016/j.isurg.2023.12.001","DOIUrl":"10.1016/j.isurg.2023.12.001","url":null,"abstract":"<div><p>Surgery remains a primary treatment for esophageal cancer. As the field has progressed from open esophagectomy (OE) to minimally invasive esophagectomy (MIE) and further to robot-assisted minimally invasive esophagectomy (RAMIE), not only has the surgeon's understanding and perception of the disease deepened, but the advancements in operative techniques have also led to improved post-operative recovery and oncological outcomes for patients. The esophageal surgery team at the National Cancer Center Hospital has elevated RAMIE to a new theoretical and practical level with their technique: esophageal cancer surgery with four-arm robotic esophagectomy with total mediastinal lymphadenectomy (RETML-4), rooted in the robotically enhanced surgical anatomy (RESA) philosophy. This article provides a comprehensive overview of the conceptual foundation and operative process of this innovative surgical approach.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 7-11"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000273/pdfft?md5=e19bcea7058061aa41664e6e2403bbed&pid=1-s2.0-S2666676623000273-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015403","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}