scholarly journals Application of robots in general surgery

2021 ◽  
Vol 64 (10) ◽  
pp. 678-687
Author(s):  
Jin Kyong Kim ◽  
Seung Yoon Yang ◽  
Sung Hyun Kim ◽  
Hyoung-Il Kim
Keyword(s):  
Robotic Surgery ◽  
Minimally Invasive ◽  
General Surgery ◽  
New Technologies ◽  
Gastrointestinal Surgery ◽  
Laparoscopic Approach ◽  
Comparative Trial ◽  
Endocrine Surgery ◽  
The Impact ◽  
Upper Gastrointestinal

Background: Application of robotic surgery in the field of general surgery has been increasing. This paper is an overview of the current uses and future perspectives of robotic surgery in four major divisions—endocrine, upper gastrointestinal, hepato-biliary-pancreatic (HBP), and colorectal surgery.Current Concepts: In endocrine surgery, cosmetic advantage is the highest priority when selecting a surgical approach for thyroidectomy. Currently, the transaxillary route is the most common approach. The introduction of the single-port system could maximize the advantages of this technique. In upper gastrointestinal surgery, the use of robots has the advantage of better retrieval of lymph nodes, less bleeding, earlier discharge, and less complications than the laparoscopic approach. However, a more prospective comparative trial is required to confirm those findings. In the HBP field, the indications of robotic surgery have expanded, starting with cholecystectomy to more challenging procedures, such as donor hepatectomy and pancreaticoduodenectomy. Meticulous dissection using robots could provide benefits to patients. In colorectal surgery, robotic surgery is an excellent technical tool for minimally invasive surgeries for rectal cancers, especially in male patients with narrow, deep pelvises. However, further studies are required to confirm the impact of robotic surgery on rectal cancers.Discussion and Conclusion: Robots are used to provide optimal surgical outcomes. Investigating new technologies and innovative surgical procedures is the highly important for a surgeon in the era of minimally invasive surgery.

VS03.04: MINIMALLY INVASIVE IVOR LEWIS ESOPHAGECTOMY WITH ROBOTIC ASSISTANCE AND IMMUNOFLUORESCENCE: MODULAR STEP UP APPROACH FOR SAFE INTRODUCTION OF NEW TECHNOLOGY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 48-48
Author(s):  
Hans Fuchs ◽  
Rolf Lambertz ◽  
Wolfgang Schröder ◽  
Jessica Leers ◽  
Christiane Bruns
Keyword(s):  
Minimally Invasive ◽  
New Technologies ◽  
Conflicts Of Interest ◽  
New Technology ◽  
Gastrointestinal Surgery ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Center Of Excellence ◽  
Academic Center ◽  
Upper Gastrointestinal

Abstract Description Minimally invasive technologies have improved outcomes after esophagectomy and the use of robotic technology in Europe is rapidly increasing. Aim of this study is to evaluate the introduction of new technologies in a center of excellence for upper gastrointestinal surgery. Methods A standardized teaching protocol of a complete OR team was performed in simulation and animal models at the center for the future of surgery (San Diego, CA) and IRCAD (Strasbourg, France) to receive certification as console surgeons. Starting 02/2017 the davinci xi and stryker ICG laparoscopy systems were introduced at our academic center (certified center of excellence for surgery of the upper gastrointestinal tract, n > 300 esophageal cases/year). After simple training procedures based on our minimally invasive expertise were performed, difficulty was increased based on a modular step up approach to safely perform robotic thoracic assisted Ivor Lewis esophagectomy. Results From 02/2017–02/2018, a total of 35 robotic cases were performed. All cases were performed safely without operation-associated complications. Level of difficulty was increased based on our modular step up approach without quality compromises. Video documentation using the new technology is provided. Conclusion The standardized training protocol and our modular step up approach allowed safe introduction of the new technology used. All cases were performed safely without operation-associated complications. Disclosure All authors have declared no conflicts of interest.

scholarly journals Minimally Invasive Oncologic Upper Gastrointestinal Surgery can be Performed Safely on all Weekdays: A Nationwide Cohort Study

2021 ◽  
Author(s):  
Daan M. Voeten ◽  
Arthur K. E. Elfrink ◽  
Suzanne S. Gisbertz ◽  
Jelle P. Ruurda ◽  
Richard van Hillegersberg ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Esophageal Cancer ◽  
Cohort Study ◽  
Minimally Invasive ◽  
Surgical Outcomes ◽  
Gastrointestinal Surgery ◽  
Short Term ◽  
Esophagogastric Surgery ◽  
The Impact ◽  
Upper Gastrointestinal

Abstract Background Existing literature suggests deteriorating surgical outcome of esophagogastric surgery as the week progresses. However, these studies were conducted in the pre-centralization and pre-minimally invasive era. In addition, they failed to correct for fixed weekdays of esophagogastric cancer surgery among hospitals. This study aimed to describe the impact of weekday of minimally invasive upper gastrointestinal surgery on short-term surgical outcomes. Methods All patients registered in the Dutch Upper Gastrointestinal Cancer Audit who underwent curative minimally invasive esophageal or gastric carcinoma surgery in 2015–2019, were included in this nationwide cohort study. Using multilevel multivariable logistic regression, the impact of weekday of surgery on 14 short-term surgical outcomes was investigated. To correct for interhospital variance in fixed weekday(s) of surgery multilevel analyses was used. Results were adjusted for patient, tumor, and treatment characteristics using multivariable logistic regression analyses. Results This study included 4,102 patients undergoing minimally invasive upper gastrointestinal surgery (2,968 esophageal cancer and 1,134 gastric cancer patients). Weekday of surgery did not impact postoperative complications, severe postoperative complications, surgical/technical complications, medical complications, anastomotic leakage, complicated postoperative course, failure to rescue, surgical radicality, lymph node yield, 30-day/in-hospital mortality, reinterventions, length of ICU stay, 30-day readmission, and textbook outcome after neither esophageal cancer nor gastric cancer surgery. Conclusions Minimally invasive esophagogastric surgery can be performed safely on all weekdays with respect to short-term surgical outcomes, which is important information for operation room scheduling.

Evaluation of the minimally invasive angiographic route for control of major post-operative hemorrhage after upper gastrointestinal surgery

2000 ◽  
Vol 118 (4) ◽  
pp. A1142-A1143
Author(s):  
Garth C. Beattie ◽  
Powell J. Powell ◽  
Doris N. Redhead ◽  
Ajith K. Siriwardena
Keyword(s):  
Minimally Invasive ◽  
Gastrointestinal Surgery ◽  
Upper Gastrointestinal

scholarly journals Upper Gastrointestinal Surgery: Robotic Surgery versus Laparoscopic Procedures for Esophageal Malignancy

2018 ◽  
Vol 34 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Matthias Biebl ◽  
Andreas Andreou ◽  
Sascha Chopra ◽  
Christian Denecke ◽  
Johann Pratschke
Keyword(s):  
Robotic Surgery ◽  
Gastrointestinal Surgery ◽  
Laparoscopic Procedures ◽  
Upper Gastrointestinal ◽  
Esophageal Malignancy

Robotic Surgery in Inflammatory Bowel Disease

2020 ◽  
Vol 22 (1) ◽  
pp. 112-116
Author(s):  
Jacopo Crippa ◽  
Michele Carvello ◽  
Paulo Gustavo Kotze ◽  
Antonino Spinelli
Keyword(s):  
Inflammatory Bowel Disease ◽  
Robotic Surgery ◽  
Minimally Invasive ◽  
Bowel Disease ◽  
Series Data ◽  
Minimally Invasive Techniques ◽  
Conversion To Open Surgery ◽  
Inflammatory Bowel ◽  
Invasive Techniques ◽  
The Impact

Background: Surgery is considered a cornerstone of inflammatory bowel disease (IBD) treatment. In the last years, robotic surgery has seen an increase in adoption rates for both benign and malignant diseases. Objective: This work aims to review the current applications of robotic surgery in IBD. Discussion and Conclusion: Minimally-invasive techniques have been applied to the treatment of IBD for more than 20 years. Investments in surgical digital and robotic platforms are increasingly arising, with an estimate of getting doubled within the next 5 years. Robotic surgery represents the newest technology available to reduce the impact of surgery on patients affected by IBD, and may theoretically be even more effective than other minimally-invasive techniques given the lower rate of conversion to open surgery as compared to laparoscopy according to many large retrospective series. Data on robotic surgery applied to IBD are still scarce and initial experiences in high-volume centers from retrospective series suggested that robotic surgery may achieve similar results when compared to laparoscopy. A new wave of robotics incorporating artificial intelligence is awaited to empower the capability of IBD surgeon in terms of intraoperative decision-making beyond technical skill enhancement.

Residents’ Views on the Impact of Robotic Surgery on General Surgery Education

2020 ◽  
Author(s):  
Youssef M. Khalafallah ◽  
Tyler Bernaiche ◽  
Stacy Ranson ◽  
Chang Liu ◽  
Devon T. Collins ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
General Surgery ◽  
Surgery Education ◽  
The Impact

Survey of minimally invasive general surgery fellows training in robotic surgery

2012 ◽  
Vol 7 (2) ◽  
pp. 131-136 ◽  
Author(s):  
Abhijit Shaligram ◽  
Avishai Meyer ◽  
Anton Simorov ◽  
Pradeep Pallati ◽  
Dmitry Oleynikov
Keyword(s):  
Robotic Surgery ◽  
Minimally Invasive ◽  
General Surgery

Upper gastrointestinal surgery

2014 ◽  
Author(s):  
James Wood
Keyword(s):  
Gastrointestinal Surgery ◽  
Clinical Findings ◽  
Junior Doctors ◽  
Ulcer Disease ◽  
Upper Gi ◽  
Life Threatening ◽  
The Impact ◽  
Upper Gi Malignancy ◽  
Symptoms And Signs ◽  
Upper Gastrointestinal

Diseases of the upper gastrointestinal tract (GI) have changed a great deal both in their aetiology and presentations as well as their manage­ment in the last three decades. Modern students and junior doctors need to understand the range of upper GI conditions which now present, especially the increasing issues of upper GI malignancy and the impact of morbid obesity on medical and surgical practice. Old text books full of operations for benign peptic ulcer disease have been replaced with texts on the constantly advancing treatment of oesophagogastric cancer and operations for obesity management. Symptoms and signs in upper GI disease are often subtle and non-specific so a sound knowledge of clinical findings and the choices for appropriate investigations are extremely important and are covered in this chapter. Lastly, some of the most urgent and life-threatening surgical emergen­cies can occur due to upper GI disease and the management of these conditions is a vital area of knowledge for all junior doctors.

P131 REVEALING THE ERGONOMIC CRISIS OF AN UPPER GASTROINTESTINAL ROBOTIC SURGEON – STILL A LOT TO IMPROVE IN MINIMALLY INVASIVE SURGERY

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
H Fuchs ◽  
F Ahn ◽  
J Leers ◽  
W Schröder ◽  
C Höfler ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
New Technology ◽  
Intraoperative Complications ◽  
Gastrointestinal Surgery ◽  
Robotic System ◽  
Perioperative Outcomes ◽  
Robotic Technology ◽  
Center Of Excellence ◽  
Touch Sensor ◽  
Upper Gastrointestinal

Abstract Introduction/Aim Minimally invasive technologies have improved outcomes after esophagectomy and the use of robotic technology in Europe is rapidly increasing. Even though robotic technology was primarily developed to improve perioperative outcomes, many robotic surgeons complain about ergonomics when using existing devices. Aim of this study is to evaluate the ergonomics of the newest robotic technology in a center of excellence for upper gastrointestinal surgery. Background and Methods Starting 02/2017 the latest available robotic system (davinci xi) was introduced at our academic center (certified center of excellence for surgery of the upper gastrointestinal tract, n>300 esophageal cases/year). Surgeons ergonomics were studied using a standardized video capture and touch sensor protocol (Fig 1 & 2). Data recorded were analyzed to study whether the new robotic system was used in an ergonomic fashion throughout robotic esophageal surgery. Results From 02/2017 – 05/2019, a total of 90 mainly upper gastrointestinal robotic cases including 45 Esophagectomies for cancer and 25 Heller Myotomies were performed. All cases were performed safely without operation-associated intraoperative complications. Even though experienced robotic console surgeons used the robotic device, the davinci xi arm rest was used in less than 25% of surgery time (Fig. 3), resulting in loss of efficacy when using the robotic range of motion. Video documentation using the new technology is provided to showcase the dilemma. Conclusion Robotic technology allows for safe minimally invasive upper gastrointestinal surgery. Further development in robotics should focus on improvement of surgeons ergonomics.

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