Initial Experience with the Four-Arm Computer-Enhanced Telesurgery Device in Foregut Surgery

Newlin, Matthew E.; Mikami, Dean J.; Melvin, Scott

doi:10.1089/1092642041255397

Cited by 28 publications

(19 citation statements)

References 5 publications

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“…For this reason, minor misplacement of the trocars away from the ideal positions may severely hinder the performance of operations (24). The computer-assisted device must be positioned for maximum range of motion to its moving arms without collision of the arms or injury to the patient (38).…”

Section: Discussionmentioning

confidence: 99%

Long‐term results of quality of life after standard laparoscopic vs. robot‐assisted laparoscopic fundoplications for gastro‐oesophageal reflux disease. A comparative clinical trial

Hartmann

Menenakos

Ordemann

et al. 2008

Robotics Computer Surgery

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Section: Discussionmentioning

confidence: 99%

Long‐term results of quality of life after standard laparoscopic vs. robot‐assisted laparoscopic fundoplications for gastro‐oesophageal reflux disease. A comparative clinical trial

Hartmann

Menenakos

Ordemann

et al. 2008

Robotics Computer Surgery

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“…Several studies had reported that RPEH is not associated with statistically significant increases in operative times when compared with RF [26]. It has been suggested that technically superior hiatal repairs can be achieved with RPEH, although in long-term follow-up comparisons to a laparoscopic PEH cohort this has not been shown [27,28].…”

Section: Foregut Surgerymentioning

confidence: 99%

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

et al. 2015

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“…The use of an additional fourth instrumentation arm has proven useful in anti-reflux surgery [19], potentially diminishing the need for a tableside assistant. Our results are compared with manual laparoscopic cholecystectomies, performed during the same period.…”

Section: Introductionmentioning

confidence: 99%

First Results after Introduction of the Four-Armed da Vinci Surgical System in Fully Robotic Laparoscopic Cholecystectomy

Heemskerk¹,

R²,

Wg³

et al. 2005

Dig Surg

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Background: Laparoscopic cholecystectomy offers less post-operative pain, less complications, and faster recovery compared with open cholecystectomy. However, laparoscopic surgery can be demanding because of several technical drawbacks. Robotic surgery allows dexterity skills to be performed faster and shortens the learning curve, possibly leading to faster and safer laparoscopic surgery. Methods: In this paper, we report the results of our first 12 cases of fully robotic laparoscopic cholecystectomy using the da Vinci Surgical System, comparing them with 12 cases of conventional laparoscopic cholecystectomy. Using a fourth arm in robotic laparoscopy enables the surgeon to perform surgery without the use of a tableside assistant, leading to non-tiring, tremble-free assistance and reducing salary costs. Primary end points are operating time and costs. Secondary end points are operative complications and duration of admission. Results: Fully robotic cholecystectomy was completed in all 12 cases without increased complication rate and without conversions. However, robotic assistance results in an increased overall operating room stay of 31 min and increased costs of EUR 1,180.62. Conclusion: Fully robotic laparoscopic cholecystectomy is safe and feasible but seems more expensive and time consuming at this moment.

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Initial Experience with the Four-Arm Computer-Enhanced Telesurgery Device in Foregut Surgery

Abstract: The da Vinci robot with the addition of the fourth arm results in a efficient and safe operation and allows the surgeon to perform additional maneuvers without the use of a surgical assistant.

Cited by 28 publications

References 5 publications

Long‐term results of quality of life after standard laparoscopic vs. robot‐assisted laparoscopic fundoplications for gastro‐oesophageal reflux disease. A comparative clinical trial

Long‐term results of quality of life after standard laparoscopic vs. robot‐assisted laparoscopic fundoplications for gastro‐oesophageal reflux disease. A comparative clinical trial

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

First Results after Introduction of the Four-Armed da Vinci Surgical System in Fully Robotic Laparoscopic Cholecystectomy

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