scholarly journals Robot-assisted thoracoscopic enucleation for a large esophageal leiomyoma: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kohei Kemuriyama ◽  
Satoru Motoyama ◽  
Yusuke Sato ◽  
Akiyuki Wakita ◽  
Yushi Nagaki ◽  
...  
Keyword(s):  
Surgical Complications ◽  
Da Vinci ◽  
Thoracoscopic Surgery ◽  
Azygos Vein ◽  
Da Vinci Surgical System ◽  
Esophageal Leiomyoma ◽  
Robot Assisted ◽  
Upper Mediastinum ◽  
Vinci Surgical System ◽  
Surgical System

Abstract Background Video-assisted thoracoscopic surgery (VATS) is being used to treat esophageal submucosal tumors (SMTs) all over the world. However, this technique is difficult when the tumor is large and located on the left side wall of the esophagus, within the upper mediastinum. This is because, with VATS, the surgical forceps have a limited range of motion. Robot-assisted thoracoscopic surgery (RATS) using the da Vinci surgical system may be extremely useful for enucleation of esophageal SMTs within the narrow upper mediastinum. Case presentation A female in her thirties experiencing epigastric pain visited our hospital and was diagnosed with a large esophageal leiomyoma within the upper mediastinum. From its size (10 cm), it was judged to have malignant potential. We performed SMT enucleation using RATS with a da Vinci surgical system Xi. This was our second case using this system. The patient was placed in the left lateral position. Four da Vinci trocars (8 mm) were inserted into the 10th, 7th, 5th and 3rd intercostal spaces (ICS), and an assist port was added in the 5th ICS. We opened the superior mediastinal pleura cranially and caudally from the arch of the azygos vein and expanded the superior mediastinum after dividing the azygos vein. We made an incision in the muscular layer of the esophagus and, using a monopolar hook and monopolar scissors, enucleated the esophageal tumor in a protective manner so as not to damage its capsule or mucosa while applying appropriate robot-specific counter traction. We then sewed up the muscularis using 4–0 Vicryl, inserting the endoscope into the thoracic esophagus to substitute for a bougie. In addition, the pleura was sutured using barbed suture. The surgical procedure was straightforward and smooth. The patient was discharged on postoperative day 4 with no surgical complications. The tumor was definitively diagnosed pathologically from paraffin sections as a benign esophageal leiomyoma. Conclusions RATS enables more delicate and precise esophageal SMT enucleation without surgical complications, though various challenges remain to be overcome.

First Robot-Assisted Thyroidectomy in Japan Performed Using a Standard da Vinci Surgical System

2011 ◽  
Vol 36 (5) ◽  
pp. 496-498 ◽  
Author(s):  
Norihiko Ishikawa ◽  
Masahiko Kawaguchi ◽  
Hideki Moriyama ◽  
Nobuhiro Tanaka ◽  
Go Watanabe
Keyword(s):  
Da Vinci ◽  
Da Vinci Surgical System ◽  
Robot Assisted ◽  
Vinci Surgical System ◽  
Surgical System

scholarly journals Robot-assisted major lung resection using the da Vinci Surgical System: The first case in Japan

2010 ◽  
Vol 24 (4) ◽  
pp. 727-732 ◽  
Author(s):  
Takashi Suda ◽  
Hiroshi Sugimura ◽  
Yuka Kitamura ◽  
Sachiko Tochii ◽  
Yoshinobu Hattori
Keyword(s):  
Da Vinci ◽  
Lung Resection ◽  
Da Vinci Surgical System ◽  
Robot Assisted ◽  
First Case ◽  
Vinci Surgical System ◽  
Surgical System

scholarly journals Change of practice patterns in urology with the introduction of the Da Vinci surgical system: the Greek NHS experience in debt crisis era

2015 ◽  
Vol 87 (1) ◽  
pp. 56 ◽  
Author(s):  
Dimitros Deligiannis ◽  
Ioannis Anastasiou ◽  
Vasileios Mygdalis ◽  
Evangelos Fragkiadis ◽  
Konstantinos Stravodimos
Keyword(s):  
Economic Crisis ◽  
Public Hospital ◽  
Da Vinci ◽  
Da Vinci Surgical System ◽  
Hospital Level ◽  
Robot Assisted ◽  
Urologic Surgery ◽  
Vinci Surgical System ◽  
Surgical System ◽  
Robot Assisted Surgery

Objective: To determine the attitudinal change for urologic surgery in Greece since the introduction of the da Vinci Surgical System (DVS). We describe contemporary trends at public hospital level, the initial Greek experience, while at the same time Greece is in economic crisis and funding is under austerity measures. Materials and Methods: We retrospectively analyzed annualized case log data on urologic procedures, between 2008 (installation of the DVS) and 2013, from “Laiko’’ Hospital in Athens. We evaluated, using summary statistics, trends and institutional status regarding robot-assisted surgery (RAS). We also analyzed the relationship between the introduction of RAS and change in total volume of procedures performed. Results: 1578 of the urological procedures performed at “Laiko’’ Hospital were pooled, 1342 (85%) being open and 236 RAS (15%). We observed a 6-fold increase in the number of RAS performed, from 7% of the total procedural volume (14/212) in 2008 to 30% (96/331) in 2013. For radical prostatectomy, in 2008 2% were robot-assisted and 98% open while in 2013, 46% and 54% respectively. Pyeloplasty was performed more often using the robot-assisted method since 2010. RAS-dedicated surgeons increased both RAS and the total number of procedures they performed. From 86 in 2008 to 145 in 2013, with 57% of them being RAS in 2013 as compared to 13 % in 2008. Conclusions: Robot-assisted surgery has integrated into the armamentarium for urologic surgery in Greece at public hospital level. Surgical robot acquisition is also associated with increased volume of procedures, especially prostatectomy, despite the ongoing debate over cost-effectiveness, during economic crisis and International Monetary Fund (IFN) era.

scholarly journals Surgical outcomes of robot-assisted rectal cancer surgery using the da Vinci Surgical System: a multi-center pilot Phase II study

2017 ◽  
Vol 47 (12) ◽  
pp. 1135-1140 ◽  
Author(s):  
Shunsuke Tsukamoto ◽  
Yuji Nishizawa ◽  
Hiroki Ochiai ◽  
Yuichiro Tsukada ◽  
Takeshi Sasaki ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Da Vinci ◽  
Phase Ii Study ◽  
Da Vinci Surgical System ◽  
Rectal Cancer Surgery ◽  
Pilot Phase ◽  
Robot Assisted ◽  
System A ◽  
Vinci Surgical System ◽  
Surgical System

scholarly journals Maximizing Use of Robot-Arm No. 3 in Da Vinci–Assisted Thoracic Surgery

2015 ◽  
Vol 100 (5) ◽  
pp. 930-933 ◽  
Author(s):  
Naohiro Kajiwara ◽  
Junichi Maeda ◽  
Koichi Yoshida ◽  
Yasufumi Kato ◽  
Masaru Hagiwara ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Da Vinci ◽  
Tumor Location ◽  
Da Vinci Surgical System ◽  
Thoracic Cavity ◽  
Robot Arm ◽  
Robot Assisted ◽  
Large Space ◽  
Vinci Surgical System ◽  
Surgical System

We have previously reported on the importance of appropriate robot-arm settings and replacement of instrument ports in robot-assisted thoracic surgery, because the thoracic cavity requires a large space to access all lesions in various areas of the thoracic cavity from the apex to the diaphragm and mediastinum and the chest wall.1–3 Moreover, it can be difficult to manipulate the da Vinci Surgical System using only arms No. 1 and No. 2 depending on the tumor location. However, arm No. 3 is usually positioned on the same side as arm No. 2, and sometimes it is only used as an assisting-arm to avoid conflict with other arms (Fig. 1). In this report, we show how robot-arm No. 3 can be used with maximum effectiveness in da Vinci-assisted thoracic surgery.Fig. 1Usual positioning of arms No. 1, No. 2, and No. 3.Fig. 1. Usual positioning of arms No. 1, No. 2, and No. 3.

scholarly journals Preliminary Experiences With Robot-Assisted Choledochal Cyst Excision Using the Da Vinci Surgical System in Children Below the Age of One

2021 ◽  
Vol 9 ◽  
Author(s):  
Xiaolong Xie ◽  
Yang Wu ◽  
Kewei Li ◽  
Chengbo Ai ◽  
Qi Wang ◽  
...  
Keyword(s):  
Da Vinci ◽  
Average Length ◽  
Operation Time ◽  
Da Vinci Surgical System ◽  
Average Weight ◽  
Choledochal Cysts ◽  
Robot Assisted ◽  
Cyst Excision ◽  
Vinci Surgical System ◽  
Surgical System

The purpose of this study is to introduce our preliminary experiences with using the da Vinci surgical system to treat choledochal cysts in children under 1 year old and discuss the application of this robot-assisted surgery. We retrospectively analyzed all available clinical data of children below the age of 1 who underwent surgery for choledochal cysts using the da Vinci robotic surgical system between January 2015 and December 2020. Data collection mainly included demographic information, imaging data, perioperative details, and postoperative outcomes. Ten patients were included in this study. The average patient age was 8.5 months, and the average weight was 9.11 kg. Half of these patients suffered from abdominal pain, while 30% exhibited vomiting and 10% jaundice. Eight of them were type Ia, and two were Ic. The average operation time among the patients was 219.5 min. None of the 10 patients had to receive a blood transfusion or conversion. The average time of the patients' subsequent fluid diet was 3.28 days, and the solid diet was 3.76 days. Meanwhile, the average length of hospital stay was 7.6 days. All 10 patients recovered and were eventually discharged. We believe that the da Vinci surgical system is a safe and feasible form of treatment for choledochal cysts in children <1 year old.

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