Robotics the future of surgery

Patel, Kush

doi:10.1016/j.ijsu.2008.08.010

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…In the past 20 years, endoscopic and robotic interventions have been increasing gradually as the rising generation surgeons prefer minimally invasive methods and they are more eager to the innovative approaches than the traditional approach. [ 35 , 36 ] This situation will inevitably cause the widespread use of endoscopic thyroid surgery, according as in other surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Patient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in an Endemic Region

et al. 2021

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Objective: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a scarless method that enables thyroidectomyusing natural orifice of the body. The opinion which is even common among TOETVA performing surgeons is that this surgery involves a small percentage of thyroidectomy applied patients. In this study, based on the currently accepted exclusion criteria, we aimed to determine what percentage of patients, who underwent thyroidectomy in an endemic area are actually suitable for TOETVA. Methods: Between January 2017 and December 2019, 1197 consecutive patients who underwent surgery for thyroid pathology in our clinic were analyzed retrospectively. Pre-operative evaluations were made according to the current exclusion criteria and as a result, patients with no previous neck surgery, no history of radiotherapy, no retrosternal thyroid extension, and none lymph node dissection operation been made and whose thyroid gland diameter is <10 cm and gland volume is not more than 45 ml, malignant nodule diameter is <2 cm, and benign nodule diameter is <4 cm are involved to this study by being considered appropriate for TOETVA procedure. Results: According to the criteria, 513 patients (42.8%) were found suitable for TOETVA. A total of 421 (82%) of these patients were female and 92 (18%) were male. The mean age was 46.2±13.2. A total of 192 (37%) of these patients were operated due to the benign reasons, and 321 (63%) of these patients operated due to the malignancy or suspicion of malignancy. Average nodule size was 1.9 cm, and the average thyroid volume was 23.8 ml among benign patients. Whereas among malignant patients, the average nodule size was 1.7 cm and the average thyroid volume was 21.8 ml. A total of 462 (90.1%) of the patients were applied to the total thyroidectomy and 51 (9.9%) of the patients were applied to the hemithyroidectomy. In the same period, 29 patients operated through TOETVA and 4 patients operated through bilateral axillary breast approach thyroidectomy. When the final pathology, results of the patients were examined, papillary thyroid carcinoma was seen in 301 (58.7%) patients, benign pathologies were seen in 192 (37.4%) patients, and 20 (3.9%) patients were diagnosed with other pathologies (follicular thyroid carcinoma, poorly differentiated carcinoma and Hürthle cell neoplasia, etc.). Conclusion: Although “patient willingness” factor could not be included in the study, TOETVA eligible patient repository is wider contrary to popular belief. In our humble opinion, TOETVA method is going to pursue its spread and become a part of the routine surgical training session due to its effectiveness in terms of credibility in today’s world where cosmetic concerns gradually gain prominence.

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Section: Discussionmentioning

confidence: 99%

Patient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in an Endemic Region

et al. 2021

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“…The introduction of laparoscopy was a milestone in the teaching of surgery mainly by allowing images shared between observers, tutors and residents in real time [17]. The use of robot-observers is a paradigm shift for open surgery teaching, in which cameras can be used for images transmission as a new tool in surgeons’ training [18]. Through telemedicine, students and residents can observe the procedure from a remote classroom [15].…”

Section: Telemedicine In Surgical Educationmentioning

confidence: 99%

Enhancing trauma education worldwide through telemedicine

et al. 2012

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Advances in information and communication technologies are changing the delivery of trauma care and education. Telemedicine is a tool that can be used to deliver expert trauma care and education anywhere in the world. Trauma is a rapidly-evolving field requiring access to readily available sources of information. Through videoconferencing, physicians can participate in continuing education activities such as Grand Rounds, seminars, conferences and journal clubs. Exemplary programs have shown promising outcomes of teleconferences such as enhanced learning, professional collaborations, and networking. This review introduces the concept of telemedicine for trauma education, and highlights efforts of programs that are utilizing telemedicine to unite institutions across the world.

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Information and the Future of Medical Practice

Ismaila

2024

Reference Module in Social Sciences

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Robotics the future of surgery

Cited by 4 publications

References 5 publications

Patient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in an Endemic Region

Patient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in an Endemic Region

Enhancing trauma education worldwide through telemedicine

Information and the Future of Medical Practice

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