First series of total robotic hysterectomy (TRH) using new integrated table motion for the da Vinci Xi: feasibility, safety and efficacy

Giannini, Andrea; Russo, Eleonora; Mannella, Paolo; Palla, Giulia; Pisaneschi, Silvia; Cecchi, Elena; Maremmani, Michele; Morelli, Luca; Perutelli, A; Cela, Vito; Melfi, Franca

doi:10.1007/s00464-016-5331-x

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…The results for statement 23 (97%) are congruous with the existing literature that suggests ITM improves surgical efficiency, increasing the utility of RAS in multi-quadrant surgery [8][9][10]13].…”

Section: Surgical Table Integration With Robotic Systemmentioning

confidence: 60%

“…With Integrated Table Motion (ITM) technology, the TS7000dV can connect wirelessly to the da Vinci Xi allowing intraoperative adjustments to table positioning eliminating redocking of the robotic patient cart. This overcomes a major limitation of older systems where it was not possible to change the position of the operating table or patient once the patient cart was docked, potentially leading to compromises in patient positioning during surgeries that spanned multiple quadrants [8][9][10]. In addition, it is recognised that the steep Trendelenburg position that patients may be placed in can be associated with adverse effects such as oedema of the upper airway, reduced pulmonary compliance, elevated intraocular pressure, soft-tissue injuries, and haemodynamic and neurological complications [9,11].…”

Section: Introductionmentioning

confidence: 99%

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Consensus-led recommendations defining practical principles of achieving optimal surgical outcomes in robotic colorectal surgery in the Asia–Pacific region

Lynch

Ngu

et al. 2022

J Robotic Surg

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Recent innovations within the field of robotic surgery have particular relevance to colorectal surgery. Although a robotic approach has been associated with satisfactory outcomes, there remains a wide variation in levels of adoption. In particular, this study focuses on patient positioning, docking, and table placement, with the intent of understanding the strength of opinion of colorectal surgeons in the Asia–Pacific region to the practical application of these developments to achieve optimal surgical outcomes. Using a modified Delphi methodology, a steering group of colorectal surgeons with experience in robotic surgery from across the Asia–Pacific region identified 35 consensus statements. An online 4-point Likert scale questionnaire was distributed to surgeons in the Asia–Pacific region using convenience sampling. Respondents were excluded from further analysis if they did not perform colorectal surgery or had no experience in robotic surgery. A total of 140 responses (71.8% response rate) were received between August and October 2021. 22 statements attained a very high degree of agreement (≥ 90%). High agreement (< 90% and ≥ 75%) was achieved in another 12, and one failed to meet the consensus threshold (< 75%). A set of five recommendations were developed based on these results. The high levels of agreement demonstrate recognition amongst colorectal surgeons within the Asia–Pacific region of the potential advantage of recent improvements in robotic surgery technology to further improve surgical outcomes. The recommendations may inform a set of practical principles to help standardise the use of colorectal robotic surgery, which may also be relevant to other surgical fields.

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Section: Surgical Table Integration With Robotic Systemmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Consensus-led recommendations defining practical principles of achieving optimal surgical outcomes in robotic colorectal surgery in the Asia–Pacific region

Lynch

Ngu

et al. 2022

J Robotic Surg

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“…In these situations, as with direct manual laparoscopic surgery, the da Vinci Xi plus the new operating table enable the surgeon to optimize gravity exposure and provide the quick access to different surgical targets especially in narrow spaces such as pelvis. 23 These operations can be accomplished robotically by regulating the Trendelenburg and lateral tilt of the dVTM without undocking the robotic platform (Figure 1, Video 1).…”

Section: Discussionmentioning

confidence: 99%

Robotic Colorectal Resection With and Without the Use of the New Da Vinci Table Motion: A Case-Matched Study

et al. 2018

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In this preliminary experience, the use of the new dVTM with the da Vinci Xi in colorectal surgery, by overcoming the limitations of the fixed positions of the patient, enhanced the workflow and resulted in improved exposure of the operative field. Further studies with a greater number of patients are needed to confirm these benefits of the dVTM-da Vinci Xi robotically assisted colorectal surgery.

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“…The da Vinci surgical system was launched in 2014 as an improved version to da Vinci Si surgical system. It is currently in its 4th generation and is the most commonly used system for robotic-assisted laparoscopic surgery [4,5]. The da Vinci Xi Surgical system had improved features as compared to the previous generation machine with improved robotic arms, camera docking, longer instruments, new vision architecture and various other enhanced upgradations [4,6,7].…”

Section: Review Of Literaturementioning

confidence: 99%

Robotic-assisted Superior Gluteal Nerve Tumour Resection

Jaiswal¹,

Kim²,

Kim³

2022

J Minim Invasive Spine Surg Tech

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Sciatic notch tumours of the intra-pelvic variety are rare lesions and commonly arise from the sciatic nerve. These are usually benign neurogenic tumours and the most common of them is schwannoma. Conventional laparotomy techniques have associated surgical morbidity and significant blood loss. The advent of robotic systems and refinement in robotic-assisted surgical techniques to access deep lying pre-sacral lesions has offered a novel way to surgically handle such lesions thereby reducing morbidity, hospital stay and blood loss. Here we are presenting a case of non-discogenic sciatica which was attributed to superior gluteal nerve tumour and was surgically resected using robotic-assisted technique.

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First series of total robotic hysterectomy (TRH) using new integrated table motion for the da Vinci Xi: feasibility, safety and efficacy

Abstract: This preliminary study demonstrated the feasibility, safety and efficacy of ITM for the da Vinci Xi surgical system in TRH. ITM was safe, with no adverse events related to its use. Further studies will be useful to define the real role and potential benefit of ITM in gynecological surgery.

Cited by 9 publications

References 8 publications

Consensus-led recommendations defining practical principles of achieving optimal surgical outcomes in robotic colorectal surgery in the Asia–Pacific region

Consensus-led recommendations defining practical principles of achieving optimal surgical outcomes in robotic colorectal surgery in the Asia–Pacific region

Robotic Colorectal Resection With and Without the Use of the New Da Vinci Table Motion: A Case-Matched Study

Robotic-assisted Superior Gluteal Nerve Tumour Resection

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