Egypt’s Initial Experience With Robotic-Assisted Cystogastrostomy and Pancreatic Debridement for Large Walled-Off Pancreatic Necrosis: A Report of Two Cases

Abd-erRazik, Mohammad A; Hamid, Mohamed A. Abdel; Rashed, Amier M

doi:10.7759/cureus.32005

Cureus

2022

DOI: 10.7759/cureus.32005

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Egypt’s Initial Experience With Robotic-Assisted Cystogastrostomy and Pancreatic Debridement for Large Walled-Off Pancreatic Necrosis: A Report of Two Cases

Mohammad A Abd-erRazik¹,

Mohamed A. Abdel Hamid²,

Amier M Rashed³

Abstract: Gallstones are the most common cause of acute pancreatitis (AP). Walled-off pancreatic necrosis (WOPN) is one of the sequelae of AP. Endoscopic and laparoscopic techniques for cystogastrostomy have been reported in the literature as treatment options for complicated or symptomatic WOPN. Here, we describe two cases of gallstone-related AP complicated by WOPN treated by robotic-assisted transgastric cystogastrostomy and cholecystectomy.

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2024

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Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

Falola,

Dada,

Adeyeye

et al. 2024

J Minim Invasive Surg

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Purpose Surgical practice globally has undergone significant advancements with the advent of robotic systems. In Africa, a similar trend is emerging with the introduction of robots into various surgical specialties in certain countries. The need to review the robotic procedures performed, platforms utilized, and analyze outcomes such as conversion, morbidity, and mortality associated with robotic surgery in Africa, necessitated this study. This is the first study examining the status and outcomes of robotic surgery in Africa. Methods A thorough scoping search was performed in PubMed, Google Scholar, Web of Science, and African Journals Online. Of the 1,266 studies identified, 16 studies across 3 countries met the inclusion criteria. A meta-analysis conducted using R statistical software estimated the pooled prevalences with the 95% confidence interval (CI) of conversion, morbidity, and mortality. Results Surgical robots are reportedly in use in South Africa, Egypt, and Tunisia. Across four specialties, 1,328 procedures were performed using da Vinci (Intuitive Surgical), Versius (CMR Surgical), and Senhance (Asensus Surgical) surgical robotic platforms. Urological procedures (90.1%) were the major procedures performed, with robotic prostatectomy (49.3%) being the most common procedure. The pooled rate of conversion and prevalence of morbidity from the meta-analysis was 0.21% (95% CI, 0%–0.54%) and 21.15% (95% CI, 7.45%–34.85%), respectively. There was no reported case of mortality. Conclusion The outcomes highlight successful implementation and the potential for wider adoption. Based on our findings, we advocate for multidisciplinary and multinational collaboration, investment in surgical training programs, and policy initiatives aimed at addressing barriers to the widespread adoption of robotic surgery in Africa.

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Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

Falola,

Dada,

Adeyeye

et al. 2024

J Minim Invasive Surg

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show abstract

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Egypt’s Initial Experience With Robotic-Assisted Cystogastrostomy and Pancreatic Debridement for Large Walled-Off Pancreatic Necrosis: A Report of Two Cases

Cited by 1 publication

References 16 publications

Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

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