Robotics in General Surgery

Abstract

Hypothesis: Robotic technology is the most advanced development of minimally invasive surgery, but there are still some unresolved issues concerning its use in a clinical setting.

Laparoscopic robotic-assisted gastrointestinal surgery: a Geneva experience

“…It is our impression that the use of the da Vinci system is from a technical point of view particularly useful for proctectomy with total mesorectum excision (TME) in cases of rectal cancer [25], as lymph node harvesting, nerve sparing and anatomical TME is enhanced by the three-dimensional vision of the pelvis. As reported by others, we prefer to do a hybrid procedure (conventional laparoscopic inferior mesenteric high vessel ligature and splenic Xexure take down) and robotic proctectomy with TME [6]. This approach prevents a prolonged operative time and the unnecessary displacing of the robot.…”

“…Several studies have reported surgical results using the da Vinci robotic system in which this technique has been shown to be applicable and safe [3][4][5][6][7][8][9]. No morbidity related to the system has yet been observed.…”

“…The follow-up was done during a patient's visit to the attending physician and/ or telephone interview. The patient's evaluation was obtaining using a visual analog score (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Approval by our local Ethics Committee was obtained prior to carrying out this study.…”

Robot-assisted distal pancreatectomy: Technical aspects and results

“…Основным показанием к операции являются злокачественные и доброкачественные опухоли тела и хвоста ПЖ. При осложнениях хронического панкреатита миниинвазивные резекционные операции практически не выполняют [9][10][11][12]. Мы также придерживаемся сдер-жанного отношения к РА-операциям при хроническом панкреатите из-за сложности интраоперационного гемо-стаза при резекции паренхимы ПЖ и затруднениях опре-деления адекватного объема резекции органа.…”

Robotic gastrectomy for gastric cancer: Current evidence

“…Improved postoperative outcomes for patients include reduced pain, lower risk of complications, less blood loss, shorter hospital stay, and faster return to normal activities. Since robotic surgery was first introduced in the late 1990s, wide application and accumulation of experience have continued 2, 3. Moreover, it has overcome some of the limitations of conventional laparoscopy by providing increased accuracy of tremor filtered and wristed instrumental movements, along with seven degrees of freedom and the ability to scale motions 4, 5…”