Robotic surgery (Auckland)最新文献

{"title":"Robotic-assisted thymectomy: current perspectives.","authors":"Giuseppe Marulli,&nbsp;Giovanni M Comacchio,&nbsp;Francesca Stocca,&nbsp;Davide Zampieri,&nbsp;Paola Romanello,&nbsp;Francesca Calabrese,&nbsp;Alessandro Rebusso,&nbsp;Federico Rea","doi":"10.2147/RSRR.S93012","DOIUrl":"https://doi.org/10.2147/RSRR.S93012","url":null,"abstract":"<p><p>Thymectomy is the cornerstone in the treatment of thymic tumors and an accepted option for the management of myasthenia gravis. Different surgical approaches have been described, but the gold standard is represented by median sternotomy. In the last two decades, the development of minimally invasive surgery has led to an increased acceptance of thymectomy, especially for benign diseases. Robotic thymectomy seems a further step in the development and evolution of minimally invasive approaches. Since its introduction, different authors described their experience with robotic thymectomy, both for nonthymomatous myasthenia gravis and for thymic tumors. Available data show that robotic thymectomy may be considered a safe and feasible operation. In patients with nonthymomatous myasthenia, robotic thymectomy is effective and the long-term results are encouraging. The role of robotic thymectomy in patients affected by thymoma is still under evaluation, but the intermediate results seem promising both in terms of surgical and oncologic outcomes.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"53-63"},"PeriodicalIF":0.0,"publicationDate":"2016-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S93012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36958001","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":"Renal artery pseudoaneurysm after robotic-assisted partial nephrectomy: case report.","authors":"Emad S Rajih,&nbsp;Mohammed F Alotaibi,&nbsp;Waleed K Alkhudair","doi":"10.2147/RSRR.S106718","DOIUrl":"https://doi.org/10.2147/RSRR.S106718","url":null,"abstract":"<p><p>Renal artery pseudoaneurysm is an uncommonly recognized complication following partial nephrectomy. It is more common with trauma and percutaneous renal intervention. Furthermore, it is rarely reported with minimally invasive laparoscopic partial nephrectomy. Herein, we report the first case to our knowledge of renal artery pseudoaneurysm following a robotic-assisted partial nephrectomy.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"2016-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S106718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36958000","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 nephroureterectomy: current perspectives.","authors":"Xin Ling Teo,&nbsp;Sey Kiat Lim","doi":"10.2147/RSRR.S106792","DOIUrl":"https://doi.org/10.2147/RSRR.S106792","url":null,"abstract":"<p><p>Robot-assisted surgery was just a medical curiosity until the development of the da Vinci robotic system, and since then, it has become a widely accepted surgical treatment for many urological conditions such as prostate carcinoma and renal cell carcinoma. With the increase in the number of urologists using the robot and the improvement in surgeon experience, the use of the robot has been expanded to include performing radical nephroureterectomy (NU) for the treatment of primary upper tract urothelial carcinoma. We performed a literature review on robot-assisted laparoscopic NU with the aim of providing a current perspective on robot-assisted laparoscopic NU for the management of upper tract urothelial carcinoma. Surgical technique, perioperative outcomes, and oncological outcomes are discussed.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"37-48"},"PeriodicalIF":0.0,"publicationDate":"2016-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S106792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36957999","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 pancreatectomies.","authors":"Marco Ramera,&nbsp;Isacco Damoli,&nbsp;Alessandro Giardino,&nbsp;Claudio Bassi,&nbsp;Giovanni Butturini","doi":"10.2147/RSRR.S81560","DOIUrl":"https://doi.org/10.2147/RSRR.S81560","url":null,"abstract":"<p><p>Pancreatic surgery represents one of the most challenging fields in general surgery. Its complexity is related to the severity of the disease and the technical skills required for surgical approach. Given this, most pancreatic resections are performed through classic open surgery. Minimally invasive approaches are gradually gaining widespread popularity also in this specific setting, as for distal resections and enucleations. The robotic platform, due to its 3-dimensional vision and articulated movements, represents the natural progress of laparoscopic surgery overcoming the technical defaults and opening up the possibility to perform major pancreatic resections as pancreaticoduodenectomies. This review focuses on the impact of robotic platform in pancreatic surgery in terms of surgical and oncological outcome.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2016-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S81560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36957046","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":"State of the art transoral robotic surgery for obstructive sleep apnea-hypopnea syndrome.","authors":"Mahalakshmi Rangabashyam,&nbsp;Wenjie Huang,&nbsp;Ying Hao,&nbsp;Hong Juan Han,&nbsp;Shaun Loh,&nbsp;Song Tar Toh","doi":"10.2147/RSRR.S95607","DOIUrl":"https://doi.org/10.2147/RSRR.S95607","url":null,"abstract":"<p><strong>Objective: </strong>To review the existing literature on the role of transoral robotic surgery (TORS) for tongue base reduction in the management of adult obstructive sleep apnea-hypopnea syndrome (OSAHS).</p><p><strong>Methods: </strong>We searched PubMed, MEDLINE, and Scopus databases from the first literature report of this surgical technique to July 30, 2015 for studies investigating the use of TORS for tongue base reduction in treating adult OSAHS. Our primary outcome measures were Apnea- Hypopnea Index (AHI), lowest oxygen saturation (LSAT), Epworth Sleepiness Score (ESS), and the rates of surgical cure (AHI<5) and success (50% reduction in AHI accompanied by a postoperative AHI<20). Our secondary outcome measures were the volume of tissue resected and correlation to AHI, polysomnographic parameters, subjective outcomes, and body mass index. Complications of surgery were also analyzed.</p><p><strong>Results: </strong>Thirteen articles were critically evaluated for this research. However, only four case series qualified for statistical analysis of postoperative polysomnographic outcomes and six case series for analysis of postoperative complications. They were case series with a total of 451 adult patients. Pooled analysis revealed statistically significant improvements in AHI, LSAT, and ESS after surgery by 26.83/hour, 5.28% and -8.03, respectively. The average rates of surgical cure and success were 23.8% and 66.7%, respectively. No study reported any deaths or complications related to the use of robotic equipment. The major complication rate was 6.9%, and the minor complication rate was 30.0%. Major complications included major bleeding (2.9%), severe odynophagia with dehydration (3.3%), and oropharyngeal stenosis (0.7%). Minor complications included transient bleeding (0.5%), transient dysphagia (3.8%), and dysgeusia (6.6%).</p><p><strong>Conclusion: </strong>TORS for tongue base reduction, as a component of multilevel surgery, is an effective treatment option for OSAHS with an acceptable morbidity. This conclusion is based on the analysis of the results of multiple case series. Future studies should entail prospective randomized controlled trials with larger sample size for longer follow-up period.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"13-28"},"PeriodicalIF":0.0,"publicationDate":"2016-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S95607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36957045","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 renal surgery: current status and future directions.","authors":"Manuela Hiess,&nbsp;Christian Seitz","doi":"10.2147/RSRR.S71328","DOIUrl":"https://doi.org/10.2147/RSRR.S71328","url":null,"abstract":"<p><p>This paper examines the current role of robot-assisted renal surgery as complex and partial nephrectomies, including vena cava thrombus, combined nephroureterectomies, living donor nephrectomy, autotransplantation, and difficult anatomy as in patients with obesity or adhesions. Indications for robot-assisted renal surgery are comparable to those of conventional laparoscopic approaches. A reduction in the learning curve leads to a stabilization of the procedure and further increases the number of minimally invasive procedures performed. A Medline literature search for publications on the field of robotic kidney surgery has been performed using the MeSH terms: robotic surgical procedures and kidney. Future directions include progress in robotic technology and instrumentation with further miniaturization of robotic procedures as laparoendoscopic single-site interventions and progress in image-guided robotic surgery.</p>","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"3 ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2016-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RSRR.S71328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36957044","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","authors":"J. Šváb","doi":"10.1007/978-3-030-53594-0","DOIUrl":"https://doi.org/10.1007/978-3-030-53594-0","url":null,"abstract":"","PeriodicalId":92137,"journal":{"name":"Robotic surgery (Auckland)","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84275969","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}