Robotic surgery (Auckland)最新文献

{"title":"Comparison Between Robotic and Laparoscopic or Open Anastomoses: A Systematic Review and Meta-Analysis.","authors":"Ioannis D Kostakis, Harkiran Sran, Raphael Uwechue, Pankaj Chandak, Jonathon Olsburgh, Nizam Mamode, Ioannis Loukopoulos, Nicos Kessaris","doi":"10.2147/RSRR.S186768","DOIUrl":"10.2147/RSRR.S186768","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic surgery has been increasingly used in fashioning various surgical anastomoses. Our aim was to collect and analyze outcomes related to anastomoses performed using a robotic approach and compare them with those done using laparoscopic or open approaches through meta-analysis.</p><p><strong>Methods: </strong>A systematic review was conducted for articles comparing robotic with laparoscopic and/or open operations (colectomy, low anterior resection, gastrectomy, Roux-en-Y gastric bypass (RYGB), pancreaticoduodenectomy, radical cystectomy, pyeloplasty, radical prostatectomy, renal transplant) published up to June 2019 searching Medline, Scopus, Google Scholar, Clinical Trials and the Cochrane Central Register of Controlled Trials. Studies containing information about outcomes related to hand-sewn anastomoses were included for meta-analysis. Studies with stapled anastomoses or without relevant information about the anastomotic technique were excluded. We also excluded studies in which the anastomoses were performed extracorporeally in laparoscopic or robotic operations.</p><p><strong>Results: </strong>We included 83 studies referring to the aforementioned operations (4 randomized controlled and 79 non-randomized, 10 prospective and 69 retrospective) apart from colectomy and low anterior resection. Anastomoses done using robotic instruments provided similar results to those done using laparoscopic or open approach in regards to anastomotic leak or stricture. However, there were lower rates of stenosis in robotic than in laparoscopic RYGB (p=0.01) and in robotic than in open radical prostatectomy (p<0.00001). Moreover, all anastomoses needed more time to be performed using the robotic rather than the open approach in renal transplant (p≤0.001).</p><p><strong>Conclusion: </strong>Robotic anastomoses provide equal outcomes with laparoscopic and open ones in most operations, with a few notable exceptions.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"6 ","pages":"27-40"},"PeriodicalIF":0.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S186768","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37529726","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":"Erratum: Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends [Corrigendum].","authors":"","doi":"10.2147/RSRR.S238276","DOIUrl":"https://doi.org/10.2147/RSRR.S238276","url":null,"abstract":"[This corrects the article DOI: 10.2147/RSRR.S190720.].","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"6 ","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S238276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37529729","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 Surgery: Research and Reviews is indexed in PubMed.","authors":"Masoud Azodi,&nbsp;Dawn Hesson","doi":"10.2147/RSRR.S204381","DOIUrl":"https://doi.org/10.2147/RSRR.S204381","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Robotic Surgery: Research and Reviews 2019:6 1–2 Robotic Surgery: Research and Reviews Dovepress","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"6 ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S204381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37156173","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 hand-guided robotic drill for cochleostomy on human cadavers.","authors":"Xinli Du,&nbsp;Peter N Brett,&nbsp;Yu Zhang,&nbsp;Philip Begg,&nbsp;Alistair Mitchell-Innes,&nbsp;Chris Coulson,&nbsp;Richard Irving","doi":"10.2147/RSRR.S142562","DOIUrl":"https://doi.org/10.2147/RSRR.S142562","url":null,"abstract":"<p><strong>Background: </strong>An arm supported robotic drill has been recently demonstrated for preparing cochleostomies in a pilot research clinical trial. In this paper, a hand-guided robotic drill is presented and tested on human cadaver trials.</p><p><strong>Methods: </strong>The innovative smart tactile approach can automatically detect drilling mediums and decided when to stop drilling to prevent penetrating the endosteum. The smart sensing scheme has been implemented in a concept of a hand guided robotic drill.</p><p><strong>Results: </strong>Experiments were carried out on two adult cadaveric human bodies for verifying the drilling process and successfully finished cochleostomy on three cochlea. The advantage over a system supported by a mechanical arm includes the flexibility in adjusting the trajectory to initiate cutting without slipping. Using the same concept as a conventional drilling device, the user will also be benefit from the lower setup time and cost, and lower training overhead.</p><p><strong>Conclusion: </strong>The hand-guided robotic drill was recently developed for testing on human cadavers. The robotic drill successfully prepared cochleostomies in all three cases.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"5 ","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S142562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36910479","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 vitreoretinal surgery: current perspectives.","authors":"Marina Roizenblatt, Thomas L Edwards, Peter L Gehlbach","doi":"10.2147/RSRR.S122301","DOIUrl":"10.2147/RSRR.S122301","url":null,"abstract":"<p><p>Vitreoretinal microsurgery is among the most technically challenging of the minimally invasive surgical techniques. Exceptional precision is required to operate on micron scale targets presented by the retina while also maneuvering in a tightly constrained and fragile workspace. These challenges are compounded by inherent limitations of the unassisted human hand with regard to dexterity, tremor and precision in positioning instruments. The limited human ability to visually resolve targets on the single-digit micron scale is a further limitation. The inherent attributes of robotic approaches therefore, provide logical, strategic and promising solutions to the numerous challenges associated with retinal microsurgery. Robotic retinal surgery is a rapidly emerging technology that has witnessed an exponential growth in capabilities and applications over the last decade. There is now a worldwide movement toward evaluating robotic systems in an expanding number of clinical applications. Coincident with this expanding application is growth in the number of laboratories committed to \"robotic medicine\". Recent technological advances in conventional retina surgery have also led to tremendous progress in the surgeon's capabilities, enhanced outcomes, a reduction of patient discomfort, limited hospitalization and improved safety. The emergence of robotic technology into this rapidly advancing domain is expected to further enhance important aspects of the retinal surgery experience for the patients, surgeons and society.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"5 ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/c0/rsrr-5-001.PMC5842029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35903286","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 radical cystectomy: patient selection and special considerations.","authors":"Mevlana Derya Balbay, Erdem Koc, Abdullah Erdem Canda","doi":"10.2147/RSRR.S119858","DOIUrl":"10.2147/RSRR.S119858","url":null,"abstract":"<p><p>Robot-assisted (RA) procedures are increasingly being performed as minimally invasive surgical approaches. Less insensible losses due to a closed abdomen, smaller incisions with less retractor strain, decreased analgesic requirements, and earlier postoperative ambulation are suggested advantages of robot-assisted radical cystectomy (RARC). Patients who undergo open radical cystectomy are also candidates for RARC procedure. However, the steep Trendelenburg position and pneumoperitoneum develop a non-physiological condition. Intra-abdominal adhesions preventing the placement of the ports and patients who cannot tolerate the pneumoperitoneum and/or steep Trendelenburg position are special contraindications of RARC. Besides, body mass index >30 kg/m², presence of extravesical disease, bulky lymphadenopathy, previous vascular surgery, previous distal colorectal surgery, previous pelvic radiation, previous pelvic trauma, and/or preexisting cardiovascular/pulmonary disease that is compromised with positioning are not certainly contraindicated but unwanted conditions in which the RARC may be performed successfully as the surgeons gain experience.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"4 ","pages":"101-106"},"PeriodicalIF":0.0,"publicationDate":"2017-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/32/rsrr-4-101.PMC6193425.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36910478","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-assisted Ivor Lewis esophagectomy: technique and early outcomes.","authors":"Ian Nora,&nbsp;Ravi Shridhar,&nbsp;Kenneth Meredith","doi":"10.2147/RSRR.S99537","DOIUrl":"https://doi.org/10.2147/RSRR.S99537","url":null,"abstract":"<p><p>Esophagectomy is pivotal for the long-term survival in patients with early stage and advanced esophageal cancer, and improved perioperative care and advanced surgical techniques have contributed to reduced postoperative morbidity. However, despite these advances, esophagectomy continues to be associated with significant morbidity and mortality. Minimally invasive esophageal surgery (MIE) has been increasingly used in patients undergoing surgery for esophageal cancer. Potential advantages of MIE include the decreased postoperative pain; lower postoperative wound infection, decreased pulmonary complications, and decreased length of hospitalization. Robotic esophageal surgery has the ability to overcome some of the limitations of laparoscopic and thoracoscopic approaches to esophagectomy while maintaining the benefits of the minimally invasive approach. In this article, we will review the clinical efficacy and outcomes associated with robotic-assisted Ivor Lewis esophagectomy (RAIL).</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"4 ","pages":"93-100"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S99537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36910477","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 da Vinci Xi: a review of its capabilities, versatility, and potential role in robotic colorectal surgery.","authors":"James Chi-Yong Ngu,&nbsp;Charles Bih-Shiou Tsang,&nbsp;Dean Chi-Siong Koh","doi":"10.2147/RSRR.S119317","DOIUrl":"10.2147/RSRR.S119317","url":null,"abstract":"<p><p>The Xi is the latest da Vinci surgical system approved for use in colorectal surgery. With its novel overhead architecture, slimmer boom-mounted arms, extended instrument reach, guided targeting, and integrated auxiliary technology, the Xi manages to address several limitations of earlier models. The versatility of this new system allows it to be implemented in a wide range of colorectal procedures - from complex multiquadrant colectomies to challenging mesorectal dissections in the pelvis. While commonly criticized for its cost and prolonged operative time, robotic colorectal surgery holds the potential for enhanced ergonomics, superior precision, and a reduction in the learning curve involved in training an expert surgeon. This review appraises the existing literature on robotic colorectal surgery while elaborating how the improved capabilities of the Xi serve to usher in a new era of minimally invasive colorectal surgery.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"4 ","pages":"77-85"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S119317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36909987","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":"Patient positioning during minimally invasive surgery: what is current best practice?","authors":"Jacqueline M Zillioux,&nbsp;Tracey L Krupski","doi":"10.2147/RSRR.S115239","DOIUrl":"https://doi.org/10.2147/RSRR.S115239","url":null,"abstract":"<p><strong>Introduction: </strong>Positioning injuries are a known surgical complication and can result in significant patient morbidity. Studies have shown a small but significant number of neurovascular injuries associated with minimally invasive surgery, due to both patient and case-specific factors. We sought to review the available literature in regards to pathophysiological and practical recommendations.</p><p><strong>Methods: </strong>A literature search was conducted and categorized by level of evidence, with emphasis on prospective studies. The result comprised 14 studies, which were summarized and analyzed with respect to our study objectives.</p><p><strong>Results: </strong>While incidence of positioning injury has been identified in up to one-third of prospective populations, its true prevalence after surgery is likely 2%-5%. The mechanism is thought to be intraneural disruption from stretching or pressure, which results in decreased perfusion. On a larger scale, this vascular compromise can lead to ischemia and rhabdomyolysis. Prevention hinges on addressing patient modifiable factors such as body mass index, judicious positioning with appropriate devices, and intraoperative team awareness consisting of recurrent extremity checks and time management.</p><p><strong>Conclusion: </strong>The risk for positioning injuries is underappreciated. Surgeons who perform minimally invasive surgery should discuss the potential for these complications with their patients, and operative teams should take steps to minimize risk factors.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"4 ","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2017-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S115239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36909986","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 perspectives in robotic hernia repair.","authors":"Charan Donkor,&nbsp;Anthony Gonzalez,&nbsp;Michelle R Gallas,&nbsp;Michael Helbig,&nbsp;Corey Weinstein,&nbsp;Jaime Rodriguez","doi":"10.2147/RSRR.S101809","DOIUrl":"https://doi.org/10.2147/RSRR.S101809","url":null,"abstract":"<p><p>The surgical treatment of hernias has developed throughout the evolution of surgery. The fascination with hernia surgery is in part driven by its prevalence and by the variety of treatment options. Minimally invasive hernia surgery has a goal of a robust repair with minimal complications, and new robotic techniques are being developed in complex abdominal wall hernias with promising results. This review focuses on inguinal, ventral, and incisional hernias and their outcomes with a discussion on the traditional open, laparoscopic, and robotic techniques. The prevalence of minimally invasive hernia surgery and its advantages are also outlined. We highlight our experience in these procedures, specifically robotic herniorrhaphy, as it pertains to ventral incisional and inguinal hernia repair. We conclude that the robotic platform is proving to be a benefit to hernia repair. Many studies are showing its feasibility and comparable results to standard laparoscopy, and some have shown improved results, including shorter hospital stay without significant increases in cost. The robotic option of hernia repair has resulted in an increase in minimally invasive hernia repair, a number that has remained stagnant for the last decade. With more surgeons gaining training and experience and greater availability of the robotic platform, we expect to see greater numbers of minimally invasive hernia repair.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"4 ","pages":"57-67"},"PeriodicalIF":0.0,"publicationDate":"2017-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S101809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36909984","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}