scholarly journals Robot-assisted procedure versus open surgery for simultaneous resection of colorectal cancer with liver metastases: Short-term outcomes of a randomized controlled study

2017 ◽  
Vol 28 ◽  
pp. x42 ◽  
Author(s):  
J. Xu ◽  
Y. Wei ◽  
W. Chang ◽  
M. Jian ◽  
Q. Ye ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Liver Metastases ◽  
Open Surgery ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Robot Assisted ◽  
Short Term ◽  
Randomized Controlled ◽  
Simultaneous Resection

Robotic procedure versus open surgery for simultaneous resection of colorectal cancer with liver metastases: Short-term outcomes of a randomized controlled study.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 3575-3575
Author(s):  
Jianmin Xu ◽  
Ye Wei ◽  
Qinghai Ye ◽  
Xiaoying Wang ◽  
Wenju Chang ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Robotic Surgery ◽  
Sexual Function ◽  
Liver Metastases ◽  
Open Surgery ◽  
Robotic Arm ◽  
Robot Assisted ◽  
Short Term ◽  
Safety And Efficacy ◽  
Robotic Procedure

3575 Background: The simultaneous resecting both colorectal cancer and liver metastases is a safety and efficacy surgical procedure for treating colorectal cancer patients with liver metastases (CRCLM).The safety and efficacy of robot-assisted simultaneous resection of CRCLM is unclear. Furthermore, what kind of selective CRCLM patients would obtain benefits from robotic procedure need identify. The aim of this study was designed to compare robotic procedure with open surgery, and establish robotic surgery indications to identify benefit population of CRCLM. Methods: CRCLM patients were evaluated and confirmed with surgical indication by multidisciplinary team (MDT), and randomized to two groups, robotic arm (n = 58) and open arm (n = 57). The primary endpoint is 3-year DFS, the second endpoints include short-term surgical outcomes, complications and safety. Results: A total of 115 patients were randomized between September 2013 and September 2016. Despite longer operating time, patients assigned to robot-assisted surgery had less blood loss (100ml vs. 150ml, P < 0.001), a shorter time to pass first flatus (3 d vs. 4 d, P < 0.001) and return to diet (3 d vs. 5 d, P = 0.002), shorter hospital stay with improved sexual function. Furthermore, followed benefits were observed in robotic arm versus open arm: lower serum C reactive protein (CRP) level on postoperative day 1 (POD1) (16 mg/L vs. 37 mg/L,P < 0.001), and POD3 (112 mg/L vs. 160 mg/L, P < 0.001), lower level of liver transaminase on POD5, and lower liver-related complication morbidity(10.3% vs 28.1%, p = 0.016). In addition, we identified and recommended selective CRCLM patients with the number of liver metastases < 3, maximal tumor size < 5cm, tumor not located in segment I to accept robotic procedure. Conclusions: We identified and recommended selective CRCLM patients to accept robotic surgery for treating liver metastases. Robotic surgery result in similar safety as open procedure, with shorter recovery time, decreased morbidity, and improved sexual function. Clinical trial information: NCT02642978.

Short-term effects of estrogen, tamoxifen and raloxifene on hemostasis: a randomized-controlled study and review of the literature

2005 ◽  
Vol 116 (1) ◽  
pp. 1-13 ◽  
Author(s):  
F. Cosman ◽  
M. Baz-Hecht ◽  
M. Cushman ◽  
M.D. Vardy ◽  
J.D. Cruz ◽  
...  
Keyword(s):  
Randomized Controlled Study ◽  
Controlled Study ◽  
Review Of The Literature ◽  
Short Term ◽  
Randomized Controlled ◽  
Short Term Effects

scholarly journals Pedicle screw insertion in spine: a randomized controlled study for robot-assisted spinal surgery

10.29007/nbg2 ◽  
2018 ◽  
Author(s):  
Wei Tian ◽  
Mingxing Fan ◽  
Yajun Liu
Keyword(s):  
Pedicle Screw ◽  
Spinal Surgery ◽  
Entry Point ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Mean Deviation ◽  
Robot Assisted ◽  
Group Assessment ◽  
Randomized Controlled ◽  
End Point

To introduce a new robot-assisted surgical system for spinal posterior fixation which called TiRobot, based on intraoperative three-dimensional images. TiRobot has three components: the planning and navigation system, optical tracking system and robotic arm system. By combining navigation and robot techniques, TiRobot can guide the screw trajectories for orthopedic surgeries.In this randomized controlled study approved by the Ethics Committee, 40 patients were involved and all has been fully informed and sign the informed consent. 17 patients were treated by free-hand fluoroscopy-guided surgery, and 23 patients were treated by robot-assisted spinal surgery.A total of 190 pedicle screws was implanted. The overall operation time were not different for both groups. None of the screws necessitated re-surgery for revised placement. In the robot-assisted group, assessment of pedicle screw accuracy showed that 102 of 102 screws (100%) were safely placed (&lt;2 mm, category A+B). And mean deviation in entry point was 1.70 +/- 0.83mm, mean deviation in end point was 1.84 +/- 1.04mm. In the conventional freehand group, assessment of pedicle screw accuracy showed that 87 of 88 (98.9%) were safely placed (&lt;2 mm, category A+B), 1 screw fall in category C, mean deviation in entry point was 3.73 +/- 2.28mm, mean deviation in end point was 4.11 +/- 2.31mm.This randomized controlled study verified that robot-assisted pedicle screw placement with real-time navigation is a more accuracy and safer method, also revealed great clinical potential of robot-assisted surgery in the future.

Noble metal alloy-coated latex versus silicone Foley catheter in short-term catheterization: A randomized controlled study

2011 ◽  
Vol 45 (4) ◽  
pp. 258-264 ◽  
Author(s):  
Karin Stenzelius ◽  
Siv Persson ◽  
Ulla-Britt Olsson ◽  
Monica Stjärneblad
Keyword(s):  
Noble Metal ◽  
Foley Catheter ◽  
Metal Alloy ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Short Term ◽  
Randomized Controlled

scholarly journals METFORMIN: an efficacy, safety and pharmacokinetic study on the short-term and long-term use in obese children and adolescents – study protocol of a randomized controlled study

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 207 ◽  
Author(s):  
Marloes P van der Aa ◽  
Marieke AJ Elst ◽  
Edgar GAH van Mil ◽  
Catherijne AJ Knibbe ◽  
Marja MJ van der Vorst
Keyword(s):  
Children And Adolescents ◽  
Study Protocol ◽  
Pharmacokinetic Study ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Obese Children ◽  
Short Term ◽  
Randomized Controlled

Rationale and trial design of a randomized, controlled study on short-term psychotherapy after acute myocardial infarction: the STEP-IN-AMI trial (Short Term Psychotherapy in Acute Myocardial Infarction)

2009 ◽  
Vol 10 (12) ◽  
pp. 947-452 ◽  
Author(s):  
Adriana Roncella ◽  
Antonella Giornetti ◽  
Cinzia Cianfrocca ◽  
Vincenzo Pasceri ◽  
Francesco Pelliccia ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Trial Design ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Short Term ◽  
Randomized Controlled
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