Robotic Transaxillary Hemithyroidectomy Using the da Vinci SP Robotic System: Initial Experience With 10 Consecutive Cases

Background: Many studies have shown the operative feasibility and safety of robotic thyroidectomy. However, there is still a concern on the operative invasiveness of robotic thyroidectomy owing to the wide flap dissection. The aim of this study was to introduce our novel robotic technique, which can minimize the dissection extent using the da Vinci SP robotic system. Methods: Ten patients underwent robotic transaxillary thyroidectomy using the da Vinci SP robotic system between December 2018 and April 2019 at Yonsei University Hospital (Seoul, Korea). All procedures were performed successfully using the single-port robotic system. Results: All 10 patients were women and diagnosed with papillary thyroid carcinoma. The mean operative time was 148.7 ± 26.8 minutes. The mean operative time using the gasless method was shorter than that using the gas insufflation method (130.5 ± 14.1 vs 176.0 ± 12.8 minutes). All patients were discharged on the third day after operation without any complications. Conclusions: Robotic transaxillary thyroidectomy using the da Vinci SP robotic system is technically feasible and safe with a short length of incision, shorter than what earlier reported. To our knowledge, this is the first study to use a single-port robotic system for thyroidectomy. To verify the superior operative outcomes, further clinical trials are necessary.

Download Full-text

RESULTS OF THE SUTURE OF THE PERFORATION BY SINGLE-PORT LAPAROSCOPIC SURGERY (SPLS) FOR THE PERFORATED DUODENAL ULCER TREATEMENT

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2014.4_5.18 ◽

2014 ◽

pp. 126-132

Author(s):

Huu Tri Nguyen ◽

Van Lieu Nguyen

Keyword(s):

Duodenal Ulcer ◽

Laparoscopic Surgery ◽

Single Port ◽

Previous History ◽

University Hospital ◽

Safe Procedure ◽

Perforated Duodenal Ulcer ◽

Analgesic Requirement ◽

Duodenal Ulcers ◽

The Mean

Background Single-port laparoscopic surgery (SPLS) was increasingly used on several surgical diseases. The aim of this study is evaluation of the results of the suture of the perforation by SPLS for the perforated duodenal ulcer treatement. Methods From January 2012 to July 2014, 35 patients with perforated duodenal ulcers underwent simple suture of the perforations by SPLS at Hue University Hospital and Hue Central Hospital. Results The mean age was 45.9 ± 14.4 years. The sex ratio (male/female) was 16.5 and the mean of BMI was 19.2 ± 2.3. There was one patient (2.9%) with previous history of laparoscopic repair of perforated duodenal ulcer. The duration of the symptoms was 9.9 ± 12.3 hours. 97.1% of patients had the perforations of the anterior wall of the duodenum. The mean size of the perforation was 4.7 ± 3.4 mm (2 – 22mm). 2.9% of patients had the perforations of the posterior wall of the duodenum. The rate of the conversion to the open surgery was 2.9%. The mean operative time was 75.8 ± 33.7min, and the mean hospital stay was 5.8 ± 1.4 days. The mean of the analgesic requirement time was 2.9 ± 0.8 days. The wound length was 1.9 ± 0.1 cm. There was 5.9% of the patients had wound infection. There was no operation-related mortality. Conclusions Simple suture of the perforation by single-port laparoscopic surgery is a feasible and safe procedure, and it may be a scarless surgical technique for perforated duodenal ulcers treatement. Key words: single-port laparoscopic surgery, perforated duodenal ulcer

Download Full-text

EARLY RESULTS OF SINGLE-PORT LAPAROSCOPIC APPENDECTOMY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2017.1.16 ◽

2017 ◽

pp. 103-106

Author(s):

Minh Duc Pham

Keyword(s):

Laparoscopic Appendectomy ◽

Single Port ◽

Operation Time ◽

Invasive Procedure ◽

Minimal Invasive ◽

University Hospital ◽

Early Results ◽

Sils Port ◽

The Mean ◽

A New Technique

Background: Conventional three–port laparoscopic appendectomy is becoming popular for the treatment of acute appendicitis. In this report, we present the early results of a new technique of laparoscopic appendectomy conducted through a single-port. Patients and Methods: From March 2011 to October 2013, we have performed 86 operations Single Port Laparoscopic Appendectomy at Hue University Hospital and Hue Central Hospital. SILS Port (Covidien) is used, it can be performed with basic laparoscopic instruments. Results: In this study, 86 patients underwent Single-Port laparoscopic appendectomy, among them 52.33% were femele, 47.67% were male, female/male ratio was 1.09. The mean age was 33.09. An orther trocar insertion was required in 2 patients (2.33%). The mean operation time was 42.03 minutes and mean postoperative hospital stay 3.37 days. Postoperative complication occurred in 2 case (2.33%) was of omphalitis. During 2 weeks follow up, 2 case (2.33%) was of omphalitis. Conclusions: Single - port intracorporeal appendectomy is a safe, minimal invasive procedure with excellent cosmetic results. Key words: Single Port Laparoscopic Appendectomy, appendectomy

Download Full-text

Assessment of operative times of multiple surgical specialties in a public university hospital

Einstein (São Paulo) ◽

10.1590/s1679-45082017gs3902 ◽

2017 ◽

Vol 15 (2) ◽

pp. 200-205 ◽

Cited By ~ 7

Author(s):

Altair da Silva Costa Jr

Keyword(s):

Operating Room ◽

Operative Time ◽

Cross Sectional Study ◽

Public University ◽

University Hospital ◽

Cross Sectional ◽

Mean Values ◽

Operating Room Planning ◽

Duration Of Surgery ◽

The Mean

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays.

Download Full-text

First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform

Surgical Endoscopy ◽

10.1007/s00464-011-1759-1 ◽

2011 ◽

Vol 25 (11) ◽

pp. 3566-3573 ◽

Cited By ~ 139

Author(s):

Matthew Kroh ◽

Kevin El-Hayek ◽

Steven Rosenblatt ◽

Bipan Chand ◽

Pedro Escobar ◽

...

Keyword(s):

Da Vinci ◽

Single Port ◽

Robotic System ◽

Single Site

Download Full-text

Single-port robotic cholecystectomy. Initial and pioneer experience in Brazil

Einstein (São Paulo) ◽

10.1590/s1679-45082015rc3275 ◽

2015 ◽

Vol 13 (4) ◽

pp. 607-610 ◽

Cited By ~ 1

Author(s):

Vladimir Schraibman ◽

Marina Gabrielle Epstein ◽

Gabriel Naman Maccapani ◽

Antônio Luiz de Vasconcellos Macedo

Keyword(s):

United States ◽

Minimally Invasive Surgery ◽

Da Vinci ◽

Single Port ◽

Global Market ◽

Robotic System ◽

Robotic Platform ◽

Aesthetic Results ◽

Single Port Laparoscopy ◽

The Aesthetic

The technique of a single-port laparoscopy was developed over the last years as an attempt to lower surgical aggression and improve the aesthetic results of the minimally invasive surgery. A new robotic platform used with the da Vinci® Robotic System Single-Site System® (Intuitive Surgical, Sunnyvale, California, United States) was recently launched on the global market and is still not documented in Brazil. The authors report on the first four robotic single-port cholecystectomies performed with this da Vinci® Robotic System in Brazil.

Download Full-text

Technical Modifications Necessary to Implement the da Vinci Single-port Robotic System

European Urology ◽

10.1016/j.eururo.2020.01.005 ◽

2020 ◽

Vol 78 (3) ◽

pp. 415-423 ◽

Cited By ~ 7

Author(s):

Marcio Covas Moschovas ◽

Seetharam Bhat ◽

Travis Rogers ◽

Fikret Onol ◽

Shannon Roof ◽

...

Keyword(s):

Da Vinci ◽

Single Port ◽

Robotic System ◽

Technical Modifications

Download Full-text

Single-Incision Cholecystectomy in about 200 Patients

Minimally Invasive Surgery ◽

10.1155/2011/915735 ◽

2011 ◽

Vol 2011 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Roland Raakow ◽

Dietmar A. Jacob

Keyword(s):

Acute Cholecystitis ◽

Operative Time ◽

Single Incision ◽

Single Port ◽

Standard Procedure ◽

Operation Time ◽

New Approach ◽

Short Learning Curve ◽

Single Incision Surgery ◽

The Mean

Background and Aims. We describe our experience of performing transumbilical single-incision laparoendoscopic cholecystectomy as standard procedure for acute and chronic gallbladder diseases.Methods. Between September 2008 and March 2010, 220 patients underwent laparoscopic single-incision surgery. A single port was used for 196 patients and two conventional 5 mm and one 10 mm port in 24 cases. All operations were performed with straight instruments.Results. Single-incision surgery was successfully performed in 215 patients (98%). Three patients (1.4%) required conversion to a three-port technique and two patients (0.9%) to an open procedure. Average age of 142 women (65%) and 78 men (35%) was 47 years (range: 15–89), average ASA status 2 (range: 1–3) and BMI 28 (range: 15–49). Mean operative time was 62 minutes (range: 26–174) and 57 patients (26%) had histopathological signs of acute cholecystitis. Eleven patients (5%) developed to surgery-related complications and nine (4%) of these required a reoperation. The mean followup was 331.5 (range: 11–590) days.Conclusion. Transumbilical single-incision cholecystectomy is a feasible and safe new approach for routine cholecystectomy. After a short learning curve, operation time and complication rate are comparable with standard multiport operation. In addition, most cases of acute cholecystitis can be performed with this technique.

Download Full-text

EXPERIENCE OF 424 ROBOT-ASSISTED OPERATIONS IN ST-PETERSBURG: RADICAL PROSTATECTOMY, PARTIAL AND RADICAL NEPHRECTOMY

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2016-175-5-74-77 ◽

2016 ◽

Vol 175 (5) ◽

pp. 74-77 ◽

Cited By ~ 1

Author(s):

S. Kh. Al’-Shukri ◽

M. S. Mosoyan ◽

D. Yu. Semenov ◽

D. M. Il’In

Keyword(s):

Survival Rate ◽

Radical Prostatectomy ◽

Radical Nephrectomy ◽

Operative Time ◽

Da Vinci ◽

Robot Assisted ◽

Cancer Specific Survival ◽

Robotic Radical Prostatectomy ◽

The Mean ◽

Mean Time

The article presents the results of 257 robot-assisted radical prostatectomies, 135 partial nephrectomies and 32 radical nephrectomies at the period from 2010 to 2016. The operations were performed on robotic complex da Vinci S. The mean operative time was 170±50 min, 158,4±72,2 min and 143,3±67,3 min, the mean blood loss was 130±35 ml, 213,0±102,2 ml and 141,4±49,0 ml for robotic radical prostatectomy, partial and radical nephrectomy, respectively. The mean time of warm ischemia consisted of 13,1±2,7 min. Five-year cancer-specific survival rate was 100%, 100% and 98%. The overall survival rate was 97,5%, 87% and 92% for robotic radical prostatectomy, partial and radical nephrectomy, respectively.

Download Full-text

Detailed comparison of the da Vinci Xi and S surgical systems for transaxillary thyroidectomy

10.21203/rs.3.rs-25028/v1 ◽

2020 ◽

Author(s):

Da Young Yu ◽

Hye Yoon Lee ◽

Woo Young Kim ◽

Hoon Yub Kim ◽

Jae Bok Lee ◽

...

Keyword(s):

Complication Rate ◽

Da Vinci ◽

Operation Time ◽

Detailed Comparison ◽

Lymph Node Involvement ◽

Robotic Thyroidectomy ◽

Da Vinci Xi ◽

Node Involvement ◽

Central Lymph ◽

Transaxillary Thyroidectomy

Abstract Background Robotic surgical systems have evolved over time. The da Vinci Xi system was developed in 2014 and was expected to solve the shortcomings of the previous S system. Therefore, we conducted this study to compare these two systems and identify if the Xi system truly improves surgical outcomes. Methods In this retrospective study, a total of 86 patients with unilateral papillary thyroid carcinoma without central lymph node involvement underwent gasless transaxillary hemithyroidectomy using two robotic systems, the da Vinci S and Xi. Forty patients were in the da Vinci S group and 46 patients were in the da Vinci Xi group. All surgeries were performed by one surgeon (YWC). All surgery video files were analyzed to compare the duration of each surgical step. Results The total operation time was significantly shorter in the Xi group than in the S group (153.0 min vs. 105.7 min, p < 0.01). Time for robot docking was shorter in the Xi group (19.8 min vs. 10.6 min, p < 0.01), and all procedures performed in the console also required a shorter time in this group. The overall complication rate did not differ significantly (p = 0.464). Conclusions The da Vinci Xi system made robotic thyroidectomy easier and faster without increasing the complication rate. It is a safe and valuable system for robotic thyroidectomy.

Download Full-text