scholarly journals “Five on a Dice” Port Placement Allows for Successful Robot-Assisted Left Pneumonectomy

2017 ◽  
Vol 06 (01) ◽  
pp. e42-e44
Author(s):  
Najah Khan ◽  
Vid Fikfak ◽  
Edward Chan ◽  
Min Kim
Keyword(s):  
Pulmonary Resection ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Robot Assisted ◽  
Port Placement ◽  
Primary Tumors ◽  
Computer Aided Surgery ◽  
Technological Advances ◽  
Lower Lung ◽  
Left Pneumonectomy

Background Technology has evolved to facilitate pulmonary resection. The latest technological advances in computer-aided surgery (Da Vinci Xi) allow for more control during pulmonary resection. Case Description A 59-year-old woman presented with two primary tumors of the left upper and lower lung. After induction chemotherapy, patient had a “five on a dice” port placement and technique was used to perform successful robot-assisted pneumonectomy. The patient was discharged home on postoperative day 3 without any complications. Conclusions We have found that the “five on a dice” port placement allows for optimal control of the robot stapler and facilitates successful robot-assisted left pneumonectomy.

Full Robotic Colorectal Resections for Cancer Combined With Other Major Surgical Procedures: Early Experience With the da Vinci Xi

2017 ◽  
Vol 24 (4) ◽  
pp. 321-327 ◽  
Author(s):  
Luca Morelli ◽  
Gregorio Di Franco ◽  
Simone Guadagni ◽  
Matteo Palmeri ◽  
Desirée Gianardi ◽  
...  
Keyword(s):  
Da Vinci ◽  
Da Vinci Xi ◽  
Port Placement ◽  
Synchronous Tumors ◽  
Lower Quadrant ◽  
Surgical Interventions ◽  
Abdominal Organs ◽  
Simultaneous Procedures ◽  
The Mean ◽  
The Right

Background. The da Vinci Xi has been developed to overcome some of the limitations of the previous platform, thereby increasing the acceptance of its use in robotic multiorgan surgery. Methods. Between January 2015 and October 2015, 10 patients with synchronous tumors of the colorectum and others abdominal organs underwent robotic combined resections with the da Vinci Xi. Trocar positions respected the Universal Port Placement Guidelines provided by Intuitive Surgical for “left lower quadrant,” with trocars centered on the umbilical area, or shifted 2 to 3 cm to the right or to the left, depending on the type of combined surgical procedure. Results. All procedures were completed with the full robotic technique. Simultaneous procedures in same quadrant or left quadrant and pelvis, or left/right and upper, were performed with a single docking/single targeting approach; in cases of left/right quadrant or right quadrant/pelvis, we performed a dual-targeting operation. No external collisions or problems related to trocar positions were noted. No patient experienced postoperative surgical complications and the mean hospital stay was 6 days. Conclusions. The high success rate of full robotic colorectal resection combined with other surgical interventions for synchronous tumors, suggest the efficacy of the da Vinci Xi in this setting.

Da Vinci Xi robot-assisted adrenalectomy for masses larger than 4 cm: Experience from a single high volume centre

2017 ◽  
Vol 16 (3) ◽  
pp. e2039-e2040
Author(s):  
N. Buffi ◽  
G. Lughezzani ◽  
G. Lista ◽  
D. Maffei ◽  
R. Peschechera ◽  
...  
Keyword(s):  
Da Vinci ◽  
High Volume ◽  
Da Vinci Xi ◽  
Robot Assisted

scholarly journals Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi: A case report

2019 ◽  
Vol 7 (12) ◽  
pp. 1461-1466 ◽  
Author(s):  
Luca Morelli ◽  
Niccolò Furbetta ◽  
Desirée Gianardi ◽  
Matteo Palmeri ◽  
Gregorio Di Franco ◽  
...  
Keyword(s):  
Case Report ◽  
Pancreatic Necrosis ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Robot Assisted

Rektumkarzinom – Robotic Setup, Port Placement, strukturierte OP-Schritte

2020 ◽  
Vol 145 (03) ◽  
pp. 225-233 ◽  
Author(s):  
Andreas Türler ◽  
Haug-Lambert Loriz ◽  
Tatjana Schröder ◽  
Nicola Cerasani
Keyword(s):  
Da Vinci ◽  
Da Vinci Xi ◽  
Port Placement ◽  
Tiefe Anteriore Resektion ◽  
Tiefe Anteriore Rektumresektion

ZusammenfassungDie robotische tiefe anteriore Rektumresektion beim Rektumkarzinom findet zunehmend Verbreitung in Europa. Es ergeben sich sowohl onkologisch als auch funktionell potenzielle Vorteile gegenüber dem konventionellen laparoskopischen Zugang. Die neue Generation der Operationsroboter, insbesondere das Da-Vinci-Xi-System von Intuitive, erweitert die Möglichkeiten des robotischen Zuganges, insbesondere bei der Mobilisation der linken Kolonflexur. Dementsprechend kann die tiefe anteriore Resektion sicher, komplikationsarm und ohne Hybridunterstützung robotisch durchgeführt werden. In der vorliegenden Arbeit werden das Setup des Roboters, das Port Placement und die Operationsschritte bei der robotischen tiefen anterioren Resektion beschrieben. Hierbei werden sowohl die Besonderheiten des Da-Vinci-Xi- als auch des -X-Systems hervorgehoben. Potenzielle Vorteile gegenüber dem laparoskopischen Zugang durch eine bessere 3-dimensionale Visualisierung des Operationssitus durch eine Erhöhung der Bewegungsfreiheitsgrade und durch eine erhöhte Präzision der Instrumentenführung können zu verbesserten Resultaten der Rektumchirurgie führen. Bisher ist die Evidenz allerdings zu schwach, um die robotische tiefe anteriore Rektumresektion als Standardzugang beim Rektumkarzinom zu empfehlen.

scholarly journals Technical essential aspects in robotic colorectal surgery: mastering the Da Vinci Si and Xi platforms

2021 ◽  
Vol 48 ◽  
Author(s):  
ANDRE LUIZ GIOIA MORRELL ◽  
ALEXANDER CHARLES MORRELL-JUNIOR ◽  
ALLAN GIOIA MORRELL ◽  
ELIAS COUTO ALMEIDA-FILHO ◽  
DUARTE MIGUEL FERREIRA RODRIGUES RIBEIRO ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Da Vinci ◽  
Port Placement ◽  
Technical Aspects ◽  
Essential Condition ◽  
Practical Applications ◽  
Technological Advances ◽  
Robotic Colorectal Surgery ◽  
Standard Laparoscopy

ABSTRACT Background: laparoscopy surgery has many proven clinical advantages over conventional surgery and more recently, robotic surgery has been the emerging platform in the minimally invasive era. In the colorectal field, although overcoming limitations of standard laparoscopy, robotic surgery still faces challenging situations even by the most experienced colorectal surgeons. This study reports essentials technical aspects and comparison between Da Vincis Si and Xi platforms aiming to master and maximize efficiency whenever performing robotic colorectal surgery. Methods: this study overviews the most structured concepts and practical applications in robotic colorectal surgery in both Si and Xi Da Vinci platforms. Possible pitfalls are emphasized and step-wise approach is described from port placement and docking process to surgical technique. We also present data collected from a prospectively maintained database. Results: our early experience includes forty-four patients following a standardized total robotic left-colon and rectal resection. Guided information and practical applications for a safe and efficient robotic colorectal surgery are described. We also present illustrations and describe technical aspects of a standardized procedure. Conclusion: performing robotic colorectal surgery is feasible and safe in experienced surgeons hands. Although the Da Vinci Xi platform demonstrates greater versatility in a more user-friendly design with technological advances, the correct mastery of technology by the surgical team is an essential condition for its fully robotic execution in a single docking approach.

scholarly journals Da Vinci Xi Robot–Assisted Penetrating Keratoplasty

2017 ◽  
Vol 6 (3) ◽  
pp. 21 ◽  
Author(s):  
Jimmy Chammas ◽  
Arnaud Sauer ◽  
Joëlle Pizzuto ◽  
Fabienne Pouthier ◽  
David Gaucher ◽  
...  
Keyword(s):  
Penetrating Keratoplasty ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Robot Assisted
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