scholarly journals Current Status of Transoral Surgery for Patients With Early-Stage Pharyngeal and Laryngeal Cancers in Japan

2021 ◽  
Vol 11 ◽  
Author(s):  
Daisuke Sano ◽  
Akira Shimizu ◽  
Ichiro Tateya ◽  
Kazunori Fujiwara ◽  
Yo Kishimoto ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Da Vinci ◽  
Early Stage ◽  
Current Status ◽  
Da Vinci Surgical System ◽  
Transoral Surgery ◽  
Therapeutic Effects ◽  
Invasive Approach ◽  
Vinci Surgical System ◽  
Surgical System

As the laryngopharynx is closely related to swallowing, speech, and phonation, it is necessary to consider not only disease control but also a minimally invasive approach for the treatment of laryngopharyngeal cancer. Transoral surgery has been reported to be a minimally invasive method for treating these diseases. Transoral videolaryngoscopic surgery (TOVS) and endoscopic laryngo-pharyngeal surgery (ELPS) have been developed in Japan and recently emerged as treatments for patients with early stage pharyngeal and laryngeal cancers. However, securing an appropriate field of view and a narrow operating space during TOVS or ELPS are critical issues to be resolved for these surgeries. The clinical significance and safety of transoral robotic surgery (TORS) using the da Vinci Surgical System have been widely reported to provide surgeons with increased visualization and magnification, resulting in precise surgical margins and rapid functional recovery. In this context, a multi-institutional clinical study was conducted to evaluate the treatment outcomes of TORS for the treatment of laryngopharyngeal cancer in Japan, and the da Vinci Surgical System for oral robot-assisted surgery for these diseases was approved by the Pharmaceutical Affairs Agency in August 2018. This review provides an overview of the therapeutic effects of TOVS, ELPS, and TORS, with a particular focus on these therapeutic results in Japan.

Robotic Skull Base Surgery via Supraorbital Keyhole Approach

Neurosurgery ◽  
2013 ◽  
Vol 72 (suppl_1) ◽  
pp. A33-A38 ◽  
Author(s):  
Wei-Chen Hong ◽  
Jui-Chang Tsai ◽  
Steven D. Chang ◽  
Jonathan M. Sorger
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Da Vinci ◽  
Da Vinci Surgical System ◽  
Skull Base Tumor ◽  
Aneurysm Surgery ◽  
Minimally Invasive Neurosurgery ◽  
Keyhole Approach ◽  
Vinci Surgical System ◽  
Surgical System

Abstract BACKGROUND: The supraorbital keyhole approach has been used in anterior skull base tumor and aneurysm surgery. However, there are debates regarding the safety and limitations of this kind of approach. OBJECTIVE: To determine the feasibility and potential benefits of surgical robotic technology in minimally invasive neurosurgery. METHODS: Two fresh cadaver heads were studied with the da Vinci Surgical System with 0° and 30° stereoscopic endoscopes to visualize neuroanatomy. The ability of the system to suture and place clips under the keyhole approach was tested. RESULTS: The da Vinci Surgical System was used throughout the supraorbital transeyebrow keyhole approach. With the use of standard microdissection techniques, the optic nerve, optic chiasm, carotid artery, and third cranial nerve were visualized. The sylvian fissure was then exposed from the proximal sylvian membrane to the distal M1 segment. With the EndoWrist microforceps, suturing can be achieved smoothly to close a defect created on the M2 artery. Although the benefits in adjusting clips during aneurysm surgery could be provided by an articulating applier, a proper robotic applier is not currently available. CONCLUSION: The minimally invasive supraorbital keyhole surgery can be achieved with the da Vinci Surgical System in cadaver models. This system provides neurosurgeons with broader vision and articulable instruments, which standard microsurgical systems do not provide. Further studies are necessary to evaluate the safety and benefits of using the da Vinci Surgical System in minimally invasive neurosurgery.

Robotic Right Gastroepiploic Artery Harvesting

2009 ◽  
Vol 4 (6) ◽  
pp. 331-333
Author(s):  
Yasumitsu Hirano ◽  
Norihiko Ishikawa ◽  
Go Watanabe
Keyword(s):  
Minimally Invasive ◽  
Da Vinci ◽  
Artery Bypass ◽  
Pig Model ◽  
Gastroepiploic Artery ◽  
Da Vinci Surgical System ◽  
Right Gastroepiploic Artery ◽  
The Right ◽  
Vinci Surgical System ◽  
Surgical System

Objective Robotic surgery promises to extend the capabilities of the minimally invasive surgeon, and many surgical specialties are applying this new technology. However, there is no report of robotic harvesting of the right gastroepiploic artery (rGEA). We evaluated the possibility of video-endoscopic dissection of the rGEA using the da Vinci surgical system for use in minimally invasive coronary artery bypass surgery. Methods The procedure was performed on a porcine rGEA harvesting model using the Tuebingen MIS-Trainer and a pig model. In the pig model, a pneumoperitoneum (maximal pressure, 12 mm Hg) was established after the insertion of a 12-mm trocar (camera) using the open method. The surgical cart was positioned at the head of the pig. A 30-degree three-dimensional camera, using two parallel-arranged three-chip cameras, was inserted and mounted on the middle 12-mm trocar. Under direct visualization, the two lateral surgical arm trocars were then placed at both sides of the camera port. We mounted a permanent cautery hook and Cadiere forceps on the right and left surgical arm, respectively. Results We performed harvesting of the rGEA with the permanent cautery hook and Cadiere forceps mounted on the surgical arms. The rGEA were easily visualized and dissection with complete mobilization was achieved without injury in both models. The bleeding from the branch of the rGEA was prevented by use of the permanent cautery hook in the pig model. Conclusions We have preliminarily established, in pig, the feasibility of robotic rGEA harvesting without laparotomy, avoiding the risks of abdominal complications and expanding its use for all patients. However, further studies need to be undertaken to prove its practical feasibility in humans using the da Vinci surgical system to make it an effective operation.

scholarly journals A Scoping Review of Emerging and Established Surgical Robotic Platforms With Applications in Urologic Surgery

2021 ◽  
pp. 300-310
Author(s):  
Braden Millan ◽  
Shavy Nagpal ◽  
Maylynn Ding ◽  
Jason Y. Lee ◽  
Anil Kapoor
Keyword(s):  
Da Vinci ◽  
Da Vinci Surgical System ◽  
Pubmed Central ◽  
Urologic Surgery ◽  
Additional Information ◽  
Surgery Research ◽  
Robotic Platforms ◽  
Distinct Features ◽  
Vinci Surgical System ◽  
Surgical System

Objectives Since the introduction of the first master–slave robotic platform for surgical procedures, there have been ongoing modifications and development of new platforms, but there is still a paucity of commercially available systems. Our study aims to identify all master–slave robotic surgical platforms currently commercially available or in development around the world with applications in urologic surgery. Methods A scoping literature search was performed using PRISMA methodology to identify all relevant publications in English in PubMed, PubMed Central, and Embase, with additional information being obtained from official company websites. Results Ten robotic platforms with either proven or potential application in urologic surgery were identified: the da Vinci surgical system (Intuitive), Senhance surgical system (Transentrix), Versius Surgical (CMR Ltd), Enos surgical system (Titan Medical), Revo –I (Meere Company), MiroSurge (DLR), Avatera System (Avatera Medical), Hugo Surgical Robot (Medtronic), Ottava (J&J, Ethicon, Areus), and Hinotori (Medicaroid Corporation). Conclusions This review highlights the distinct features of emerging master–slave robotic platforms with applications in urologic surgery. Research and development are now focused on finding wider applications, improving outcomes, increasing availability, and reducing cost. Additional research is required comparing newly developed master–slave robotic platforms with those already well established.

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
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