Intelligent Surgery最新文献

{"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":"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":"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":"&lt;div&gt;&lt;h3&gt;Study objective&lt;/h3&gt;&lt;p&gt;To demonstrate a case of robotic radical antegrade modular pancreatosplenectomy (R-RAMPS) after laparotomy biopsy and neoadjuvant chemoradiotherapy.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Stepwise demonstration and description with video footage.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;The Pancreatic Disease Center, Ruijin Hospital affiliated with Shanghai JiaoTong University School of Medicine, Shanghai (China).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Case presentation&lt;/h3&gt;&lt;p&gt;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.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Intervention&lt;/h3&gt;&lt;p&gt;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.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; The first robotic DP was reported by Melvin et al.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; in 2003. In 2012, Choi et al.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; 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.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; The role of adjuvant chemoradiation has been controversial due to conflicting results reported.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;,&lt;/sup&gt;&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; Neoadjuvant radiotherapy was considered to increase the chances of complete tumor resection with the advantages in efficacy and tolerance.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt; 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 (&lt;span&gt;Fig. 1&lt;/span&gt;)(&lt;span&gt;Table. 1&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;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 &lt;span&gt;Fig. 2&lt;/span&gt;. 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":"The reflection of the development of orthopaedic robotics in Beijing Jishuitan Hospital","authors":"Yajun Liu","doi":"10.1016/j.isurg.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.10.002","url":null,"abstract":"<div><p>Beijing Jishuitan Hospital Affiliated to Capital Medical University, known for its leading role in Chinese orthopedics, is the birthplace of orthopedic robotic surgery in China. Over the last two decades, through continuous exploration, Beijing Jishuitan Hospital has gradually matured the robotic and navigation-assisted orthopedic surgery technology, enhancing the precision, intelligence, and safety of orthopedic procedures. This article reviews the development history of orthopedic robots in Beijing Jishuitan Hospital, introduces the application scenarios of orthopedic robots, demonstrates its advantages in clinical work, and looks forward to the future of orthopedic robots.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 75-77"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000169/pdfft?md5=e504c3493ff2fcd344f5807b14880d55&pid=1-s2.0-S2666676623000169-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92139624","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 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}

{"title":"Robotic-assisted laparoscopic hepatic hilar cholangiocarcinoma (Bismuth-Corlette Ⅲb) radical resection","authors":"Zhongyu Li,&nbsp;Zhanzhi Meng,&nbsp;Guangchao Yang,&nbsp;Yong Ma","doi":"10.1016/j.isurg.2023.07.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.07.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Study objective&lt;/h3&gt;&lt;p&gt;To demonstrate a case for the successful use of the robotic-assisted laparoscopic hepatic hilar cholangiocarcinoma (Bismuth-Corlette Ⅲb) radical resection.&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, including left hemi hepatectomy, total caudate lobectomy, extrahepatic biliary tract resection and reconstruction, hepaticojejunostomy, cholecystectomy, and hepatic hilar lymph node dissection.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;The First Affiliated Hospital of Harbin Medical University.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Case presentation&lt;/h3&gt;&lt;p&gt;A 34-year-old female patient developed icteric skin and sclera without obvious triggers, accompanied by dark urine, and light-colored loose stools. She had a dull pain in the upper abdomen and lost 2.5 ​kg weight in this period. Before admission, she had accepted percutaneous transhepatic cholangial drainage (PTCD) in other hospital, with two drainage tubes collecting 500 ml of bile per day in total. Due to the liver-enhanced CT scan suggesting proximal bile duct obstruction, space-occupying lesions of the hilar bile duct are considered, with no exclusion of cholangiocarcinoma. Routine preoperative laboratory examinations were performed after admission. The total bilirubin level was 75.5 μmol/L (normal range, 3.4–21 μmol/L) and the direct bilirubin level was 40.8 μmol/L (normal range, 0.01–3.4 μmol/L); alanine aminotransferase level was 282.6 U/L (normal range, 5–40 U/L); aspartate aminotransferase level was 124.2 U/L (normal range, 8–40 U/L); γ-glutamyl transpeptidase level was 79.8 U/L (normal range, 10–60 U/L); CA19-9 level was 62.68 U/mL (normal range, 0–37 U/mL).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Intervention&lt;/h3&gt;&lt;p&gt;Since the first robot-assisted hepatectomy was reported in 2002, the use of robot-assisted surgery in the hepatobiliary department has grown rapidly.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;,&lt;/sup&gt;&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; However, robot-assisted surgery for hepatic hilar cholangiocarcinoma radical resection is rarely reported. Although the tumor volume is not large, hepatic hilar cholangiocarcinoma radical resection is regarded as one of the most challenging operations because it includes major hepatectomy, hepatic hilar lymph node dissection, and bile duct reconstruction.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;,&lt;/sup&gt;&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt;. The operative area is located at the core of the first porta hepatis, possessing a close anatomic relationship with the hepatic artery and portal vein, which greatly increases the difficulty and risk of the operation. In addition, for such tumors located at such a unique place, operating space for surgeons is objectively limited, and the radical resection of tumors can only be achieved by ensuring the absolute negative margin of the bile duct and the precise dissection of the hepatic hilar lymph node. The emergence of the robotic-assisted system has solved this problem&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt;. With the three core technologies: naked ","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 40-41"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891133","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 single-site secondary abdominal cerclage replacement following initial repair of cervical isthmus injury arising from a history of open abdominal cerclage and subsequent PPROM at 14 weeks gestation","authors":"Nurul Farhanah Binte Abdul Latif ,&nbsp;Zhenkun Guan ,&nbsp;Brooke Thigpen ,&nbsp;Sowmya Sunkara ,&nbsp;Xiaoming Guan","doi":"10.1016/j.isurg.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.09.003","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Study objective&lt;/h3&gt;&lt;p&gt;To demonstrate the surgical techniques for removal and replacement of a prior cerclage, repair of a cervical injury caused by the prior abdominal cerclage placement resulting in PPROM during surgery, and methods to mitigate the risk.&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;An academic tertiary care hospital. Our patient is a 32-year-old G4P1 with a complex obstetric history. Her first pregnancy ended with a miscarriage at 7 weeks. A transvaginal cerclage was performed during her second pregnancy at 12 weeks, and she subsequently suffered from PPROM at 24 weeks. The baby was delivered via cesarean section and was 18 months old at the time of the last follow-up. Another transvaginal cerclage was performed at 14 weeks for her third pregnancy, which ended with an IUFD at 16 weeks. She subsequently underwent the removal of the vaginal cerclage and a D&amp;C. In her fourth pregnancy, an open abdominal cerclage was attempted at 14 weeks of pregnancy. The latter caused PPROM during the surgery due to blind needle placement, which resulted in the loss of the fetus. Perioperative notes regarding that particular surgery were not accessible to us at the time of submission. She presented to us as a non-gravid patient seeking the replacement of her abdominal cerclage. Given a complex obstetric history of multiple second-trimester losses with two vaginal cerclages and one open abdominal cerclage, an abdominal cerclage was indicated at the level of the internal cervical os, regardless of cervical length, in a non-pregnant patient.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;p&gt;Cervical insufficiency is a condition that results in painless, recurrent pregnancy loss before the second trimester in the absence of biochemical triggers. Epidemiologically, cervical incompetence occurs in 0.1–1% of the obstetric population.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Though rare, this condition has devastating consequences for both the expectant parents and the healthcare system, with preterm births responsible for 70% of all neonatal morbidity and mortality.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; The two most common surgical interventions aimed at resolving this condition are the transvaginal and abdominal cerclages. An abdominal cerclage has a reported success rate of 79–100% when done via laparoscopic means.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; This is the primary intervention indicated in patients with a history of failed transvaginal cerclages, a shortened or absent cervix due to cervical surgery, or uterine anomalies. Though the intervention has minimal risks and complications for the experienced surgeon in a non-gravid uterus, the difficulty exponentially increases post-conception and even more with increasing gestational age. Owing to the engorged uterine vessels during pregnancy and the amniotic sac that flanks the sides of the internal cervical os, the clearance for safe needle passage during cerclage pla","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 68-69"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49891134","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":"A single-center experience performing robotic liver caudate lobectomy","authors":"Yubin Sheng ,&nbsp;Jiaqi Gao ,&nbsp;Junhao Zheng ,&nbsp;Liye Tao ,&nbsp;Zefeng Shen ,&nbsp;Jingwei Cai ,&nbsp;Xiao Liang","doi":"10.1016/j.isurg.2022.08.005","DOIUrl":"10.1016/j.isurg.2022.08.005","url":null,"abstract":"<div><h3>Background</h3><p>Robotic liver resection is a hot topic in the field of liver surgery in recent years. We report our initial experience with robotic liver caudate lobectomy and discuss its safety.</p></div><div><h3>Methods</h3><p>We retrospectively analyzed the clinical data of 13 patients who underwent the robotic liver caudate lobectomy between May 2018 and May 2021 in a single institution. The details of the surgical strategy were described.</p></div><div><h3>Results</h3><p>All operations were performed robotically, and six operations were combined with other sites resection. The average operation time was 207.69 ​± ​104.81 ​min (single caudate lobectomy: 155.71 ​± ​45.41 ​min); intraoperative bleeding volume was 102.31 ​± ​158.84 ​ml (single: 42.14 ​± ​30.26 ​ml); and the average postoperative hospital stay was 5.08 ​± ​3.04 days (single: 3 ​± ​0.82 days). No deaths or serious surgical complications occurred perioperatively.</p></div><div><h3>Conclusion</h3><p>This study suggests that robotic surgery is safe, effective, and feasible for liver caudate lobectomy.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"5 ","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000801/pdfft?md5=8c67f329ea5d33dc370f9c4115f998c0&pid=1-s2.0-S2666676622000801-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82592632","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 experience of minimally invasive duodenum preserving pancreatic head resection","authors":"Hang Xu ,&nbsp;Jialin Li ,&nbsp;Jiang Liu ,&nbsp;Bo Zhang ,&nbsp;Wei Wang","doi":"10.1016/j.isurg.2022.10.001","DOIUrl":"10.1016/j.isurg.2022.10.001","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, an increasing number of pancreatic surgeons has begun to pay attention to duodenum-preserving pancreatic head resection (DPPHR). The purpose of this article is to summarize our experience in minimally invasive DPPHR.</p></div><div><h3>Methods</h3><p>We retrospectively collected outcome data of twenty consecutive cases of laparoscopic or robotic DPPHR performed between June 2021 and January 2022 in the Fudan University Shanghai Cancer Center.</p></div><div><h3>Results</h3><p>All patients successfully completed the operation under minimally invasive procedures, and in no case conversion to laparotomy or pancreaticoduodenectomy was required. The average operation duration was 293 ​± ​41 ​min (range: 216–393 ​min); the intraoperative blood loss was 163 ​± ​70 ​ml (range: 50–300 ​ml), and no intraoperative blood transfusion was required. A total of ten patients (50%) developed postoperative complications, including one patient who suffered a Clavien-Dindo complication grade ​≥ ​III. The average postoperative length of stay was 16.6 ​± ​5.4 days (range:10–33 days).</p></div><div><h3>Conclusions</h3><p>Minimally invasive DPPHR for benign or low-grade malignant tumors of the head of the pancreas is a safe and effective operation, which can improve the long-term quality of life of patients, and is worthy of clinical application.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"5 ","pages":"Pages 12-15"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622001132/pdfft?md5=8c638c057ddab4c80eb2720b459a3072&pid=1-s2.0-S2666676622001132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82516469","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}