Monopolar electrosurgery through single port laparoscopy may result in visceral burns

ObjectivesTo evaluate the current patterns of use of minimally invasive surgical procedures, including traditional, robotic-assisted, and single-port laparoscopy, by Society of Gynecologic Oncology (SGO) members and to compare the results to those of our 2004 and 2007 surveys.MethodsThe Society of Gynecologic Oncology members were surveyed through an online or mailed-paper survey. Data were analyzed and compared with results of our prior surveys.ResultsFour hundred six (32%) of 1279 SGO members responded. Eighty-three percent of respondents (n = 337) performed traditional laparoscopic surgery (compared with 84% in 2004 and 91% in 2007). Ninety-seven percent of respondents performed robotic surgery (compared with 27% in 2007). When respondents were asked to indicate procedures that they performed with the robot but not with traditional laparoscopy, 75% indicated radical hysterectomy and pelvic lymphadenectomy for cervical cancer. Overall, 70% of respondents indicated that hysterectomy and staging for uterine cancer was the procedure they most commonly performed with a minimally invasive approach. Only 17% of respondents who performed minimally invasive surgery performed single-port laparoscopy, and only 5% of respondents indicated that single-port laparoscopy has an important or very important role in the field.ConclusionsSince our prior surveys, we found a significant increase in the overall use and indications for robotic surgery. Radical hysterectomy or trachelectomy and pelvic lymphadenectomy for cervical cancer and total hysterectomy and staging for endometrial cancer were procedures found to be significantly more appropriate for the robotic platform in comparison to traditional laparoscopy. The indications for laparoscopy have expanded beyond endometrial cancer staging to include surgical management of early-stage cervical and ovarian cancers, but the use of single-port laparoscopy remains limited.

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Single Port Laparoscopy-Assisted Vaginal Hysterectomy, Total Laparoscopic Hysterectomy, and Laparoscopy-Assisted Vaginal Hysterectomy in the Treatment of Benign Uterin Disease

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2012.08.424 ◽

2012 ◽

Vol 19 (6) ◽

pp. S153-S154

Author(s):

J.W. Shin ◽

H.H. Lee

Keyword(s):

Vaginal Hysterectomy ◽

Single Port ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Single Port Laparoscopy

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Development of master-slave magnetic anchoring vision robotic system for single-port laparoscopy (SPL) surgery

Industrial Robot the international journal of robotics research and application ◽

10.1108/ir-01-2018-0016 ◽

2018 ◽

Vol 45 (4) ◽

pp. 458-468

Author(s):

Haibo Feng ◽

Yanwu Zhai ◽

Yili Fu

Keyword(s):

Single Port ◽

Robotic System ◽

Surgical Robot ◽

Distribution Analysis ◽

Robot System ◽

Content Type ◽

Blind Area ◽

Robot Systems ◽

Single Port Laparoscopy ◽

And Performance

Purpose Surgical robot systems have been used in single-port laparoscopy (SPL) surgery to improve patient outcomes. This study aims to develop a vision robot system for SPL surgery to effectively improve the visualization of surgical robot systems for relatively complex surgical procedures. Design/methodology/approach In this paper, a new master-slave magnetic anchoring vision robotic system for SPL surgery was proposed. A lighting distribution analysis for the imaging unit of the vision robot was carried out to guarantee illumination uniformity in the workspace during SPL surgery. Moreover, cleaning force for the lens of the camera was measured to assess safety for an abdominal wall, and performance assessment of the system was performed. Findings Extensive experimental results for illumination, control, cleaning force and functionality test have indicated that the proposed system has an excellent performance in providing the visual feedback. Originality/value The main contribution of this paper lies in the development of a magnetic anchoring vision robot system that successfully improves the ability of cleaning the lens and avoiding the blind area in a field of view.

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Real-time control architecture of a novel Single-Port lapaRoscopy bimaNual roboT (SPRINT)

2012 IEEE International Conference on Robotics and Automation ◽

10.1109/icra.2012.6224984 ◽

2012 ◽

Cited By ~ 11

Author(s):

Marta Niccolini ◽

Gianluigi Petroni ◽

Arianna Menciassi ◽

Paolo Dario

Keyword(s):

Real Time ◽

Single Port ◽

Control Architecture ◽

Real Time Control ◽

Time Control ◽

Single Port Laparoscopy ◽

Bimanual Robot

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Glove single-port laparoscopy-assisted transanal total mesorectal excision for low rectal cancer: a preliminary report

World Journal of Surgical Oncology ◽

10.1186/s12957-019-1744-z ◽

2019 ◽

Vol 17 (1) ◽

Author(s):

Wanglin Li ◽

Boye Dong ◽

Baifu Peng ◽

Jiabao Lu ◽

Zixin Wu ◽

...

Keyword(s):

Rectal Cancer ◽

Total Mesorectal Excision ◽

Hospital Stay ◽

Single Port ◽

Low Rectal Cancer ◽

Transanal Total Mesorectal Excision ◽

Mesorectal Excision ◽

Single Port Laparoscopy ◽

The Mean

Abstract Purpose Glove single-port laparoscopy-assisted transanal total mesorectal excision (TaTME) has been successfully carried out in our medical center. The purpose of this study is to evaluate the feasibility of this emerging operation. Methods This technique was performed by self-made glove single-port laparoscopic platform to radically resect low rectal cancer. Short-term postoperative results, including complications, length of hospital stay, and follow-up results were collected and analyzed statistically. Results There are five consecutive patients (three males, two females) who underwent this surgery and included in this study. The mean distance from the tumor to the anal verge was 4.8 cm (range 4.0–6.0). The surgery was completed in all cases, and the rectal tumor was removed successfully without conversion; circumferential margins of all the excised specimens were negative. The mean time of operation was 338.00 min (range 280–400). The average number of lymph node dissection was 12.20. The average postoperative hospital stay was 8.60 days. During the follow-up (14.80 ± 1.92 months), all preventive ileostomies were successfully closed in about 3 months after the surgery, all patients had satisfactory anal function, and no tumor recurrence was found. Conclusion Glove single-port laparoscopy-assisted TaTME has a significant effect in specific patients with low rectal cancer, with rapid recovery and high safety. Prospective randomized studies involving more case counts and long-term follow-up results, especially oncologic outcomes, are needed to validate this technique.

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