scholarly journals PRELIMINARY EXPERIENCE OF THE AORTO-FEMORAL SHUNTING USING THE DA VINCI SURGICAL SYSTEM

2018 ◽  
Vol 8 (1) ◽  
pp. 7-13
Author(s):  
V. N. Pavlov ◽  
V. V. Plechev ◽  
R. I. Safiullin ◽  
V. Sh. Ishmetov ◽  
M. Sh. Kashaev ◽  
...  

Introduction. Robot surgery is one of the most high-demand and dynamic developing realms of medicine. It is widely used in urology, proctology, thoracic, cardiovascular surgery and gynecology. In February 2018 a robot surgery centre opened in Volga Federal District of the Russian Federation based on the clinic of the Bashkir State Medical University (city of Ufa).Materials and methods. The present paper demonstrates the first successful robot-assisted vascular operations within a master-class called "Aorto-Femoral Shunting with the use of robot-assisted surgical system Da Vinci".Results. Exemplified with three operations: two linear aorto-femoral shunting and lumbar sympathectomy demonstrate technical peculiarities and advantages of robot-assisted vascular surgery. The findings show positive short-term results of the performed surgical interference that combine minimal injury and blood loss which help to reduce hospital stay in an intensive therapy department and intestinal distention duration. These clinical effects enabled to provide early activization of patients and possibility to adequately correct nutritional status with enteral feeding. The above-mentioned advantages eventually resulted in reduction of post-operation stay of patients in in-patient department and of cost of treatment.Conclusion. Robot-assisted surgical system Da Vinci being the most cutting-edge in the realm of endoscopic surgery, enables to carry out operational interference with minimal blood loss and injury of tissues which helps to reduce postoperation and recovery periods. 

2011 ◽  
Vol 36 (5) ◽  
pp. 496-498 ◽  
Author(s):  
Norihiko Ishikawa ◽  
Masahiko Kawaguchi ◽  
Hideki Moriyama ◽  
Nobuhiro Tanaka ◽  
Go Watanabe

2010 ◽  
Vol 24 (4) ◽  
pp. 727-732 ◽  
Author(s):  
Takashi Suda ◽  
Hiroshi Sugimura ◽  
Yuka Kitamura ◽  
Sachiko Tochii ◽  
Yoshinobu Hattori

2015 ◽  
Vol 87 (1) ◽  
pp. 56 ◽  
Author(s):  
Dimitros Deligiannis ◽  
Ioannis Anastasiou ◽  
Vasileios Mygdalis ◽  
Evangelos Fragkiadis ◽  
Konstantinos Stravodimos

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.


2017 ◽  
Vol 47 (12) ◽  
pp. 1135-1140 ◽  
Author(s):  
Shunsuke Tsukamoto ◽  
Yuji Nishizawa ◽  
Hiroki Ochiai ◽  
Yuichiro Tsukada ◽  
Takeshi Sasaki ◽  
...  

2019 ◽  
Vol 15 (2) ◽  
pp. 142 ◽  
Author(s):  
Luca Morelli ◽  
Niccolò Furbetta ◽  
Matteo Palmeri ◽  
Simone Guadagni ◽  
Gregorio Di Franco ◽  
...  

2015 ◽  
Vol 100 (5) ◽  
pp. 930-933 ◽  
Author(s):  
Naohiro Kajiwara ◽  
Junichi Maeda ◽  
Koichi Yoshida ◽  
Yasufumi Kato ◽  
Masaru Hagiwara ◽  
...  

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.


Author(s):  
Norihiko Ishikawa ◽  
Masahiko Kawaguchi ◽  
Hideki Moriyama ◽  
Masanari Shimada ◽  
Go Watanabe

We performed gasless transaxillary robot-assisted thyroidectomy with a novel camera-port retractor (CP retractor). Herein, we describe the new instrument and its efficacy, which was evaluated by performing robot-assisted thyroidectomy. From October 2009 to August 2012, a total of 12 patients underwent robot-assisted thyroidectomy using the da Vinci Surgical System. The CP retractor was used in all cases, and we use the Maryland bipolar forceps and the microbipolar forceps on both arms for dissection of the surrounding tissues as well as for cutting and coagulation to avoid injury to the vessels and the nerves. The CP retractor provided excellent visualization without robotic arm instrument interference. The novel retractor is useful and safe, and the use of bipolar instruments is an effective option for robotic dissection around the nerves in the robotassisted thyroidectomy.


2020 ◽  
Vol 9 (4) ◽  
pp. 80-84
Author(s):  
V. N. Pavlov ◽  
R. I. Safiullin ◽  
R. R. Bakiev ◽  
R. F. Gilmanova ◽  
M. F. Urmantsev

The implementation of robotic surgery, in particular the da Vinci surgical system, is one of the biggest breakthroughs in surgery since the invention of anesthesia, and represents the most significant achievement in minimally invasive surgery of this decade. If the use of the da Vinchi robotic system in pelvic surgery has long been the gold standard, the use of this system in surgery of the base of the skull and sinuses is quite rare and is currently more experimental. Due to the lack of description in the domestic and foreign literature, it seems interesting to us to demonstrate the clinical observation of a patient with an orbital tumor.


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