Intelligent Surgery最新文献

{"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":"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}

{"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":"Welcome to the inaugural issue of the journal of the Intelligent Surgery!","authors":"Rong Liu,&nbsp;Sanyuan Hu","doi":"10.1016/j.isurg.2021.01.001","DOIUrl":"10.1016/j.isurg.2021.01.001","url":null,"abstract":"","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isurg.2021.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"108092494","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 first case report of single-port robot-assisted pancreatectomy using the da Vinci SP system","authors":"Rong Liu ,&nbsp;Guo-Dong Zhao ,&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.2022.01.002","DOIUrl":"10.1016/j.isurg.2022.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>To firstly report the single-port robotic-assisted pancreatectomy using the da Vinci SP system and demonstrate the technical feasibility of this platform.</p></div><div><h3>Methods</h3><p>To summarize the clinical data, preoperative preparations, surgical procedures, and postoperative recovery of a female patient with pancreatic serous cystadenoma who underwent single-port robotic-assisted pancreatectomy using the da Vinci SP system in Chinese People’s Liberation Army (PLA) General Hospital on December 24, 2021.</p></div><div><h3>Results</h3><p>The patient underwent successful single-port robotic-assisted pancreatectomy. The operation time was 55 minutes and the estimated blood loss was 20 ml. No significant intraoperative adverse events were observed. The Visual Analogue Scale (VAS) pain intensity score was 3/10 in the immediate postoperative period and 1/10 on postoperative day two. The patient was discharged on postoperative day three with a drainage tube after being confirmed by CT examination that there were no any surgical complications.</p></div><div><h3>Conclusion</h3><p>In conclusion, we first report the single-port pancreatectomy with da Vinci SP system. The successful attempt indicated that the application of single-port robot in uncomplicated pancreas surgery is safe and feasible, but it still needs further clinical practice.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 32-35"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000023/pdfft?md5=cb9e81209b554a2531e6cad4d7ef0486&pid=1-s2.0-S2666676622000023-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73230045","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 smartphone scoliosis screening software for measuring the Cobb angle of adolescent idiopathic scoliosis: a reliability study","authors":"Yuepeng Song,&nbsp;Xinge Shi,&nbsp;Yanzheng Gao,&nbsp;Weiran Hu,&nbsp;Haohao Ma,&nbsp;Xiaonan Wu,&nbsp;Shuai Xing","doi":"10.1016/j.isurg.2022.01.001","DOIUrl":"10.1016/j.isurg.2022.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the accuracy and repeatability of the software that we developed in measuring the adolescent idiopathic scoliosis (AIS) Cobb angle.</p></div><div><h3>Methods</h3><p>Fifty patients with AIS were included in the study. Three independent surveyors measured the Cobb angle of coronal main curve, thoracic kyphosis angle (TK), thoracolumbar kyphosis angle (TLK) and lumbar kyphosis angle (LL) by using protractor, scoliosis screening software and picture archiving and communication system (PACS). The measurement was repeated after an interval of 2 weeks. The measurement time of software method and protractor method were compared by Paired <em>t</em>-test. Taking the Cobb angle measurement results of the PACS as the reference standard. The repeatability of the surveyor and the consistency between the surveyors are compared by the intraclass correlation coefficient (ICC).</p></div><div><h3>Results</h3><p>Among the 50 patients, there were 18 males and 32 females, aged from 10 to 18 years (mean age of 14.4 years). The time of measuring Cobb angle by software method was significantly shorter than that by protractor method (94.7 ​± ​8.5s versus 217.9 ​± ​24.1s, <em>t</em> ​= ​−60.536, <em>P</em> ​&lt; ​0.05). There was no significant difference in Cobb angle measured by software method and PACS method (all <em>P</em> ​&gt; ​0.05). The reliability analysis showed that the three surveyors used software to measure the Cobb angle of the coronal main curve, TK, TLK and LL were all in good consistency (ICC&gt;0.90). The repeatability and consistency of the software method used by the three surveyors were higher than that of the protractor method (ICC&gt; 0.90).</p></div><div><h3>Conclusions</h3><p>Compared with traditional protractor, the smartphone scoliosis screening software has shorter time, higher efficiency, higher accuracy and repeatability in measuring Cobb angle of AIS, so as to widely screen the diagnosis of scoliosis patients.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 8-12"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676622000011/pdfft?md5=d6cb0811e48cd2cd77475824b2bbb2d0&pid=1-s2.0-S2666676622000011-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81427461","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-center experience of robot-assisted sleeve gastrectomy","authors":"Jiang Zhengchen ,&nbsp;Zhu Jiankang ,&nbsp;Zhong Mingwei ,&nbsp;Dong Shuohui ,&nbsp;Li Linchuan ,&nbsp;Wang Shuo ,&nbsp;Li Songhan ,&nbsp;Zhang Guangyong ,&nbsp;Hu Sanyuan","doi":"10.1016/j.isurg.2021.02.001","DOIUrl":"10.1016/j.isurg.2021.02.001","url":null,"abstract":"<div><h3>Background</h3><p>The introduction of the robotic platform to bariatric surgery has brought forth a novel approach. The purpose of this research was to study the advantages and disadvantages of the combination modes of the robotic arm and laparoscopic instruments in robot-assisted sleeve gastrectomy (RASG).</p></div><div><h3>Methods</h3><p>9 The clinical data of 12 patients who underwent RASG in the first affiliated hospital of shandong first medical university from December 2019 to September 2020 were analyzed. According to the different combination modes of laparoscopic instruments and robotic arms, they were divided into two groups: the “4 ​+ ​1″ group (n ​= ​6) and the “3 ​+ ​2” group (n ​= ​6).</p></div><div><h3>Results</h3><p>This study evaluated a total of 12 patients. There were no statistically significant differences in patient demographics characteristics and co-morbid disease. The mean operating time (125.3 ​± ​6.5min in 4 ​+ ​1 versus 127 ​± ​8.3min in 3 ​+ ​2, P ​= ​0.601), length of hospital stay (6.3 ​± ​1.0 ​d in 4 ​+ ​1 versus 5.6 ​± ​1.9 ​d in 3 ​+ ​2, P ​= ​0.221),intraoperative blood loss (31.6 ​± ​9.8 ​ml in 4 ​+ ​1 versus 28.3 ​± ​11.7 ​ml in 3 ​+ ​2, P ​= ​0.713), hospital costs (72487.6 ​± ​1135.1 yuan in 4 ​+ ​1 versus 73433.8 ​± ​5301.5 yuan in 3 ​+ ​2, P ​= ​0.12), excess Weight Loss (EWL)% at 1 month after operation (12.4 ​± ​1.9 in 4 ​+ ​1 versus 13.3 ​± ​2.4 in 3 ​+ ​2, P ​= ​0.634)did not differ between the two groups.</p></div><div><h3>Conclusions</h3><p>Two modes are both feasible and safe for RASG. The surgeon can choose one mode to perform the operation according to the situation of his team.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isurg.2021.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113527786","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":"Da Vinci Xi™ robot-assisted liver resection","authors":"Min Sun ,&nbsp;Weisi Li ,&nbsp;Cheng Zhang ,&nbsp;Shuangxi Li ,&nbsp;Fayong Zhou ,&nbsp;Yuntao Zhu ,&nbsp;Xiaoyang Zhou","doi":"10.1016/j.isurg.2021.10.001","DOIUrl":"10.1016/j.isurg.2021.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>To summarize and think about the surgical process of Da Vinci Xi™ robot-assisted liver resection.</p></div><div><h3>Methods</h3><p>To summarize the clinical data, preoperative preparations, surgical procedures, and postoperative recovery of a patient who underwent Da Vinci Xi™ robot-assisted left hepatectomy in the third ward of the Department of Hepatobiliary and Pancreatic Surgery of the Second Affiliated Hospital of Kunming Medical University in 2021. Discussion to guide future clinical work.</p></div><div><h3>Results</h3><p>The left hemihepatectomy was performed safely and effectively on patients with left intrahepatic bile duct stones with the assistance of Da Vinci Xi™ robot.</p></div><div><h3>Conclusion</h3><p>Da Vinci Xi™ robot's three-dimensional field of vision, stable and flexible manipulator operation and other advantages make it suitable for liver resection surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"1 ","pages":"Pages 16-20"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676621000041/pdfft?md5=3d4400aa7ebccaf0d506e2df66212b3d&pid=1-s2.0-S2666676621000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90383849","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}