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

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.

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 Initial Experience with Robotic Modified Radical Neck Dissection Using the da Vinci Xi System through the Bilateral Axillary Breast Approach

2020 ◽  
Author(s):  
yunsuk choi ◽  
Yong Tae Hong ◽  
Jin Wook Yi
Keyword(s):  
Neck Dissection ◽  
Da Vinci ◽  
Radical Neck Dissection ◽  
Operation Time ◽  
Central Neck Dissection ◽  
Robotic Thyroidectomy ◽  
Da Vinci Xi ◽  
Modified Radical Neck Dissection ◽  
Bilateral Axillary Breast Approach ◽  
Endocrine Surgeon

Objectives: The bilateral axillo-breast approach (BABA) to robotic thyroidectomy has been extended to modified radical neck dissection (MRND). This study assessed outcomes in patients who underwent robotic MRND through BABA using the da Vinci Xi system. Methods: The medical records of 40 patients who underwent total thyroidectomy, bilateral central neck dissection and MRND from September 2018 to March 2020 were reviewed retrospectively, including 12 who underwent robotic surgery and 28 who underwent open surgery. All operations were performed by a single endocrine surgeon. Results: Operation time was significantly longer in the robotic than in the open group (277.08

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

Medicine ◽  
2021 ◽  
Vol 100 (3) ◽  
pp. e24370
Author(s):  
Da Young Yu ◽  
Young Woo Chang ◽  
Hye Yoon Lee ◽  
Woo Young Kim ◽  
Hoon Yub Kim ◽  
...  
Keyword(s):  
Da Vinci ◽  
Detailed Comparison ◽  
Da Vinci Xi ◽  
Transaxillary Thyroidectomy

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.

Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform

2017 ◽  
Vol 11 (3) ◽  
pp. 341-346 ◽  
Author(s):  
Jonathon O. Russell ◽  
Salem I. Noureldine ◽  
Mai G. Al Khadem ◽  
Hamad A. Chaudhary ◽  
Andrew T. Day ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Da Vinci ◽  
Robotic Thyroidectomy ◽  
Da Vinci Xi

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.

Initial Experience of BABA Robotic Thyroidectomy Using the Da Vinci Xi System in Incheon, Korea

2019 ◽  
Vol 19 (3) ◽  
pp. 59 ◽  
Author(s):  
Hye Jeong Yoon ◽  
Jong-hyuk Ahn ◽  
Jae Hwan Kim ◽  
Jin Wook Yi ◽  
Min Hee Hur
Keyword(s):  
Da Vinci ◽  
Robotic Thyroidectomy ◽  
Initial Experience ◽  
Da Vinci Xi

Predictive factors of central lymph node involvement in differentiated thyroid cancers

2021 ◽  
Author(s):  
Mohamed Masmoudi ◽  
Mehdi Hasnaoui ◽  
Thabet Wadii ◽  
Marwa Ben Njima ◽  
Zitouni Chaima ◽  
...  
Keyword(s):  
Lymph Node ◽  
Predictive Factors ◽  
Lymph Node Involvement ◽  
Central Lymph Node ◽  
Thyroid Cancers ◽  
Node Involvement ◽  
Central Lymph ◽  
Differentiated Thyroid Cancers

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

2020 ◽  
Vol 27 (3) ◽  
pp. 256-264
Author(s):  
Kwangsoon Kim ◽  
Sang-Wook Kang ◽  
Jin Kyong Kim ◽  
Cho Rok Lee ◽  
Jandee Lee ◽  
...  
Keyword(s):  
Operative Time ◽  
Da Vinci ◽  
Single Port ◽  
Robotic Thyroidectomy ◽  
Robotic System ◽  
University Hospital ◽  
Papillary Thyroid ◽  
Operative Outcomes ◽  
The Mean ◽  
Transaxillary Thyroidectomy

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.

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