TY - JOUR. T1 - Robot assisted laparoscopic partial nephrectomy. T2 - A viable and safe option in children. AU - Lee, R. S.. AU - Sethi, A. S.. AU - Passerotti, C. C.. AU - Retik, A. B.. AU - Borer, J. G.. AU - Nguyen, H. T.. AU - Peters, Craig A. PY - 2009/1/1. Y1 - 2009/1/1. N2 - Purpose: The safety, benefits and usefulness of laparoscopic partial nephrectomy have been demonstrated in the pediatric population. We describe our technique, and determine the safety and feasibility of robot assisted laparoscopic partial nephrectomy based on our initial experience. Materials and methods: We retrospectively reviewed robot assisted laparoscopic partial nephrectomy performed at our institution between 2002 and 2005. The technique was conducted via a transperitoneal approach with the da Vinci Surgical System using standard laparoscopic procedural steps. Clinical indicators of outcomes included estimated blood loss, complications, in hospital narcotic use and length of stay. Results: Robot assisted ...
TY - JOUR. T1 - Clinical Significance of Benign Glands at Surgical Margins in Robotic Radical Prostatectomy Specimens. AU - Kohl, Shane K.. AU - Balaji, Kethandapatti C.. AU - Smith, Lynette M. AU - Wilson, Nicholas P.. AU - Johansson, Sonny L.. AU - Sterrett, Samuel P.. AU - Abrahams, Neil A.. PY - 2007/6/1. Y1 - 2007/6/1. N2 - Objectives: Completion of robotic radical prostatectomy compared with conventional open retropubic radical prostatectomy can result in different alterations in the prostatectomy specimens. One difference appears to be an increased incidence of benign glands at the margins, which has been associated with an increase in postoperative prostatic-specific antigen (PSA) levels. We compared the frequency and clinical significance of benign prostate glands at the surgical margins in radical prostatectomy specimens obtained by robotic versus open retropubic prostatectomy. Methods: We reviewed 38 consecutive prostatectomy specimens from patients with biopsy-proven prostate cancer. ...
BACKGROUND: The aim of this study is to investigate the cumulative incidence and risk factors of postoperative inguinal hernia (PIH) in patients undergoing radical prostatectomy, i.e., laparoscopic prostatectomy (LRP) and robot-assisted laparoscopic prostatectomy (RARP). METHODS: This study included 1124 patients who had undergone radical prostatectomy or transurethral resection of bladder tumor from 2011-2016. We compared the cumulative incidence of PIH in the radical prostatectomy groups (460; LRP 341, RARP 119) and the control group (664; transurethral resection of bladder tumor), and we then analyzed the risk factors (age, operative methods, previous abdominal operative history, thickness and width of external oblique muscle and rectus muscle, thickness of abdominal subcutaneous fat layer at Hesselbachs triangle level, body mass index, prostate-specific antigen, operative time, specimen weight, Gleason score, and pathology T-stage) of PIH in the radical prostatectomy groups ...
The da Vinci® Surgical System at Northern Nevada Medical Center near Reno offers minimally invasive surgery with less pain and quicker recovery.
Uterine manipulator is a very useful tool in performing total laparoscopic hysterectomy (TLH) for large uteri; however, in some cases, it cannot be used due to unfavorable anatomical conditions. The feasibility and safety of TLH for very large uteri without the use of uterine manipulator has not yet been established. We describe two emblematic cases of TLH for huge fibromatous uteri: the first one for a uterus weighing 5700 g, which is the largest uterus laparoscopically removed to date reported in literature, and the second one for a uterus of 3670 g associated with a severe lymph node neoplastic disease. In both cases, TLH was successfully and safely performed even without the use of uterine manipulator, thus allowing a rapid recovery, especially in the second case, which was essential for a fast start of the most appropriate oncological treatment, the best quality of life and undoubtedly cosmetic advantages. Although we believe in the great usefulness of the uterine manipulator in performing TLH for
Letter to the Editor. Suture Techniques during Laparoscopic and Robot-Assisted Partial Nephrectomy: A Systematic Review and Quantitative Synthesis of Peri-Operative Outcomes. Dear Sir,. We would like to congratulate the authors of this systematic review [1] highlighting the evolution of suture techniques for partial nephrectomy in the era of minimally invasive surgery. The authors note the significant technical modification for the replacement of intracorporeal free-hand knot tying with a sliding clip technique [2]. This technique has revolutionised the practice of PN and reduced the risk of the cheese cutting effect with the conventional suturing techniques. It is worth noting that this laparoscopic technique was first described by Agarwal et al in the BJUI in 2007 [3]. Indeed one of the authors of this SR also published on the robotic application of this technique in a publication in European Urology in 2009 (2), which also was remiss in referencing the original description of the ...
TY - JOUR. T1 - Use of the Satinsky clamp for hilar clamping during robotic partial nephrectomy. T2 - indications, technique, and multi-center outcomes. AU - Abdullah, Newaj. AU - Rahbar, Haider. AU - Barod, Ravi. AU - Dalela, Deepansh. AU - Larson, Jeff. AU - Johnson, Michael. AU - Mass, Alon. AU - Zargar, Homayoun. AU - Kaouk, Jihad. AU - Allaf, Mohamad E. AU - Bhayani, Sam. AU - Stifelman, Michael. AU - Rogers, Craig. PY - 2016/6/21. Y1 - 2016/6/21. N2 - A Satinsky clamp may be a backup option for hilar clamping during robotic partial nephrectomy (RPN) if there are challenges with application of bulldog clamps, but there are potential safety concerns. We evaluate outcomes of RPN using Satinsky vs. bulldog clamps, and provide tips for safe use of the Satinsky as a backup option. Using a multi-center database, we identified 1073 patients who underwent RPN between 2006 and 2013, and had information available about method of hilar clamping (bulldog clamp vs. Satinsky clamp). Patient baseline ...
TY - JOUR. T1 - Outcomes of Laparoscopic and Robotic Partial Nephrectomy for Large (,4 Cm) Kidney Tumors. T2 - Systematic Review and Meta-Analysis. AU - Pavan, Nicola. AU - Derweesh, Ithaar H.. AU - Mir, Carme Maria. AU - Novara, Giacomo. AU - Hampton, Lance J.. AU - Ferro, Matteo. AU - Perdonà, Sisto. AU - Parekh, Dipen J.. AU - Porpiglia, Francesco. AU - Autorino, Riccardo. PY - 2017/8. Y1 - 2017/8. N2 - Purpose: The aim of this study was to assess the outcomes of minimally invasive (laparoscopic and robotic) partial nephrectomy (MIPN) for large renal masses. Materials and Methods: A systematic literature review was performed up to September 2016 using multiple search engines to identify studies comparing MIPN for tumors larger than 4 cm (,cT1a) with MIPN for tumors smaller than 4 cm (cT1a). The preferred reporting items for systematic reviews and meta-analyses (PRISMA) criteria were used for article selection. Baseline demographics and surgical, functional, and oncological parameters were ...
TY - JOUR. T1 - Outcomes of Laparoscopic and Robotic Partial Nephrectomy for Large (,4 Cm) Kidney Tumors. T2 - Systematic Review and Meta-Analysis. AU - Pavan, Nicola. AU - Derweesh, Ithaar H.. AU - Mir, Carme Maria. AU - Novara, Giacomo. AU - Hampton, Lance J.. AU - Ferro, Matteo. AU - Perdonà, Sisto. AU - Parekh, Dipen J.. AU - Porpiglia, Francesco. AU - Autorino, Riccardo. PY - 2017/8/1. Y1 - 2017/8/1. N2 - Purpose: The aim of this study was to assess the outcomes of minimally invasive (laparoscopic and robotic) partial nephrectomy (MIPN) for large renal masses. Materials and Methods: A systematic literature review was performed up to September 2016 using multiple search engines to identify studies comparing MIPN for tumors larger than 4 cm (,cT1a) with MIPN for tumors smaller than 4 cm (cT1a). The preferred reporting items for systematic reviews and meta-analyses (PRISMA) criteria were used for article selection. Baseline demographics and surgical, functional, and oncological parameters ...
TransOral Robotic Surgery (TORS) is a modern surgical technique used to treat tumors of the mouth and throat via direct access through the mouth. TransOral Robotic Sleep Apnea (TORSA) surgery utilizes the same approach to open the upper airway of patients with obstructive sleep apnea. In TORS and TORSA procedures, the surgeon uses a surgical robot to view and access structures in the oral cavity (mouth) and pharynx (back of the throat) without any incisions through the neck, chin or lip (these incisions are necessary in traditional, non-robotic approaches). Current TORS techniques include radical tonsillectomy, resection of palate and base of skull tumors, hemiglossectomy and resection of tumors above and involving the larynx. The TORSA technique is used for uvulopalatopharyngoplasty, hemiglossectomy, and other airway procedures. The TORS technique was first developed in 2004-2005 by Drs. Gregory Weinstein and Bert OMalley Jr. at the University of Pennsylvania. At the time, surgical robots, in ...
To evaluate the effect of suboptimal dosing on the outcomes of patients who received neoadjuvant chemotherapy (NAC) and robot-assisted radical cystectomy (RARC).We retrospectively reviewed 336 consecutive patients with urothelial carcinoma of the bladder who were treated with NAC and RARC at three academic institutions.
Background: There is no consensus on the optimal technique for hiatal hernia (HH) repair, and considerable recurrence rates are reported. The aim of this study was to evaluate the perioperative outcomes, quality of life (QoL), and recurrence rate in patients undergoing robot-assisted laparoscopic HH repair. Materials and Methods: All patients ... read more who underwent robot-assisted laparoscopic HH repair between July 2011 and March 2015 were evaluated. The procedure consisted of hernia sac reduction, crural repair without mesh, and Toupet fundoplication. Postoperative radiological imaging or endoscopy was performed in all symptomatic patients to exclude recurrence. Perioperative results were collected retrospectively from the patient records. QoL was evaluated with Short Form-36 (SF-36), Gastroesophageal Reflux Disease-Health-Related Quality of Life (GERD-HRQOL), and Gastrointestinal Quality of Life Index (GIQLI) questionnaires. Results: A total of 40 patients were identified. The majority ...
Objectives: Based on imaging features, nephrometry scoring systems have been conceived to create a standardized and reproducible way to characterize renal tumor anatomy. However, less is known about which of these individual measures are important with regard to clinically relevant perioperative outcomes such as ischemia time (IT), estimated blood loss (EBL), length of hospital stay (LOS), and change in estimated glomerular filtration rate (eGFR) after robotic partial nephrectomy (PN). We aimed to assess the utility of the RENAL and PADUA scores, their subscales, and C-index for predicting these outcomes. Materials and Methods: We analyzed imaging studies from 283 patients who underwent robotic PN between 2008 and 2014 to assign nephrometry scores (NS): PADUA, RENAL and C-index. Univariate linear regression was used to assess whether the NS or any of their subscales were associated with EBL or IT. Multivariable linear regression and linear regression models were created to assess LOS and eGFR. ...
To establish a robotic-assisted laparoscopic radical prostatectomy programme at the University of Western Ontario/London Health Sciences Centre and to critically evaluate the role of this programme in the management of localized prostate cancer in surgical candidates Details of surgical procedure, operative outcome, patient outcome including quality of life will be collected ...
On display at the exhibition earlier this month was a state-of-the-art Da Vinci robot which is used to remove tumours while preserving as much normal kidney tissue as possible.. The Da Vinci robot, which is used by surgeons at the Royal Free to remove kidney tumours, was on display at the Royal societys annual Summer Science Exhibition earlier in the month.. The exhibit by the team of Royal Free surgeons was one of 22 selected to appear at the prestigious event.. Surgeon Faiz Mumtaz, who led the team, said: We had long queues - people were waiting half an hour to have a go on the robot. We had lots of young people interested and they all picked it up very quickly. A lot of them were school students interested in becoming surgeons.. The future of surgery is robotics. At the moment the surgeons are operating the robot and doing everything but the next step is robots with artificial intelligence that will be able to carry out operations themselves.. ...
TY - JOUR. T1 - R-LESS partial nephrectomy trifecta outcome is inferior to multiport robotic partial nephrectomy. T2 - Comparative analysis. AU - Komninos, Christos. AU - Shin, Tae Young. AU - Tuliao, Patrick. AU - Yoon, Young Eun. AU - Koo, Kyo Chul. AU - Chang, Chien Hsiang. AU - Kim, Sang Woon. AU - Ha, Ji Yong. AU - Han, Woong Kyu. AU - Rha, Koon Ho. PY - 2014/9. Y1 - 2014/9. N2 - Background Trifecta achievement in partial nephrectomy (PN) is defined as the combination of warm ischemia time ≤20 min, negative surgical margins, and no surgical complications. Objective To compare trifecta achievement between robotic, laparoendoscopic, single-site (R-LESS) PN and multiport robotic PN (RPN). Design, setting, and participants Data from 167 patients who underwent RPN from 2006 to 2012 were retrospectively analyzed. Outcome measurements and statistical analysis Primary outcome measurement was trifecta achievement; secondary outcome was the perioperative and postoperative comparison between groups. ...
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ReportsMonitor.Com Adds Global Robotic Surgery Systems Market Professional Survey Report 2017 to Its Database.. This report focuses on top manufacturers in global market, with production, price, revenue and market share for each manufacturer, covering. Intuitive Surgical,Inc.. Computer Motion,Inc.. Integrated Surgical. Stryker. Accuray. Medrobotics. Titan Medicals. Stereotaxis. GET A SAMPLE REPORT @https://www.reportsmonitor.com/request-sample/?post=269531. By types, the market can be split into. Non-invasive Surgery Robots. Other. By Application, the market can be split into. Orthopedic. Laparoscopy. Neurology. By Regions, this report covers (we can add the regions/countries as you want). North America. China. Europe. Southeast Asia. Japan. India. Table of Contents. Global Robotic Surgery Systems Market Professional Survey Report 2017. 1 Industry Overview of Robotic Surgery Systems. 1.1 Definition and Specifications of Robotic Surgery Systems. 1.1.1 Definition of Robotic Surgery Systems. 1.1.2 ...
Da Vinci Robotic Gallbladder Surgery offers virtually no scar and a quick recovery. Talk to your doctor to see if da Vinci gallbladder Surgery is right for you.
There are a number of techniques documented in the literature to perform laparoscopic hysterectomy, and here, we propose a safe and novel technique that obviates the need for a pelvic assistant, removes the need for a uterine manipulator and can potentially reduce operative duration. Total laparoscopic hysterectomy can be approached without the use of uterine manipulator or vaginal tubes using the steps demonstrated. This novel technique is safe, efficient and conducive to standardising minimally invasive hysterectomy practices obviating the need for a uterine manipulator and pelvic assistant.
This 3D image-guided system provided better hand-eye coordination and accurate information for localizing the target lesions of benign and malignancies with its relationship to the surrounding vessels. MR procedure, when contained virtual endoscopy, could help understanding the surgical procedures and techniques in complex minimally invasive surgical procedure including single incision laparoscopic surgery and natural orifice translumenal endoscopic surgery (NOTES) using daVinci. The Polaris was able to identify the exact location and orientation of the robotic end-effector. With the exact location of the robotic end-effector known, the necessary positional accuracy can be better achieved in robotic image-guided navigation ...
This approach is concerned with designing robots that function like biological systems, hence they are based on the natural sciences (biology, zoology and ethology) and robotics. Given that biological systems perform many complex processing tasks with maximum efficiency, provide a good reference for implementing artificial systems that perform tasks that living things do naturally (interpretation of sensory information, learning, movement, coordination, and so on. ) [Ros, et al, 2002]. Although it is possible to obtain different degrees of biologically inspired (from a vague resemblance to an acceptable reply), the ultimate goal is to make machines and systems increasingly similar to the original [Dario, 2005].. The advantage of building bio-robots is that, as is possible to study all their internal processes, they can be contrasted with the different organs of the animal from which it is based. Currently, scientists develop locusts, flies, dogs, fish, snakes and roaches robotics, in order to ...
Older adults will have the opportunity to learn more about the functions of the three sections of the ear and problems associated with each at The Aging Ear set for Wednesday, June 15, 10:30 to 11:30 a.m. Dr. Howard Boey will present this free program at Farmington Senior Center, 321 New Britain Ave., Unionville. Topics include vertigo, hearing loss and other related issues. Dr. Boey, certified by the American Board of Otolaryngology, specializes in the da Vinci Surgical System (robot-assisted), head and neck surgery, and otolaryngology. Seating is limited and registration is required. To RSVP, call 855.HHC.HERE (855.442.4373).
TY - JOUR. T1 - Design, fabrication and control of upper limb rehabilitation robot prototype for stroke patients. AU - Mohamaddan, S.. AU - Annisa, J.. AU - Abidin, A. S.Z.. AU - Jamaludin, M. S.. AU - Ashari, M. F.. AU - Helmy, H.. N1 - Funding Information: This research is funded by the Ministry of Higher Education Malaysia (MOHE) under the Research Acculturation Grant Scheme (RAGS) [Grant no. RAGS/TK01(1)/1050/2013(7)]. The authors would like to thank Universiti Malaysia Sarawak (UNIMAS) for providing facilities for the research. Special thanks to Tan Foo Hen, Tigang anak Doris Debong and Mohd Izfihar bin Hazmi for their effort to accomplish this research. Publisher Copyright: © 2016 Penerbit Universiti Teknikal Malaysia Melaka.. PY - 2018. Y1 - 2018. N2 - Stroke is one of the prominent causes of disability in the world. In order to have chances for recovery, the stroke patients need repetitive and consistent rehabilitation activities or treatment. However, the increasing number of stroke ...
TY - JOUR. T1 - Laparoscopic ultrasound manipulator with a spring-based elastic mechanism. AU - Arata, Jumpei. AU - Fukami, Kazunari. AU - Oguri, Susumu. AU - Onogi, Shinya. AU - Ikeda, Tetsuo. AU - Nakadate, Ryu. AU - Sakaguchi, Masamichi. AU - Akahoshi, Tomohiko. AU - Harada, Kanako. AU - Mitsuishi, Mamoru. AU - Hashizume, Makoto. PY - 2018/7/1. Y1 - 2018/7/1. N2 - Purpose: Image guidance is a key technology that can improve the outcome of laparoscopic surgery. However, due to the large deformation caused by digestive organs, a computer-aided navigation system based on preoperative imaging data cannot indicate the correct target position of the lesion (e.g., liver tumors and vessels invisible from the organ surface). To overcome this issue, we developed a laparoscopic ultrasound manipulator with two motorized degrees of freedom at the tip, allowing for the performance of a dexterous ultrasound scan in a confined laparoscopic surgical area. Method: The developed manipulator consists of a ...
University of Chicago Medicine surgeons are experts in transoral robotic surgery (TORS), an innovative, less invasive treatment option to remove some types of head and neck cancers through the mouth.
A Single Arm Study of Efficacy and Functional Quality of Life in Patients Treated with Transoral Robotic Surgery for Oropharyngeal and Supraglottic Squamous Cell Carcinoma ...
Transoral Robotic Surgery in Treating Patients With Benign or Malignant Tumors of the Head and Neck This study is currently recruiting participants. Verified…
Craig Rogers, MD, director of Renal Surgery and Urologic Oncology at Henry Ford Hospital, highlights the evolution of techniques for robotic prostatectomy for improved outcomes, including the use of suprapubic tube equipment and tube placement, Gel Point application, and side-docking of the DaVinci surgical system.. ...
TY - JOUR. T1 - Robotic Partial Nephrectomy for a Peripheral Renal Tumor. AU - Cooper, Caleb A.. AU - Shum, Cheuk Fan. AU - Sundaram, Chandru. PY - 2018/5/1. Y1 - 2018/5/1. N2 - Partial nephrectomy (PN) is the preferred surgical treatment for T1 renal tumors whenever technically feasible. When properly performed, it allows preservation of nephron mass without compromising oncologic outcomes. This reduces the postoperative risk of renal insufficiency, which translates into better overall survival for the patients. PN can be technically challenging, because it requires the surgeon to complete the tasks of tumor excision, hemostasis and renorrhaphy, all within an ischemic time of preferably below 30 minutes. The surgeon needs to avoid violating the tumor margins while leaving behind the maximal parenchymal volume at the same time. Variations such as zero ischemia, early unclamping, and selective clamping have been developed in an attempt to reduce the negative impact of renal ischemia, but ...
Once oropharyngeal cancer is diagnosed, Dr. Goldenberg works with patients to determine whether surgery, radiation, chemotherapy or a combination of the three is the best treatment.. The tongue base and tonsil region affects speech and swallowing, and its this area that is operated on, Dr. Goldenberg says. This can be an important consideration for the patient. The decision about whether to perform surgery is based on the tumor itself, the patients preference and the functional outcome we can achieve for the patient.. In the past, surgery to treat oropharyngeal cancers lasted four to five hours and involved radically invasive measures, such as splitting the lower jaw in order to access the primary tumor for resection.. The adoption of transoral robotic surgery (TORS) led to improvements in that regard. However, the procedures were still significantly invasive for many patients with oropharyngeal cancer.. We started resecting some tumors of the oropharynx with robotic surgery in 2008, but ...
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Surgical robotics system is an area which received attention in the area of robotics. A robotic Surgery is de ned as a computer assisted electro-mechanical device in a surgical environment which supports the surgeon by performing interventions. One of the most famous surgical robotic systems is the da Vinci system which is used for minimally invasive robotic Surgery. The da Vinci consists of up to three robotic arms for holding surgical equipments, a patient side cart including one robotic arm equipped with an endoscopic camera. Generally, Surgical robotic systems are consider safety critical systems where occurring of errors might lead to the risk of human life, to economic loss, or to a huge environment danger. Therefore, specifying the behavior of those systems has to be carried out carefully in order to avoid the side effects that might cause undesirable or even fateful behaviors. One of the primary concerns is the safety of the patient, which in turn leads to an extreme reliable, safe and ...
Surgical robotics system is an area which received attention in the area of robotics. A robotic Surgery is de ned as a computer assisted electro-mechanical device in a surgical environment which supports the surgeon by performing interventions. One of the most famous surgical robotic systems is the da Vinci system which is used for minimally invasive robotic Surgery. The da Vinci consists of up to three robotic arms for holding surgical equipments, a patient side cart including one robotic arm equipped with an endoscopic camera. Generally, Surgical robotic systems are consider safety critical systems where occurring of errors might lead to the risk of human life, to economic loss, or to a huge environment danger. Therefore, specifying the behavior of those systems has to be carried out carefully in order to avoid the side effects that might cause undesirable or even fateful behaviors. One of the primary concerns is the safety of the patient, which in turn leads to an extreme reliable, safe and ...
Assistive Trousers Drive Innovation in the Robotic Technology Landscape. Technological innovations in the robotic rehabilitation and assistive technologies landscape are offering people a second look at overcoming disability challenges. Modern technology in robotics is not only making the lives of disabled and elderly patients easier, but also improving their body functionalities.. The robotic rehabilitation and assistive technologies market is driven by well-designed technology to develop care and companionship robots and assistive speech technology systems. Thus, stakeholders are conducting research & development to identify how assistive robots can effectively help disabled patients, and are working closely to design novel assistive robot technologies that solve the challenges of disabled individuals.. Likewise, stakeholders are developing robotic trousers that restore normal walking in disabled patients. These robotic trousers are developed by combining soft artificial muscles with electric ...
Citizens Medical Center now houses technology that will provide patients with better surgery outcomes. The da Vinci Si Surgical System arrived at the hospital in November and provides a minimally invasive approach to more complex surgeries, such as heart bypasses.. The system is a robotic hand that allows surgeons to be precise in surgical procedures.. We believe that the new features of the da Vinci Si System will help us provide the best possible outcomes for our patients and is proof of our commitment to provide our community access to the latest advancements in minimally invasive surgery, said David Brown, hospital chief executive officer.. The robot has been used successfully in hysterectomies and other gynecological procedures, said Dr. Anthony McDowell, a Victoria gynecologist. The system features enhanced 3D, high definition vision, fluorescent imaging and visual clarity of body tissue and anatomy.. The Da Vinci Si is an extremely exciting tool that will keep Citizens Medical Centers ...
Robotic partial nephrectomy appears to be a reasonable option for certain renal masses, provided that an experienced surgeon performs the procedure at a center that can manage postoperative complications, researchers concluded after conducting an analysis involving nearly 1,800 individuals. Participants had cT1a (n=1358), cT1b (n=379), or cT2a (n=41) renal masses. Investigators looked at how intra and postoperative outcomes in patients with cT2a masses compared to those with the other 2 mass types. Among the results:
PRIMARY OBJECTIVES:. I. To determine if eliminating placement of a pelvic drain in patients during robotic assisted laparoscopic prostatectomy (RALP) increases incidence of early postoperative adverse events occurring within 90 days from prostatectomy, compared to patients who have a pelvic drain placed during RALP.. SECONDARY OBJECTIVES:. I. To determine the incidence of early postoperative adverse events in patients with and without a pelvic drain when adjustments to confounders associated with these events are made (confounders: demographic, surgical and pathologic; age, body mass index [BMI], pathologic stage, Gleason sum, extent of lymph node dissection).. II. To report peri-operative and postoperative outcomes, including but not limited to, length of hospital stay, re-admissions, continence, potency and incidence of medical interventions for patients with and without pelvic drain.. III. To compare early postoperative adverse event rates between patients with and without a pelvic drain in ...
Rex Bionics has launched Rex, a robotic exoskeleton consisting of a pair of robotic legs for wheelchair users, enabling them to stand up and walk. It can
By 2015, prostate cancer will become the most commonly diagnosed cancer in men. Radical prostatectomy reduces disease-specific mortality in patients with localized prostate cancer; however, the invasiveness of surgery and its resultant side effects cause many men to seek other treatments. In 2000, laparoscopic radical prostatectomy emerged as a minimally invasive alternative to open surgery; it has been refined recently by the addition of robotic technology. To examine the outcomes of robotic radical prostatectomy and compare them with those from open and conventional laparoscopic radical prostatectomy, we prospectively collected baseline demographic data on all patients undergoing surgery for prostate cancer over a 4-year period at our center. Urinary function and sexual function were evaluated using standardized criteria as well as a questionnaire preoperatively and at 1, 3, 6, 12, and 18 months after their procedure. Operative and postoperative outcomes were compared using values for open ...
STAMFORD, Conn., May 17, 2016-- SoldierStrong, a nonprofit organization dedicated to providing advanced medical technologies to veterans, today announced that it will be donating an Ekso Bionics Ekso GT™ robotic exoskeleton to the United States Department of Veterans Affairs Minneapolis VA Health Care System.
TY - JOUR. T1 - Partial Nephrectomy in Clinical T1b Renal Tumors. T2 - Multicenter Comparative Study of Open, Laparoscopic and Robot-assisted Approach (the RECORd Project). AU - Porpiglia, Francesco. AU - Mari, Andrea. AU - Bertolo, Riccardo. AU - Antonelli, Alessandro. AU - Bianchi, Giampaolo. AU - Fidanza, Francesco. AU - Fiori, Cristian. AU - Furlan, Maria. AU - Morgia, Giuseppe. AU - Novara, Giacomo. AU - Rocco, Bernardo. AU - Rovereto, Bruno. AU - Serni, Sergio. AU - Simeone, Claudio. AU - Carini, Marco. AU - Minervini, Andrea. PY - 2016/3/1. Y1 - 2016/3/1. N2 - Objective To evaluate perioperative results of open (OPN), laparoscopic (LPN), and robot-assisted partial nephrectomies (RAPN) and to identify predictive factors of Trifecta achievement for clinical T1b renal tumors in a multicenter prospective dataset. Methods Data of 285 patients who had OPN (133), LPN (57), or RAPN (95) for cT1b renal tumors were extracted from the RECORd Project. High-volume centers were defined as ≥50 overall ...
INTRODUCTION. Post prostatectomy stress urinary incontinence is common. Many men ultimately require surgical intervention for correction of their incontinence. Our objective was to describe our initial experience with a novel technique performed at the time of robotic prostatectomy to improve postoperative continence.. METHODS. The technique consists of a suburethral hammock using a vascularized flap of peritoneum. During the dissection of the seminal vesicles through the posterior cul de sac, a 4 cm flap of peritoneum is raised off the posterior bladder. Upon completion of the prostatectomy and bilateral pelvic lymphadenectomy, the flap is placed onto the prostatic fossa with the peritoneal surface facing the anastomosis. The posterior urethral stitch is placed through the cut edge of the peritoneal flap and then on to the posterior bladder neck. Three such sutures are placed at 5, 6 and 7 oclock bringing together urethra, edge of peritoneal flap, and bladder neck. The remainder of the ...
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Most people today have not yet had the opportunity to interact directly with a robot in their everyday lives, except maybe with childrens toys or those charming robotic vacuum cleaners. While there are ongoing experiments with robots in healthcare, many more are employed in high-tech efficient environments such as factories. But robots have also often played a large part in our cultural and historical imagination. This is celebrated in current exhibitions such as Robot at the Science Museum in London, exploring 500 years of humanoids robots, from pop culture to products, and Hello, Robot. Design between Human and Machine at the Vitra Design Museum in Germany. Apart from thematic exhibitions and despite robots pointing toward future automation, robots are starting to be used in heritage contexts to provide services, from remote exploration of museum sites to robot-based guided tours. But what happens when robots move from being an attraction to being an agent that shares the same physical ...
A radical prostatectomy is a procedure to remove the prostate gland. It is performed to treat prostate cancer. At Brisbane Urology Clinic, our urologist perform robotic radical prostatectomy using the daVinci robotic surgical system. ...
Surgeon Performs Kansas Citys First Sleep Apnea Procedure with the Assist of the da Vinci Surgical Robot - David Rudman, MD, sees surgical robot as the future to...
Tooth Extraction Sunnyvale - You may need a tooth extraction for several reasons, and Sunnyvale dentist Shazi Hedayati will thoroughly explain all...
OBJECTIVE: The aim of this study was to compare oncological and functional outcomes between robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP) during the initial phase with RALP at a large university hospital. MATERIAL AND METHODS: Patient and tumour characteristics, surgeon, nerve sparing, surgical margins and blood loss were recorded prospectively in patients who underwent RRP or RALP between April 2008 and May 2012. Patients filled out the Danish Prostate Symptom Score (DAN-PSS) and International Index of Erectile Function 5 (IIEF-5) questionnaires before surgery and at follow-up and they were asked to report their use of pads/diapers. Potency was defined as an IIEF-5 score of at least 17 with or without phosphodiesterase-5 inhibitors. Patients using up to one pad daily for security reasons only were considered continent. Positive surgical margins, blood loss and functional outcomes were compared between groups. RESULTS: Overall, 453 patients ...
TY - JOUR. T1 - Long-term angiographic follow-up of robotic-assisted coronary artery revascularization. AU - Currie, Maria E.. AU - Romsa, Jonathan. AU - Fox, Stephanie A.. AU - Vezina, William C.. AU - Akincioglu, Cigdem. AU - Warrington, James C.. AU - McClure, R. Scott. AU - Stitt, Larry W.. AU - Menkis, Alan H.. AU - Boyd, Walter D. AU - Kiaii, Bob. PY - 2012/5. Y1 - 2012/5. N2 - Background: Robotic-assisted coronary artery bypass grafting (CABG) has been shown in short-term studies to increase patient satisfaction and to reduce surgical morbidity and recovery times. However, the long-term patency rate of robotic-assisted CABG is unknown. Therefore, the objective of this study was to assess the long-term patency rate of robotic-assisted coronary artery bypass grafts. Methods: The study cohort included all patients who underwent robotic-assisted conduit dissection for CABG at London Health Sciences Centre between September 1999 and December 2003. These patients had selective graft patency ...