Robotic-assisted versus laparoscopic approach of Bai-Jiang-style vagus nerve-preserving splenectomy and azygoportal disconnection

2022 ◽  
Author(s):  
Dou-Sheng Bai ◽  
Sheng-Jie Jin ◽  
Xiao-Xing Xiang ◽  
Jian-Jun Qian ◽  
Chi Zhang ◽  
...  
Keyword(s):  
Vagus Nerve ◽  
Laparoscopic Approach ◽  
Robotic Assisted

Is Robotic-Assisted Inguinal Hernia Repair Comparable or Superior to Laparoscopic Approach?

2018 ◽  
Vol 227 (4) ◽  
pp. e20-e21
Author(s):  
Pedro P. Gomez ◽  
Guilherme S. Mazzini ◽  
Jad Khoraki ◽  
Gretchen R. Aquilina ◽  
Jennifer Salluzzo ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Approach ◽  
Robotic Assisted

scholarly journals Evolving trends in the surgical staging of endometrial cancer patients in Germany: Analysis of a nationwide registry with special emphasis on perioperative outcomes

2021 ◽  
Author(s):  
Katrin Roth ◽  
Klaus Kaier ◽  
Peter Stachon ◽  
Constantin von zur Mühlen ◽  
Florin-Andrei Taran ◽  
...  
Keyword(s):  
Endometrial Carcinoma ◽  
Prolonged Mechanical Ventilation ◽  
Laparoscopic Approach ◽  
International Classification Of Diseases ◽  
Surgical Staging ◽  
Perioperative Outcomes ◽  
Robotic Assisted ◽  
Classification Of Diseases ◽  
Prolonged Hospital ◽  
Robotic Assisted Laparoscopy

Abstract Purpose The present study compared the use and outcomes of open surgical staging, laparoscopic surgical staging and robotic-assisted surgical staging in all patients suffering from endometrial carcinoma undergoing surgery in Germany between 2007 and 2018. Methods All patients with the diagnosis of endometrial carcinoma undergoing open surgical staging, laparoscopic surgical staging and robotic-assisted surgical staging were identified by international classification of diseases (ICD) or specific operational codes (OPS) within the database of the German federal bureau of statistics. Results Between 2007 and 2018, a total of 85,204 patients underwent surgery for endometrial carcinoma. Since 2013 laparoscopy was the leading approach in the surgical staging. The use of robotic-assisted laparoscopy increased steadily since 2011 with a share of 3% in 2018. Open surgical staging was associated with a higher risk of in-hospital mortality than laparoscopic surgical staging (1.3% vs. 0.2%, p < 0.001), of prolonged mechanical ventilation (1.3% vs. 0.2%, p < 0.001), and of prolonged hospital stay (13.7 ± 10.2 vs. 7.2 ± 5.3, p < 0.001). 0.04% patients undergoing laparoscopy were converted to laparotomy. The perioperative outcomes of surgical staging by laparotomy compared with robotic-assisted were comparable. None of the robotic-assisted treated patients died or was converted into laparotomy. Costs were highest in the open laparotomy staging group, followed by robotic assisted. Conventional laparoscopic approach caused lowest costs (8286 ± 7533€ vs. 7083 ± 3893€ vs. 6047 ± 3509€). Conclusion The present analysis shows that conventional laparoscopy is the standard therapy of endometrial carcinoma with excellent in-hospital outcomes in clinical practice. Robotic-assisted laparoscopy is an emerging technology with convincing results similar to

Robotic Minor hepatectomy offers a Favorable Learning Curve and May Result in Superior Perioperative Outcomes Compared with Laparoscopic Approach

2017 ◽  
Vol 83 (10) ◽  
pp. 1085-1088 ◽  
Author(s):  
Victoriav O'Connor ◽  
Brooke Vuong ◽  
Su-Tau Yang ◽  
Andrew Difronzo
Keyword(s):  
Complication Rate ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Perioperative Outcomes ◽  
Robotic Assisted ◽  
Estimated Blood Loss ◽  
Specimen Volume ◽  
Grade 3 ◽  
American Society ◽  
American Society Of Anesthesiologists

Minorhepatectomy (MH) is a common type of robotic-assisted liver resection, but few studies compared it with laparoscopic. We compared the perioperative outcomes of patients who underwent robotic (RH) or laparoscopic (LH) minor hepatectomy and evaluated the effect of surgeon's experience on outcomes. A prospective database was used to identify patients from 2009 through 2016 who underwent RH or LH. Two surgeons performed RH starting in 2014, whereas LH had been established before that. Of the 93 patients, 42 were in RH and 51 in LH group. The mean patient age, gender, race, American Society of Anesthesiologists score, proportion of patients with cirrhosis and hepatocellular carcinoma were similar. Operative time, estimated blood loss (EBL), conversion to open, 30-day complication rate, Clavien–Dindo grade ≥ 3 complications, and length of hospital stay (LOS) were similar. There was no difference in average tumor size, specimen volume, or achievement of R0 margin. In RH group, after completing 15 cases, there were no conversions to open. After 25 cases, EBL, LOS, and 30-day complication rate were improved as compared with LH. Perioperative outcomes of robotic MH are equivalent to laparoscopic. After approximately 25 cases, robotic-assisted MH may result in superior outcomes compared with laparoscopic.

scholarly journals Robot-assisted resection of gastric duplication cysts in a child: a detailed case report

2018 ◽  
Vol 40 (2) ◽  
Author(s):  
Riccardo Rizzo ◽  
Gabriele Lisi ◽  
Nino Marino ◽  
Giuseppe Lauriti ◽  
Dacia Di Renzo ◽  
...  
Keyword(s):  
Alimentary Tract ◽  
Laparoscopic Approach ◽  
Surgical Excision ◽  
Surgical Instruments ◽  
Magnetic Resonance Imaging Scan ◽  
Gastric Duplication ◽  
Robotic Assisted ◽  
Cystic Masses ◽  
Detailed Case Report

Gastric duplication cysts (GDCs) represent 4-9% of alimentary tract duplications. Early diagnosis and surgical excision are essential to avoid morbidity or neoplastic degeneration. Roboticassisted excision of GDCs has never been described in childhood. We report an asymptomatic male patient with 2 gastric cystic masses at ultrasonography (US)-study (diameter 25mm and 8mm), increasing in size at follow-up. At 20 months of age, magnetic- resonance-imaging-scan confirmed 2 round gastric masses (44×35mm and 16×12mm, respectively). Two months later, an elective robotic-assisted excision of GDCs was completed without complications. The patient was discharged at day 6 after procedure. Histology confirmed the diagnosis of GDCs. At a 2-year follow- up, US-study did not evidence any issue. In this first reported case of robotic-assisted cystectomy for CGD in childhood, the procedure seems safe, effective, and feasible. This approach improves the movements of the surgical instruments with better 3- D visualization in comparison with the laparoscopic approach.

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