Development and evaluation of a training module for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery

Mehrabi, A.; Yetimoglu, C. L.; Nickkholgh, Arash; Kashfi, Arash; Kienle, Peter; Konstantinides, L.; Ahmadi, Mossa; Fonouni, Hamidreza; Schemmer, Peter; Friess, Helmut; Gebhard, Martha Maria; Büchler, Markus W.; Schmidt, Jan; Gutt, Carsten N.

doi:10.1007/s00464-005-0612-9

Cited by 35 publications

(29 citation statements)

References 36 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The advantages of robotic techniques over traditional laparoscopy are represented by tridimensional InSite ® view, steady image of the surgical Weld and precise movements, thanks to articulated endoscopic joints yielding seven degrees of freedom, almost like the human hand. The wrested instruments provide for tremor Wltration and scales motion, translating the surgeon's manoeuvres into a Wner dexterity [6,7]. The experience with robotic surgery in gastric cancer is still limited and the oncological outcomes with these techniques are practically unknown.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoscopic gastrectomy with D2 dissection for adenocarcinoma: initial experience with 17 patients

et al. 2008

View full text Add to dashboard Cite

Robot-assisted gastrectomy has been practised so far in very few centres in the world. The aims of this study were to assess the feasibility of robot-assisted gastrectomy for adenocarcinoma with D2 lymph nodal dissection and to analyze our preliminary results. Between January 2006 and August 2008, as many as 17 patients (11 females, 6 males) underwent laparoscopic robot-assisted surgery for non-metastatic adenocarcinoma of the stomach by a 3-armed da Vinci(®) Robotic Surgical System. The mean age of patients was 65.9 years. This series included eight patients with early gastric cancer (EGC) and nine with advanced gastric cancer (AGC). A 4/5 laparoscopic subtotal gastrectomy (LSG) with D2 nodal clearance was the procedure of choice for 16 distal cancers. Laparoscopic total gastrectomy (LTG) with D2 lymphadenectomy was performed for one AGC of the middle third of the stomach. No intraoperative complication was registered. Conversion to laparotomy was required in two patients with distal cancer. The mean operating time (excluding converted patients) was 352 min (348 for LSG). Morbidity consisted in one pancreatic leak that healed conservatively. One death occurred postoperatively for haemorragic stroke. On average, 25.5 ± 4 lymph nodes were collected (range 10-40). The resection margin was 6.4 ± 0.6 cm (range 4.2-8), and the margin was tumour free in all the specimens. The mean hospital stay of totally laparoscopic subtotal gastrectomy was 10 ± 1.2 days (range 8-13). The mean follow-up was 14 months (range 1-29) and three patients with AGC showed recurrence after LSG and died of disease. Robotics in gastrectomy for cancer is a feasible and safe procedure, yielding adequate D2 nodal clearance with respect of oncologic principles. Robotic techniques can represent a remarkable tool to improve laparoscopic surgeon's ability and precision in small surgical fields, i.e. during D2 dissection. This study demonstrated the feasibility of robot-assisted gastrectomy for cancer although further studies are required to validate our preliminary results, especially as far as patients' benefits are concerned.

show abstract

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoscopic gastrectomy with D2 dissection for adenocarcinoma: initial experience with 17 patients

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Recently, an increasing number of studies have evaluate the surgeons' performance in either inanimate [6,11,12] or animate [13,14] models by using primarily qualitative measurements. Even though these studies lack direct applicability to clinical settings [13], their convenience and low cost make inanimate models essential during the initial stages of robotic training programs.…”

Section: Introductionmentioning

confidence: 99%

“…Even though these studies lack direct applicability to clinical settings [13], their convenience and low cost make inanimate models essential during the initial stages of robotic training programs. Virtual reality (VR)-a form of inanimate model training-is considered an attractive, inexpensive, and user-friendly mean of motor learning [15,16].…”

Section: Introductionmentioning

confidence: 99%

Validated robotic laparoscopic surgical training in a virtual-reality environment

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Several authors have addressed this issue and found that in contrast to open surgery, robotic skills can improve significantly in a relatively short time [56,57]. In robotic-assisted microvascular surgery, it was shown that both fully trained surgeons and residents demonstrate comparable abilities in mastering the procedure, with similar anastomosis times and errors of management (breaking suture, breaking knots, and breaking or damaging needles).…”

Section: Discussionmentioning

confidence: 97%

Robotics in plastic surgery, a review

et al. 2012

View full text Add to dashboard Cite

Robotic surgery is an emerging technology that is conquering the surgery field by storm. It has found solid applications in general surgery, gynecological surgery, vascular surgery, and especially in urology and cardiothoracic surgery. Its application is however restricted in the various fields of plastic surgery. There is no doubt that robots have a potential to become an important toll in reconstructive plastic surgery, but the extent of their use in aesthetic surgery is constrained. A review of the literature showed that several centers are currently using surgical robots for reconstructive and microsurgery. Robotic surgery is feasible and technically advantageous, though very costly. There is a paucity of data however concerning the long-term benefits of robotics versus conventional techniques, and none regarding aesthetic surgery applications. We strongly believe that, without ignoring the tremendous potential benefits of robotic technology in many fields of plastic surgery, no machine, no matter how sophisticated it is, will ever succeed at replacing the artistic sense, feeling, and touch necessary to achieve beauty with harmonious proportions.

show abstract

Development and evaluation of a training module for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery

Abstract: The presented experimental small and large animal model is a standardized and reproducible training method for robotic surgery that allows evaluation of the surgical performance while shortening and optimizing the learning-curve.

Cited by 35 publications

References 36 publications

Robot-assisted laparoscopic gastrectomy with D2 dissection for adenocarcinoma: initial experience with 17 patients

Robot-assisted laparoscopic gastrectomy with D2 dissection for adenocarcinoma: initial experience with 17 patients

Validated robotic laparoscopic surgical training in a virtual-reality environment

Robotics in plastic surgery, a review

Contact Info

Product

Resources

About