scholarly journals Pediatric Robotic-Assisted Laparoscopy: A Description of the Principle Procedures

2006 ◽  
Vol 6 ◽  
pp. 2581-2588 ◽  
Author(s):  
Carlo Passerotti ◽  
Craig A. Peters

The advent of clinically useful robotic devices to facilitate reconstructive laparoscopic surgery in pediatric urology opens new doors to minimally invasive procedures. Previously limited by the challenge of delicate suturing and reconstruction using conventional laparoscopic instruments, robotic assistance offers a more rapid climb up the learning curve. Initial procedures that have been safely and efficaciously performed with robotic assistance include nephrectomy, partial nephrectomy, pyeloplasty, and antireflux surgeries. These techniques and their outcomes will be reviewed, as well as some of the challenges still posed by this methodology.

Author(s):  
Antony Brignoni ◽  
◽  
Oksana Mudra ◽  

Middle East has launched its first comprehensive robotic surgery programme, Known as one of the most sophisticated laparoscopic surgical technologies available, the device – created by Intuitive – is part of the new programme aimed at enhancing the group’s “current comprehensive general surgery and laparoscopic surgery services”. American Hospital was selected as the hub for this robotic programme as it is already considered a market leader in advanced laparoscopic surgery. According to the manufacturer, the da Vinci Xi HD 4 works by combining conventional laparoscopic techniques with high precision robotic technology that uses four robotic arms controlled by the surgeon from a console. Through the console, the surgeon is also able to access a 3D high-definition view of the surgical area. Robotic surgery is a state of the art surgical procedure in which the conventional laparoscopic technique is combined with high precision robotic technology. Articulated instruments allow the same movement capacity as the human wrist and the tremor filter eliminates any small uncontrollable movement in the surgeon's hands. We would like to share our experience in implementation of Robotic Assisted surgery in gynecological practice of out hospital. Commencement of our program coincided with very difficult period for all World. Regardless COVID pandemic, we started successfully our robo- surgical journey, and within 6 months we performed 150 Robotic assisted surgeries, 50 of them- gynecological. Gynecologic surgery has been transformed in the last three decades in the western world, from mostly open abdominal surgeries with increased length of stay and morbidity to today with minimally invasive surgeries with short length of stay, decreased morbidity, faster return to normal activities and work. Long past the days of doing laparoscopic surgery with direct viewing through a scope, later poor quality imaging monitors to our current High definition 2D and 3D imaging. In the last decade the introduction of Robotics to our surgical armamentarium has steadily increase the likelihood that patients will have minimally invasive procedure instead of an open laparotomy.


2015 ◽  
Vol 6 (2) ◽  
pp. 84-87
Author(s):  
Gnanaraj Jesudian

ABSTRACT Uterine fibroids are a common finding in women presenting for evaluation of infertility. Laparoscopic myomectomy has now become an accepted procedure in urban areas as many of the women prefer minimally invasive procedures. We describe the method of doing single incision laparoscopic myomectomy that offers all the advantages at a fraction of the cost of laparoscopic surgery in urban areas. How to cite this article Jesudian G. Single Incision Gasless Laparoscopic Myomectomy. Int J Infertil Fetal Med 2015;6(2): 84-87.


2008 ◽  
Vol 25 (2) ◽  
pp. E14 ◽  
Author(s):  
Karishma Parikh ◽  
Andre Tomasino ◽  
Jared Knopman ◽  
John Boockvar ◽  
Roger Härtl

Object The authors present their clinical results and the learning curve associated with the use of tubular retractors for 1- and 2-level lumbar microscope-assisted discectomies and laminectomies. Methods The study involves a retrospective and prospective analysis of 230 patients who underwent noninstrumented minimally invasive procedures for degenerative lumbar spinal disease between 2004 and 2007. Data on patient demographic characteristics and operative results, including length of stay, blood loss, operative times, and surgical complications were collected. Clinical outcomes were assessed based on pre- and postoperative Visual Analog Scale scores, Oswestry Disability Index values, and the Macnab outcome scale scores. Results The results showed characteristic differences in blood loss and operating times between 1- and 2-level procedures and between discectomies and laminectomies. A significant learning curve was seen by a decrease in operating time for 1- level discectomies and 2-level laminectomies. Major complications were not observed. Conclusions The use of tubular retractors for microsurgical decompression of degenerative spinal disease is a safe and effective treatment modality. As with other techniques, minimally invasive procedures are associated with a significant learning curve. As surgeons become more comfortable with the procedure, its applications can be expanded to include, for example, spinal instrumentation and deformity correction.


2006 ◽  
Vol 21 (1) ◽  
pp. 61-65 ◽  
Author(s):  
S. Beutner ◽  
M. May ◽  
B. Hoschke ◽  
C. Helke ◽  
M. Lein ◽  
...  

2007 ◽  
Vol 51 (4) ◽  
pp. 1015-1022 ◽  
Author(s):  
Thomas Frede ◽  
Ahmed Hammady ◽  
Jan Klein ◽  
Dogu Teber ◽  
Noriyuki Inaki ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kelly E. Diaz ◽  
Douglas Tremblay ◽  
Begum Ozturk ◽  
Ghideon Ezaz ◽  
Suzanne Arinsburg ◽  
...  

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