Zukunft der Laparoskopie und Robotik in der Urologie

2018 ◽  
Vol 49 (06) ◽  
pp. 488-499
Author(s):  
Jens Rassweiler ◽  
Ali Goezen ◽  
Jan-Thorsten Klein ◽  
Marie-Claire Rassweiler-Seyfried
Keyword(s):  
Da Vinci ◽  
Da Vinci System ◽  
Vinci System

ZusammenfassungDie Robotik hat die klassische Laparoskopie in den letzen Jahren etwas an den Rand gedrängt. Dennoch hat sich auch die Laparoskopie und Retroperitoneoskopie in den letzten Jahren technologisch weiterentwickelt mit 4K-Ultra-HD-Videotechnologie, 3D-HD-Videosystemen, miniaturisierten Instrumenten, modernen Schneid- und Koagulationsverfahren, Instrumenten mit 7 Freiheitsgraden und ergnomischen Plattformen Ethos Chair®. Aufgrund der auslaufendenden Patente von Intuitive Surgical wird ab 2019 eine Konkurrenzsituation mit neuen Herstellern von Operationsrobotern existieren. Diese müssen erst belegen, ob sie den hohen Qualitätsstandard der Da-Vinci-Serie (SI, X, XI) bieten können. Dies betrifft die Art der Konsole, Anordnung der Roboterarme, Technologie des 3D-Videosystems und Qualität und Freiheitsgrade der Endeffektoren. Robotersysteme für die Endourologie sind Avicenna Roboflex® für die flexible Ureteroskopie und AquaBeam®-System für die Roboter-assistierte Aquaablation der Prostata. Während Roboflex ähnlich dem Da-Vinci-System die Ergonomie des Eingriffes erleichtert, ersetzt die robotergestützte Aquaablation erstmals den Operateur.

scholarly journals The First Korean Experience of Telemanipulative Robot-Assisted Laparoscopic Cholecystectomy Using the da Vinci System

2007 ◽  
Vol 48 (3) ◽  
pp. 540 ◽  
Author(s):  
Chang Moo Kang ◽  
Hoon Sang Chi ◽  
Woo Jin Hyeung ◽  
Kyung Sik Kim ◽  
Jin Sub Choi ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Da Vinci ◽  
Robot Assisted ◽  
Da Vinci System ◽  
Vinci System

scholarly journals Da Vinci Robot-Assisted Excision of a Vallecular Cyst: A Case Report

2005 ◽  
Vol 84 (3) ◽  
pp. 170-172 ◽  
Author(s):  
Ian K. McLeod ◽  
Patrick C. Melder
Keyword(s):  
Case Report ◽  
Da Vinci ◽  
Da Vinci Surgical System ◽  
Robotic Technology ◽  
Da Vinci Robot ◽  
Da Vinci System ◽  
Vinci System ◽  
Potential Applications ◽  
Vinci Surgical System ◽  
Surgical System

The da Vinci Surgical System is a new and exciting entrant into the field of robotic technology. This system is undergoing considerable research and is being practically applied in general surgery, cardiothoracic surgery, urology, and gynecology. We have previously described our experience with the da Vinci system in the laboratory setting, and we have reviewed its potential applications in otolaryngology. Here we present a case report of the first da Vinci-assisted excision of a vallecular cyst in a human. Although we initially encountered some difficulties in the setup, we were able to perform the procedure with moderate ease and without complication. The potential of the da Vinci system in otolaryngology is promising. Further research is needed to explore all of its possible uses in our field.

Robotic-assisted hiatal hernia surgery with the da Vinci system: A 2-year experience in a single institution

2015 ◽  
Vol 12 (2) ◽  
pp. 112-114
Author(s):  
Arun Prasad ◽  
Ramesh Kumar Aggarwal ◽  
Abhishek Tiwari ◽  
Vachan S. Hukkeri
Keyword(s):  
Hiatal Hernia ◽  
Da Vinci ◽  
Single Institution ◽  
Hernia Surgery ◽  
Robotic Assisted ◽  
Da Vinci System ◽  
Vinci System ◽  
System A

99 How much intuitive is the da Vinci system? Validation of the Intuitive Surgical System training practicum

2011 ◽  
Vol 10 (8) ◽  
pp. 567
Author(s):  
S. Crivellaro ◽  
M. Abbinante ◽  
A. Palazzetti ◽  
E. Finotto ◽  
B. Frea
Keyword(s):  
Da Vinci ◽  
Da Vinci System ◽  
Vinci System ◽  
System Validation ◽  
Surgical System

Role of a Double Docking to Improve Lymph Node Dissection: When Robotically Assisted Laparoscopy for Para-aortic Lymphadenectomy Is Associated to a Pelvic Procedure

2015 ◽  
Vol 25 (2) ◽  
pp. 331-336 ◽  
Author(s):  
Oona Franké ◽  
Fabrice Narducci ◽  
Elisabeth Chereau-Ewald ◽  
Marion Orsoni ◽  
Camille Jauffret ◽  
...  
Keyword(s):  
Lymph Node ◽  
Operative Time ◽  
Da Vinci ◽  
Lymph Node Count ◽  
Da Vinci System ◽  
Vinci System ◽  
Estimated Blood Loss ◽  
Aortic Lymph Node ◽  
Node Count ◽  
Robotically Assisted Laparoscopy

ObjectiveThe objective of this study was to demonstrate that robotically assisted laparoscopy for aortic lymph node dissection was improved when double docking (DD) of the Da Vinci system is used for combined surgical procedures [defined by the combination of a pelvic procedure and a para-aortic lymphadenectomy (PAL)].MethodsFrom February 2007 to February 2013, 41 patients underwent combined procedures including PAL up to the left renal vein in 2 cancer centers. We used 2 different approaches as follows: a single docking (SD) of the Da Vinci system (transperitoneal PAL and pelvic surgery) during the first period (22 patients) and a DD during the second period (19 patients). We recorded retrospectively the lymph node count (main criteria), operative time, estimated blood loss, hospital stay, and postoperative complications.ResultsWe observed a statistical difference between SD and DD concerning aortic lymph node count (5.86 vs 10.89,P< 0.005). Operative time is longer in the DD group (326.1 vs 239.4 minutes,P< 0.05). No difference was observed concerning estimated blood loss. Hospital stay was longer in the DD group (4.9 vs 3.2 days,P< 0.05). Only 1 conversion to open was described in the SD group.ConclusionsIn our experience of robotically assisted laparoscopy, when PAL is combined to a pelvic procedure, the use of a DD seems to improve aortic lymph node count.Despite a longer operative time compared to SD, DD seems to be a good solution to combine the advantages of robotic assistance to our quality criteria of aortic dissection.SynopsisWe compare 2 techniques to realize robotic assisted para-aortic lymphadenectomy combined with pelvic procedure. Double docking seems to improve histological results compared to single docking.

Sign in / Sign up

Export Citation Format

Share Document