Intelligent Surgery最新文献

{"title":"Da Vinci robotic-assisted Taj Mahal for hilar cholangiocarcinoma","authors":"Bin Zhang ,&nbsp;Mengna Zhang ,&nbsp;Ying'an Zhao ,&nbsp;Xuanlei Ren ,&nbsp;Jianbo Zheng ,&nbsp;Jiyun Zhu ,&nbsp;Jianshuai Jiang ,&nbsp;Siming Zheng","doi":"10.1016/j.isurg.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case of da Vinci robotic-assisted radical resection of hilar cholangiocarcinoma. This case is shared to discuss the techniques, methods and ideas for the treatment of hilar cholangiocarcinoma.</p></div><div><h3>Methods</h3><p>The patient was diagnosed with hilar cholangiocarcinoma type II through preoperative examination, and surgical planning was performed after 3D reconstruction. After adequate preoperative preparation, a robotic-assisted Taj Mahal procedure was performed to radically resect the hilar cholangiocarcinoma, and then perihilar resection, hilar cholangioplasty and digestive tract reconstruction were completed (Informed consent was obtained from the patient).</p></div><div><h3>Results</h3><p>The surgical procedure went smoothly and the postoperative recovery was good, with no tumor recurrence at 6 months of follow-up.</p></div><div><h3>Conclusion</h3><p>The da Vinci robotic-assisted Taj Mahal for hilar cholangiocarcinoma was performed safely and effectively on patients with common hepatic duct nodule and dilatation of the intrahepatic bile ducts. Meanwhile, robotic-assisted systems have a broad application prospect and are bound to give a great impetus to surgical treatment in the future.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 16-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of single port robotic sacrocolpopexy compared with multi-port approaches","authors":"Nicole Whitmyre ,&nbsp;Lauren Griebel ,&nbsp;Skye Buckner-Petty ,&nbsp;Kenneth H. Kim ,&nbsp;Johnny Yi","doi":"10.1016/j.isurg.2022.12.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2022.12.001","url":null,"abstract":"<div><h3>Importance</h3><p>Scientific literature currently lacks data on surgical outcomes of single-port robotic sacrocolpopexy compared with traditional multi-port approaches.</p></div><div><h3>Objectives</h3><p>To evaluate feasibility and surgical outcomes for the single-port robotic approach to sacrocolpopexy when compared with traditional multi-port approaches.</p></div><div><h3>Study design</h3><p>Retrospective chart review of fifty patients who underwent minimally invasive sacrocolpopexy with a single urogynecologist between 2018 and 2021 ​at an academic tertiary care hospital. Patients were divided into three cohorts: laparoscopic multi-port (LMP), robotic multi-port (RMP), and robotic single-port (RSP). Outcome measures were operative time, number of adverse events, and severity of adverse events by Clavien-Dindo.</p></div><div><h3>Results</h3><p>All patients underwent at least one concomitant procedure; however, LMP had more concomitant procedures compared to RMP and RSP (p ​&lt; ​0.001). RMP had higher incidence of prior hysterectomy (p ​&lt; ​0.001) and prior vaginal surgery (p ​= ​0.002) compared to LMP and RSP. There were no significant differences in age, BMI, ethnicity/race, pre-operative POPQ stage, number of prior laparoscopies/laparotomies, or prior hernia repair. Linear and Poisson regression models were used to assess between-group differences in the outcome measures while adjusting for confounders. LMP had significantly higher adverse event severity than RSP (RR ​= ​2.23, p ​= ​0.044). 62.5% of the RSP group had no adverse events. No other statistically significant differences were observed.</p></div><div><h3>Conclusion</h3><p>This retrospective study demonstrates feasibility and safety of the single-port robotic approach for sacrocolpopexy when compared with traditional multi-port approaches. Larger, prospective studies are indicated to better understand post-operative outcomes.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 21-24"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application of robotic surgery in gynecology in the age of artificial intelligence","authors":"Wen Yang,&nbsp;Yuanguang Meng","doi":"10.1016/j.isurg.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.09.002","url":null,"abstract":"<div><p>In the field of gynecology, the selection of surgical approach should be carefully considered based on individual patient characteristics. The development of minimally invasive surgery has greatly impacted gynecological surgeries, and the number of robotic surgeries has been increasing yearly. Robotic surgery offers many benefits. The use of robotic surgery techniques in the multidisciplinary teamwork (MDT) surgery can make surgical operations more convenient, and has resulted in many successful cases, such as in advanced ovarian cancer and deep infiltrating endometriosis surgeries. Single-port robotic surgery has its operational limitations but shows potential for development. The use of remote robotic surgery is being explored. The support of national policies in China has contributed to the development of domestically produced surgical robots. The future of surgical robots lies in technological advancements, market dominance, and the integration of intelligence and miniaturization. Our goal is to disseminate high-quality medical resources and provide services to a larger number of patients.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 64-67"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prospects of localization of surgical robots","authors":"Sanyuan Hu","doi":"10.1016/j.isurg.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.10.001","url":null,"abstract":"<div><p>The development process of laparoscopic technology has proven the driving effect of technological progress on medicine, which overturns the methods of surgery, especially general surgery. With its widespread popularity, its limitations have gradually emerged. At the same time, da Vinci surgical robots have flourished after demonstrating enormous advantages, leading surgery from minimally invasive to intelligent. However, there remains huge development space for domestically produced surgical robots in areas such as modularity, single-port approach, and remote capabilities.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 73-74"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000157/pdfft?md5=fa6bc123000b9f3c221ecb9ee9128c4c&pid=1-s2.0-S2666676623000157-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91988081","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 case report of the first successful use of 3D image-guided robot-assisted reverse shoulder arthroplasty","authors":"Wei Han ,&nbsp;Zhao Jia ,&nbsp;Teng Zhang ,&nbsp;Junqiang Wang ,&nbsp;Anjie Shen ,&nbsp;Xieyuan Jiang","doi":"10.1016/j.isurg.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>This report describes the first successful use of 3D image-guided robot-assisted reverse shoulder arthroplasty (RSA) and validates the feasibility of this technology.</p></div><div><h3>Methods</h3><p>The clinical data, preoperative preparation, surgical procedure, and postoperative outcomes of a patient with proximal humerus fracture who underwent 3D image-guided robot-assisted RSA on May 18, 2023, at Beijing Jishuitan Hospital were summarized.</p></div><div><h3>Results</h3><p>The patient underwent 3D image-guided robot-assisted RSA successfully. The surgery lasted for 2 ​h and blood loss was about 200 ​ml. No significant adverse events were observed during the procedure. Immediate postoperative joint range of motion was as follows: forward flexion 150°, abduction 90°, neutral rotation 50° externally and 60° internally, with no dislocation. The drainage tube was removed on the second postoperative day, and an X-ray examination confirmed the proper positioning of the prosthesis.</p></div><div><h3>Conclusion</h3><p>In conclusion, we are the first to report the successful use of 3D image-guided robot-assisted RSA, demonstrating the feasibility of this technique. However, further upgrades and enhancements to the orthopedic robotic system are necessary to provide more assistance to surgeons.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 50-53"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical procedures and experience sharing of robotic pancreaticoduodenectomy","authors":"Qiuya Wei ,&nbsp;Yong Fan ,&nbsp;Chen Wang","doi":"10.1016/j.isurg.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Since the first successful open pancreaticoduodenectomy (OPD) that performed in 1935, several major landmarks have been achieved in the field such as the performance of the first laparoscopic pancreaticoduodenectomy (LPD) 28 years ago and the first robotic pancreaticoduodenectomy (RPD) 19 years ago. Numerous studies have justified the efficacy and safety of RPD and its popularity has been increasing significantly in recent years. As an updated technique, robotic system is superior to laparoscope with both theoretical and technical advantages.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 34-39"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive surgery for gastric cancer: Robotic or laparoscopic?","authors":"Shuo Li,&nbsp;Kecheng Zhang,&nbsp;Lin Chen","doi":"10.1016/j.isurg.2023.04.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.04.001","url":null,"abstract":"<div><p>Gastric cancer surgery has developed from open surgery to laparoscopic and robotic surgery. Proper application of these technologies can better achieve function preservation, reduce postoperative complications, and improve patients' quality of life. The safety and feasibility of robotic and laparoscopic gastrectomy have been confirmed. Nevertheless, the choice of robotic surgery and laparoscopic surgery remains controversial. Discussion in this paper may provide some help to the question.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 31-33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic radical antegrade modular pancreatosplenectomy after laparotomy biopsy and neoadjuvant therapy","authors":"Huiyi Ou ,&nbsp;Mengmin Chen ,&nbsp;Kai Qin ,&nbsp;Yu Jiang ,&nbsp;Jiabin Jin","doi":"10.1016/j.isurg.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.09.004","url":null,"abstract":"<div><h3>Study objective</h3><p>To demonstrate a case of robotic radical antegrade modular pancreatosplenectomy (R-RAMPS) after laparotomy biopsy and neoadjuvant chemoradiotherapy.</p></div><div><h3>Design</h3><p>Stepwise demonstration and description with video footage.</p></div><div><h3>Setting</h3><p>The Pancreatic Disease Center, Ruijin Hospital affiliated with Shanghai JiaoTong University School of Medicine, Shanghai (China).</p></div><div><h3>Case presentation</h3><p>A 58-year-old male patient was diagnosed with borderline resectable pancreatic cancer, receiving 4 courses of neoadjuvant therapy. Examination revealed pancreatic body and tail mass on Oct. 20, 2022. Laparotomy exploration and biopsy was conducted by local hospital, giving the pathology result of poorly differentiated adenocarcinoma. Neoadjuvant therapy was carried out with AG chemotherapy (nab-paclitaxel plus gemcitabine) and immunotherapy (Tirelizumab) 4 courses from Dec. 1, 2022 to Mar. 9, 2023, and stereotactic body radiotherapy 10 times from Feb. 14, 2023 to Feb. 27, 2023. Effective evaluation of neoadjuvant therapy relied on a comprehensive assessment, including tumor markers, RECIST 1.1 criteria (evaluated through CT scans), PET/CT imaging, and detailed surgical observations.</p></div><div><h3>Intervention</h3><p>Distal pancreatectomy (DP) was the gold-standard radical surgery for the left-sided pancreatic adenocarcinoma. Radical antegrade modular pancreatosplenectomy (RAMPS) is an upgradation of DP to achieve thorough retroperitoneal dissection.<span>¹</span> The first robotic DP was reported by Melvin et al.<span>²</span> in 2003. In 2012, Choi et al.<span>³</span> first reported R-RAMPS for the treatment of distal pancreatic adenocarcinoma. Neoadjuvant chemotherapy has been slowly adopted in borderline resectable, locally advanced and even resectable pancreatic cancers.<span>⁴</span> The role of adjuvant chemoradiation has been controversial due to conflicting results reported.<span>⁵</span>^,<span>⁶</span> Neoadjuvant radiotherapy was considered to increase the chances of complete tumor resection with the advantages in efficacy and tolerance.<span>⁷</span> However, there were limited reports on robotic pancreatic radical operation after neoadjuvant therapy. Moreover, laparotomy and neoadjuvant radiotherapy greatly increased the difficulty of minimally invasive surgery due to the local tissue destruction and severe abdomen adhesion (<span>Fig. 1</span>)(<span>Table. 1</span>).</p><p>During the operation, the patient was placed in a supine position with legs apart in the 30-degree reverse Trendelenburg position. The trocar layout was shown in <span>Fig. 2</span>. Adhesiolysis was conducted by the ultrasonic dissector. Exposure of the distal pancreas and tumor was carried out by division of gastrocolic ligament and mobilization of the splenic flexure of the colon. Stapler (2.5mm) was ","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 70-72"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49898678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status of robotic surgery in Japan gynecologic field","authors":"Yoko Suzuki,&nbsp;Hidetaka Sato,&nbsp;Naoko Nakazawa","doi":"10.1016/j.isurg.2023.03.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Gynecologic robotic surgery in Japan has been listed within the insurance coverage since 2018. Japan has also developed the Hinotori™ Robotic Assisted Surgery System and with the rise of medical robots, the percentage of robotic surgeries is expected to increase further in the future.</p></div><div><h3>Method</h3><p>This paper summarizes the current Japanese insurance status, literature searched from Pubmed on each procedure, existing robotic products, and perspectives.</p></div><div><h3>Results</h3><p>The amount of blood loss, hospital stay, and complications in benign diseases procedures such as myomectomy, simple hysterectomy, and surgery for endometriosis, all improved comparing laparotomy or endoscopic surgery with robotic surgery, reflecting the minimal invasiveness of robotic surgery. Malignant disease application of robotic surgery still needs further investigation on its safety and efficacy. We also summarized the features of 20 surgical robots currently on the market or under development.</p></div><div><h3>Conclusion</h3><p>Robotic surgery will expand its application as technology advances in the gynecological field.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 25-30"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted transmediastinal esophagectomy: The path of concept and practice","authors":"Xuefeng Leng ,&nbsp;Yasuyuki Seto","doi":"10.1016/j.isurg.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.09.001","url":null,"abstract":"<div><p>The technique and concept of surgical treatment of esophageal cancer are constantly progressing. Using a combination of transcervical mediastinoscopy and robotic systems, this approach facilitates upper mediastinal operations without the need for thoracic manipulation. Its potential advantages comprise shorter operation times, reduced postoperative pain, shorter hospital stays, and fewer pulmonary complications. Additionally, patients unfit for traditional thoracic surgery might benefit from this approach. This article aims to introduce and share the surgical techniques and prospects of robot-assisted transmediastinal esophagectomy.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 61-63"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}