Colorectal Cancer Surgery Using the Da Vinci Xi and Si Systems: Comparison of Perioperative Outcomes

2018 ◽  
Vol 26 (2) ◽  
pp. 192-200 ◽  
Author(s):  
Yu-Min Huang ◽  
Yan Jiun Huang ◽  
Po-Li Wei
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Da Vinci ◽  
Operation Time ◽  
Robotic System ◽  
Cancer Surgery ◽  
Perioperative Outcomes ◽  
Da Vinci Xi ◽  
Colorectal Cancer Surgery ◽  
Estimated Blood Loss

Purpose. Robotic surgery for colorectal cancer is an emerging technique. Potential benefits as compared with the conventional laparoscopic surgery have been demonstrated. However, experience with the previous da Vinci Si robotic system revealed several unsolved problems. The novel features of the new da Vinci Xi increase operational flexibility and maneuverability and are expected to facilitate the performance of multiquadrant surgery. Methods. Between December 2011 and May 2015, 120 patients with colon or rectal cancer were operated on using the Si robotic system (the Si group). Between May 2015 and October 2017, 60 more patients with colon or rectal cancer were operated on using the Xi robotic system (the Xi group). The clinicopathological characteristics and perioperative outcomes of these 2 groups of patients were compared. Results. The 2 groups of patients were comparable with regard to baseline clinical characteristics, types of resection performed, and the proportion of patients undergoing neoadjuvant chemoradiation therapy. The statuses of resection margin, the numbers of lymph nodes harvested, and the rates of postoperative complications were also similar between the 2 groups. Nevertheless, a lower rate of diverting ileostomy, a shorter operation time, less estimated blood loss, and a faster postoperative recovery was observed in the Xi group. Conclusions. Colorectal cancer surgery using the Xi robotic system was associated with improved perioperative outcomes. These benefits may be attributed to its improved, more user-friendly design.

scholarly journals Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy

2019 ◽  
Vol 13 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Daisuke Motoyama ◽  
Ryota Aki ◽  
Yuto Matsushita ◽  
Keita Tamura ◽  
Toshiki Ito ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Da Vinci ◽  
Operative Procedure ◽  
Surgical Margin ◽  
Perioperative Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Da Vinci Xi ◽  
Ischemic Time ◽  
Open Partial Nephrectomy ◽  
Estimated Blood Loss

Background: The objective of this study was to evaluate our experience with robot-assisted partial nephrectomy (RAPN) in comparison with conventional open partial nephrectomy (OPN). Patients and Methods: This study included 37 and 50 patients undergoing OPN and RAPN for small renal masses, respectively. A single surgeon performed RAPN for all 50 cases using the da Vinci Xi. Trifecta was defined as satisfying all of the following 3 criteria: ischemic time of ≤ 25 minutes, negative surgical margin and no major postoperative complications. Results: After adjusting patient variables by 1:1 propensity-score matching, 37 patients were included in each group, and no significant differences in major clinicopathological characteristics were noted between these 2 groups. RAPN was significantly superior to OPN with respect to operative time, estimated blood loss and postoperative length of hospital stay. The rate of trifecta achievement was significantly higher in the RAPN group than in the OPN group (91.9 vs. 62.2%). Furthermore, the operative procedure and R.E.N.A.L. nephrometry score were found to be independently associated with trifecta outcome by multivariate analysis of the entire cohort. Conclusions: Although this is our early experience with 50 initial cases, RAPN using the da Vinci Xi resulted in more favorable perioperative outcomes than OPN.

scholarly journals Comparison of Perioperative Outcomes Using the da Vinci S, Si, X, and Xi Robotic Platforms for BABA Robotic Thyroidectomy

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1130
Author(s):  
Hye Rim Shin ◽  
Keunchul Lee ◽  
Hyeong Won Yu ◽  
Su-jin Kim ◽  
Young Jun Chai ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Standard Method ◽  
Da Vinci ◽  
Operation Time ◽  
Robotic Thyroidectomy ◽  
Robotic Systems ◽  
Perioperative Outcomes ◽  
Da Vinci Xi ◽  
Cosmetic Results ◽  
Robotic Platforms

Background and Objectives: Robotic thyroidectomy via the bilateral axillo-breast approach (BABA), first introduced in Korea in 2008, has become a standard method of thyroid removal worldwide. The introduction of robotic surgical systems has enabled more patients to benefit from BABA robotic thyroidectomy, with good postoperative and excellent cosmetic results. To date, no studies have compared the benefits of the four currently available da Vinci robotic systems (S, Si, X, and Xi) for BABA robotic thyroidectomy. To determine the da Vinci model most suitable for BABA robotic thyroidectomy, the present study compared the perioperative outcomes in patients who underwent BABA robotic thyroidectomy using the four da Vinci models. Materials and Methods: This retrospective study evaluated outcomes in patients (n = 750) who underwent BABA robotic thyroidectomy using the four da Vinci systems from 2013 to 2019. The clinicopathologic data, including operation time, were compared. Substudy A compared the da Vinci models S and Si from 2013 to 2017, and substudy B compared models Si, X, and Xi from 2018 to 2019. Results: Substudy A, comparing the da Vinci S and Si systems, found no statistically significant differences between the two groups, whereas substudy B found that operation time was shorter in patients who underwent BABA robotic thyroidectomy with the da Vinci Xi system than with the Si and X systems. Conclusions: The da Vinci model Xi system can benefit patients undergoing BABA robotic thyroidectomy by shortening the operation time.

scholarly journals Low Anterior Resection of Rectal Cancer and Vaginal Specimen Extraction with Da Vinci Xi

2018 ◽  
Author(s):  
Tuğrul Çakır ◽  
Arif Aslaner
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Da Vinci ◽  
Loop Ileostomy ◽  
Colorectal Anastomosis ◽  
Operation Time ◽  
Da Vinci Xi ◽  
Specimen Extraction ◽  
First Case

Introduction: Novel robotic surgery systems (da Vinci Xi) are superior to classical open and laparoscopic techniques with its clear and three-dimensional view. We aimed to present the first case low anterior resection of rectal cancer and vaginal specimen extraction with Da Vinci Xi.Case: A 75-year-old female patient with rectum adenocarcinoma was undergone robotic-assisted low anterior resection (LAR) of the rectum, vaginal removal of the specimen, colorectal anastomosis and loop ileostomy. The operation time was 190 minutes. There were no postoperative complications. Pathological tumor stage was stage pT1N0 with negative proximal, distal and radial resection margins. The patient was discharged on the third postoperative day.Conclusion: Robot-assisted LAR, total mesorectal excision, vaginal removal of the specimen, colorectal anastomosis, and loop ileostomy can be performed easily and safely with Da Vinci Xi at early stage rectal cancer. And the vaginal extraction of the specimen avoids us from a traditional abdominal incision.

scholarly journals The Effect of Diabetes on the Perioperative Outcomes of Colorectal Cancer Surgery Patients

PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0167271 ◽  
Author(s):  
Raymond Yap ◽  
Simon Wilkins ◽  
Margaret Staples ◽  
Karen Oliva ◽  
Paul J. McMurrick
Keyword(s):  
Colorectal Cancer ◽  
Cancer Surgery ◽  
Perioperative Outcomes ◽  
Colorectal Cancer Surgery

scholarly journals Atvirųjų ir laparoskopinių kolorektalinių onkologinių operacijų palyginimas

2008 ◽  
Vol 6 (4) ◽  
pp. 0-0
Author(s):  
Giedrė Rudinskaitė ◽  
Narimantas Evaldas Samalavičius ◽  
Renatas Tikuišis
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Colon Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Laparoscopic Resection ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
Duration Of Surgery

Giedrė Rudinskaitė1, Narimantas Evaldas Samalavičius2, Renatas Tikuišis31, 2 Vilniaus universiteto Onkologijos instituto Abdominalinės ir bendrosios chirurgijosir onkologijos skyrius, Santariškių g. 1, LT-08660 Vilnius3 Vilniaus universiteto Onkologijos instituto Intensyviosios terapijos ir anesteziologijos skyrius,Santariškių g. 1, LT-08660 VilniusEl paštas: [email protected] Nors minimaliai invaziniu būdu operuojama daugelis neonkologinių ligų, laparoskopinės kolorektalinio vėžio chirurgijos pripažinimas yra daug mažesnis. Priežastis buvo tokie veiksniai kaip operacijos technikos sudėtingumas, kaina, operacijos trukmė, ilga mokymosi kreivė ir rūpestis onkologiniu saugumu. Chirurgų bendruomenei užtruko daugiau nei dešimt metų įteisinti laparoskopinį kolorektalinio vėžio gydymo metodą: jis yra saugus, pacientams užtikrina visus laparoskopinės chirurgijos pranašumus. Duomenys taip pat parodė, kad išgyvenamumas po laparoskopinės ir laparotominės gaubtinės žarnos vėžio rezekcijos nesiskiria. Tyrimai, nagrinėjantys išgyvenamumą po tiesiosios žarnos vėžio laparoskopinės rezekcijos, buvo pradėti vėliau ir 5 metų išgyvenamumo rezultatai dar negauti. Šioje apžvalgoje pateikiami iki šiol gauti ir metaanalizės būdu išnagrinėti kolorektalinio vėžio laparoskopinių operacijų rezultatai Reikšminiai žodžiai: gaubtinės žarnos vėžys, tiesiosios žarnos vėžys, laparoskopinė rezekcija A comparison of laparoscopic and open colorectal cancer surgery Giedrė Rudinskaitė1, Narimantas Evaldas Samalavičius2, Renatas Tikuišis31, 2 Abdominal and General Surgical Oncology Department, Institute of Oncology,University of Vilnius, Santariškiu str. 1, LT-08660 Vilnius, Lithuania3 Intensive Care and Anestesiology Department, Institute of Oncology, University of Vilnius,Santariškių str. 1, LT-08660 Vilnius, LithuaniaE-mail: [email protected] Although minimally invasive surgery has been accepted for a variety of disorders, laparoscopic resection of colorectal cancer surgery gained much less acceptance. The reasons were the factors such as technical complexity, cost, duration of surgery, the long learning curve and concerns about oncologic safety. It took the surgical community more than a decade to admit that the laparoscopic optikon for colorectal cancer is legitimate: it is safe, and it provides the patients with the advantages of minimally invasive surgery. Data indicate that there are no oncologic differences between laparoscopic and open resections for the treatment of primary colon cancer. Initiated later than for colon cancer, the 5-year survival evaluation of the use of laparoscopy in rectal cancer is still ongoing. This review presents recently published metaanalyses of colorectal cancer laparoscopic surgery. Keywords: cancer of colon, rectal cancer, laparoscopic resection

The Surgical Apgar Score Predicts Postoperative Complications in Elderly Patients After Surgery for Colorectal Cancer

2021 ◽  
pp. 000313482110385
Author(s):  
Atsushi Sugimoto ◽  
Tatsunari Fukuoka ◽  
Hisashi Nagahara ◽  
Masatsune Shiutani ◽  
Yasuhito Iseki ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Apgar Score ◽  
Assessment Tool ◽  
Univariate Analysis ◽  
Operation Time ◽  
Estimated Blood Loss ◽  
Surgical Apgar Score

Objective The surgical Apgar score (SAS) has been validated as a risk assessment tool for postoperative complications. However, the utility of the SAS in elderly patients with colorectal cancer remains unclear. In this study, we evaluated the utility of the SAS for predicting the severe complications in elderly patients with colorectal cancer. Methods We retrospectively analyzed 295 patients underwent radical surgery for colorectal cancer in elderly patients ≥75 years old. The SAS was calculated based on 3 intraoperative parameters: estimated blood loss (EBL), lowest mean arterial pressure, and lowest heart rate. Severe complications were defined as Clavien-Dindo classification grade ≥ IIIa. We divided all patients into 2 groups according to with or without severe complications. The optimal cut-off value of SAS for severe complications has been determined by receiver operator characteristic curve. Predictors for severe complications were analyzed by logistic regression modeling. Results Severe complications were observed in 57 patients (19.3%). Male, rectal cancer, operation time (>240 minutes), EBL (≥120 mL), and a low SAS (≤6) were significantly associated with severe complications in univariate analysis. A multivariate analysis revealed that male, rectal cancer, and a low SAS (≤6) were independent predictors for severe complications. Conclusions A low SAS (≤6) was associated with severe complications after colorectal cancer surgery in elderly patients. The SAS is a valuable predictor for severe complications in elderly patients with colorectal cancer.

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