Robot-assisted single port radical nephrectomy and cholecystectomy: description and technical aspects

Filho, F.H.A. Mota; Sávio, Luís Felipe; Sakata, Rafael Eiji; Ivanovic, Renato F.; Silva, Marco Antonio Nunes da; Maia, Ronaldo S.; Passerotti, Carlo C.

doi:10.1590/s1677-5538.ibju.2016.0560

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…In 2018, a single-port robot (SPR) device was introduced by Intuitive Surgical Inc. (Sunnyvale, CA, USA). Its feasibility and safety in urology and obstetrics were recognized through intraperitoneal surgery [10][11][12]. However, few reports have been made about the safety of SPR for colorectal cancer surgery.…”

Section: Introductionmentioning

confidence: 99%

Learning curve for single-port robot-assisted colectomy

et al. 2024

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Purpose: Since the introduction of robotic surgery, robots for colorectal cancer have replaced laparoscopic surgery, and a single-port robot (SPR) platform has been launched and is being used to treat patients. We analyzed the learning curve and initial complications of using an SPR platform in colorectal cancer surgery. Methods: We reviewed 39 patients who underwent SPR colectomy from April 2019 to October 2019. All surgeries were performed by the same surgeon using an SPR device. A learning curve was generated using the cumulative sum methodology to assess changes in total operation time (OT), docking time (DT), and surgeon console time (SCT). We grouped the patients into 3 groups according to the time period: the first 11 were phase 1, the next 11 were phase 2, and the last 17 were phase 3. Results: The mean age of the patients was 61.28 ± 13.03 years, and they had a mean body mass index of 23.79 ± 2.86 kg/m 2 . Among the patients, 23 (59.0%) were male, and 16 (41.0%) were female. The average OT was 186.59 ± 51.30 minutes, the average SCT was 95.49 ± 35.33 minutes, and the average DT (time from skin incision to robot docking) was 14.87 ± 10.38 minutes. The SCT differed significantly among the different phases (P < 0.001). Complications occurred in 8 patients: 2 ileus, 2 postoperation hemoglobin changes, 3 urinary retentions, and 1 complicated fluid collection. Conclusion: In our experience, the learning curve for SPR colectomy was achieved after the 18th case.

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Section: Introductionmentioning

confidence: 99%

Learning curve for single-port robot-assisted colectomy

et al. 2024

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Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

Arellano

González

2019

Front. Pediatr.

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Objective: We present the applications and experiences of robot-assisted laparoscopic and thoracoscopic surgery (RALTS) in pediatric surgery. Materials and Methods: A prospective, observational, and longitudinal study was conducted from March 2015 to March 2018 that involved a non-random sample of a pediatric population that was treated with RALTS. The parameters examined were: gender, age, weight, height, diagnoses, surgical technique, elapsed time of console surgery, estimated bleeding, need for hemotransfusion, complications, surgical conversions, postoperative hospital stay, and follow-up. The Clavien-Dindo classification of complications was used. The surgical system used was the da Vinci model, Si version (Intuitive Surgical, Inc., Sunnyvale, CA. U.S.A), with measures of central tendency. Results: In a 36-months period, 186 RALTS cases were performed, in 147 pediatric patients and an adult; 53.23% were male, and the remaining were female. The average age was 83 months, ranging from 3.5 to 204 months, plus one adult patient of 63 years. The stature was an average of 116.6 cm, with a range of 55–185 cm; the average weight was 26.9 kg, with a range of 5–102 kg; the smallest patient at 3.5 months was 55 cm in stature and weighed 5.5 kg. We performed 41 different surgical techniques, grouped in 4 areas: urological 91, gastrointestinal and hepatobiliary (GI-HB) 84, thoracic 6, and oncological 5. The console surgery time was 137.2 min on average, ranging from 10 to 780 min. Surgeon 1 performed 154 operations (82.8%), and the remainder were performed by Surgeon 2, with a conversion rate of 3.76%. The most commonly performed surgeries were: pyeloplasty, fundoplication, diaphragmatic plication, and removal of benign tumors, by area. Hemotransfusion was performed for 4.83%, and complications occurred in 2.68%. The average postoperative stay was 2.58 days, and the average follow-up was 23.5 months. The results of the 4 areas were analyzed in detail. Conclusion: RALTS is safe and effective in children. An enormous variety of surgeries can be safely performed, including complex hepatobiliary, and thoracic surgery in small children. There are few published prospective series describing RALTS in the pediatric population, and most only describe urological surgery. It is important to offer children the advantages and safety of minimal invasion with robotic assistance; however, this procedure has only been slowly accepted and utilized for children. It is possible to implement a robust program of pediatric robotic surgery where multiple procedures are performed.

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Robot-assisted single port radical nephrectomy and cholecystectomy: description and technical aspects

Cited by 2 publications

References 3 publications

Learning curve for single-port robot-assisted colectomy

Learning curve for single-port robot-assisted colectomy

Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

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