Learning experience using the double-console da Vinci surgical system in gynecology: a prospective cohort study in a University hospital

Hyponatremia is the most common electrolyte disorder, commonly affecting older hospitalized individuals; however, the literature is not clear regarding its effect on mortality. The aim of this 2-year observational prospective cohort study was to evaluate the mortality and re-admission rates, the clinical and laboratory characteristics and the causes of hyponatremia in patients older than 65 years admitted with a corrected serum sodium of 130 mEq/L or less in an internal medicine ward of a tertiary Greek university hospital. During the observation period, 138 patients (mean age 80.5 years, 36.2% male) fulfilled the inclusion criteria and were prospectively followed for 1 year after admission. Symptoms of hyponatremia were present in 59.4% of patients. Hypovolemia was the main sole cause of hyponatremia, but in about one third of patients, hyponatremia was multifactorial. Only a low proportion of patients (12.3%) fulfilled the criteria of the syndrome of inappropriate antidiuresis (SIAD) at admission according to the current guidelines. The re-admission rates at 3- and 12-months following discharge was 34.2% and 51.8%, respectively. Mortality during hospitalization was 17.4% and was higher compared to non-hyponatremic admitted older patients, while the total mortality at 1 year after admission was 28.3%, indicating that hyponatremia at admission is a marker of significant mortality during and after hospitalization in elderly patients.

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Feasibility of Reduced-Port Robotic Surgery for Myomectomy with the da Vinci Surgical System

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2017.04.025 ◽

2017 ◽

Vol 24 (6) ◽

pp. 926-931 ◽

Cited By ~ 3

Author(s):

Jeong Jin Kim ◽

Chahien Choi ◽

Su Hyun Nam ◽

Woo Young Kim

Keyword(s):

Robotic Surgery ◽

Da Vinci ◽

Da Vinci Surgical System ◽

Reduced Port ◽

Vinci Surgical System ◽

Surgical System

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A Scoping Review of Emerging and Established Surgical Robotic Platforms With Applications in Urologic Surgery

Société Internationale d’Urologie Journal ◽

10.48083/ewwq2677 ◽

2021 ◽

pp. 300-310

Author(s):

Braden Millan ◽

Shavy Nagpal ◽

Maylynn Ding ◽

Jason Y. Lee ◽

Anil Kapoor

Keyword(s):

Da Vinci ◽

Da Vinci Surgical System ◽

Pubmed Central ◽

Urologic Surgery ◽

Additional Information ◽

Surgery Research ◽

Robotic Platforms ◽

Distinct Features ◽

Vinci Surgical System ◽

Surgical System

Objectives Since the introduction of the first master–slave robotic platform for surgical procedures, there have been ongoing modifications and development of new platforms, but there is still a paucity of commercially available systems. Our study aims to identify all master–slave robotic surgical platforms currently commercially available or in development around the world with applications in urologic surgery. Methods A scoping literature search was performed using PRISMA methodology to identify all relevant publications in English in PubMed, PubMed Central, and Embase, with additional information being obtained from official company websites. Results Ten robotic platforms with either proven or potential application in urologic surgery were identified: the da Vinci surgical system (Intuitive), Senhance surgical system (Transentrix), Versius Surgical (CMR Ltd), Enos surgical system (Titan Medical), Revo –I (Meere Company), MiroSurge (DLR), Avatera System (Avatera Medical), Hugo Surgical Robot (Medtronic), Ottava (J&J, Ethicon, Areus), and Hinotori (Medicaroid Corporation). Conclusions This review highlights the distinct features of emerging master–slave robotic platforms with applications in urologic surgery. Research and development are now focused on finding wider applications, improving outcomes, increasing availability, and reducing cost. Additional research is required comparing newly developed master–slave robotic platforms with those already well established.

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Totally thoracoscopic surgery for the treatment of atrial septal defect without of the robotic Da Vinci surgical system

Journal of Cardiothoracic Surgery ◽

10.1186/1749-8090-8-119 ◽

2013 ◽

Vol 8 (1) ◽

Cited By ~ 9

Author(s):

Gaoli Liu ◽

Yanli Qiao ◽

Liming Ma ◽

Liangchun Ni ◽

Shanguang Zeng ◽

...

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Da Vinci ◽

Thoracoscopic Surgery ◽

Da Vinci Surgical System ◽

Vinci Surgical System ◽

Surgical System

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Indwelling urinary catheters, aortic valve treatment and delirium: a prospective cohort study

BMJ Open ◽

10.1136/bmjopen-2018-021708 ◽

2018 ◽

Vol 8 (11) ◽

pp. e021708 ◽

Cited By ~ 2

Author(s):

Leslie SP Eide ◽

Anette H Ranhoff ◽

Sandra Lauck ◽

Bengt Fridlund ◽

Rune Haaverstad ◽

...

Keyword(s):

Cohort Study ◽

Aortic Valve ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Postoperative Delirium ◽

Primary Outcome ◽

University Hospital ◽

Transcatheter Aortic Valve ◽

The Difference ◽

Valve Implantation

ObjectivesTo determine whether an association exists between delirium and length of time indwelling urine catheters (IUC) are used in octogenarian patients treated with surgical aortic valve treatment (SAVR) or transcatheter aortic valve implantation (TAVI).DesignProspective cohort study.SettingTertiary university hospital covering the western region of Norway.ParticipantsOctogenarian patients undergoing elective SAVR or TAVI and willing to participate in the study were eligible. Patients unable to speak Norwegian were excluded. Between 2011 and 2013, 143 consecutive patients were included, and data from 136 of them are presented.Primary outcomeDelirium.ResultsLogistic regression analysis shows that lower cognitive function was positively associated with delirium (OR 0.86, CI 0.74 to 0.99, p=0.047). Besides, the interaction term in the model shows that IUC use and delirium differed between SAVR and TAVI patients (p=0.04). The difference corresponded to a weaker association between hours of IUC use and delirium for SAVR (OR 1.01, CI: 0.99 to 1.03, p=0.54) compared with that for TAVI (OR 1.04, CI: 1.01 to 1.08, p=0.004).ConclusionsThe association between IUC use and delirium is stronger for octogenarian patients treated with TAVI than for patients who received SAVR. Our results revealed a previously unknown association between the number of hours an IUC is used and postoperative delirium in octogenarian patients treated with TAVI.

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