A Feasibility Study and Technical Tips for the Use of an Articulating Bipolar Vessel Sealer in da Vinci Robot-Assisted Gastrectomy

Kong, Seong Ho; Kim, Tae Han; Huh, Yeon Ju; Oh, Seung Young; Ahn, Hye Young; Park, So Yong; Choi, Yun Suk; Suh, Yun Suhk; Lee, Hyuk Joon; Yang, Han Kwang

doi:10.1089/lap.2017.0093

Cited by 9 publications

(2 citation statements)

References 28 publications

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“…A retrospective analysis of 72 robotic procedures by Ortenzi et al [ 16 ] has concluded that it is safe with decreased overall operative time. In a study by Kong et al [ 17 ] of 17 patients of robotic gastrectomy for gastric cancer, it was concluded that the use of the VS in robotic gastrectomy was feasible, providing exemplary configuration in the direction of dissection, rapid learning curve, and comparable results between VS and conventional ultrasonic shear groups. At the same time, it can reduce inflammation with less albumin loss as possible benefits of the VS.…”

Section: Discussionmentioning

confidence: 99%

Total robotic right hepatectomy for multifocal hepatocellular carcinoma using vessel sealer

Varshney

2022

Ann Hepatobiliary Pancreat Surg

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How-I-Do-ItRapid adoption of a robotic approach as a minimally invasive surgery tool has enabled surgeons to perform more complex hepatobiliary surgeries than conventional laparoscopic surgery. Although various types of liver resections have been performed robotically, parenchymal transection is challenging as commonly used instruments (Cavitron Ultrasonic Surgical Aspirator [CUSA] and Harmonic) lack articulation. Further, CUSA also requires a patient-side assistant surgeon with hepatobiliary laparoscopic skills. We present a case report of total robotic right hepatectomy for multifocal hepatocellular carcinoma in a 70-year-old male using 'Vessel Sealer' for parenchymal transection. Total operative time was 520 minutes with a blood loss of ~400 mL. There was no technical difficulty or instrument failure encountered during surgery. The patient was discharged on postoperative day five without any significant complications such as bile leak. Thus, Vessel Sealer, a fully articulating instrument intended to seal vessels and tissues up to 7 mm, can be a promising tool for parenchymal transection in a robotic surgery.

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Section: Discussionmentioning

confidence: 99%

Total robotic right hepatectomy for multifocal hepatocellular carcinoma using vessel sealer

Varshney

2022

Ann Hepatobiliary Pancreat Surg

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“…However, Kang et al 24 and Jin et al 25 both reported a shorter learning curve period for RG compared with LG, and both surgeons in this study had performed more than 40 RGs before the study period to minimize any learning curve effect. Another limitation of this study is that we did not assess the usefulness of bipolar vessel-sealing devices, 26 because the tips of such devices are too large and blunt to use for meticulous procedures such as lymphadenectomy. If future devices become smaller and sharper, we would need to assess their usefulness in the future.…”

Section: Discussionmentioning

confidence: 99%

Impact of an Ultrasonically Activated Device in Robot-Assisted Distal Gastrectomy

Hikage

Tokunaga

Makuuchi

et al. 2017

Innovations�(Phila)

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Objective Robot-assisted gastrectomy is increasingly used for the treatment of gastric cancer, although it remains a time-consuming procedure. An ultrasonically activated device might be useful to shorten operation times. This study therefore assessed the effect of ultrasonically activated device use on procedural times and on other early surgical outcomes. Methods Consecutive patients (N = 42) who underwent robot-assisted distal gastrectomy for gastric cancer were included. Clinicopathological characteristics and early surgical outcomes were compared between robotic-assisted gastrectomy procedures using an ultrasonically activated device (U group, n = 21) and those without it (NU group, n = 21). Results There were no significant differences in patient characteristics between the groups; however, the median operation time was significantly less in the U group than in the NU group (291 vs 351 minutes, P = 0.006). In detail, the median duration of console time until dividing the duodenum was less in the U group (70 vs 102 minutes, P < 0.001). Estimated blood loss, incidence of postoperative morbidity, and duration of postoperative hospital stay were not different between the groups. Conclusions An ultrasonically activated device reduced the operation time of robot-assisted gastrectomy without increasing blood loss and morbidity.

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Instrumentation, Energy Devices, Staplers

2021

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A Feasibility Study and Technical Tips for the Use of an Articulating Bipolar Vessel Sealer in da Vinci Robot-Assisted Gastrectomy

Cited by 9 publications

References 28 publications

Total robotic right hepatectomy for multifocal hepatocellular carcinoma using vessel sealer

Total robotic right hepatectomy for multifocal hepatocellular carcinoma using vessel sealer

Impact of an Ultrasonically Activated Device in Robot-Assisted Distal Gastrectomy

Instrumentation, Energy Devices, Staplers

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