scholarly journals Sugammadex, the Guardian of Deep Muscle Relaxation During Conventional and Robot-Assisted Laparoscopic Surgery: A Narrative Review

2021 ◽  
Vol Volume 15 ◽  
pp. 3893-3901
Author(s):  
Yan Sun ◽  
Zhilin Wu ◽  
Qi Wang ◽  
Rui Chen ◽  
Shujun Sun ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Muscle Relaxation ◽  
Narrative Review ◽  
Robot Assisted ◽  
Deep Muscle ◽  
The Guardian

scholarly journals Robot-assisted laparoscopic surgery after placing a self-expanding metallic stent for malignant rectal obstruction: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hiroshi Takeyama ◽  
Katsuki Danno ◽  
Takahiko Nishigaki ◽  
Masafumi Yamashita ◽  
Masami Yamazaki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Lower Abdominal Pain ◽  
Lower Limbs ◽  
Metallic Stent ◽  
Sems Placement ◽  
Robot Assisted ◽  
Colorectal Obstruction ◽  
First Report ◽  
Distended Bowel ◽  
Rectal Obstruction

Abstract Background Approximately 20% of colorectal cancer patients show complete or incomplete bowel obstruction as an early symptom. Preoperative nonsurgical decompression such as placing a self-expanding metallic stent for malignant colorectal obstruction has been shown to be effective for reducing perioperative morbidity and mortality. However, there is a lack of published studies reporting robot-assisted laparoscopic surgery (RALS) after self-expanding metallic stent (SEMS) placement for malignant rectal obstruction (MRO). To our knowledge, this is the first report to do so. Case presentation An 80-year-old man with incomplete paralysis of the lower limbs as well as bladder–rectal disorder due to a spine fracture sustained in a fall accident 26 years ago presented with lower abdominal pain and vomiting. Abdominal multi-detector computed tomography revealed an obstructive rectal tumor with distended bowel on the oral side. Emergency colonoscopy was performed, and an SEMS placed. The patency of SEMS and decompression of the distended bowel was confirmed, and elective RALS was performed 29 days after SEMS placement. To our knowledge, this is the first report of RALS after decompression with SEMS placement for MRO. Conclusions RALS after SEMS placement is a safe and feasible therapeutic strategy for MRO.

Operant Learning (R-S) Principles Applied to Nail-Biting

1995 ◽  
Vol 77 (2) ◽  
pp. 507-514 ◽  
Author(s):  
Terry Michael McClanahan
Keyword(s):  
Muscle Relaxation ◽  
Treatment Phase ◽  
Caucasian Woman ◽  
Operant Learning ◽  
Self Awareness ◽  
Systematic Desensitization ◽  
Self Monitoring ◽  
Nail Biting ◽  
Setting Events ◽  
Deep Muscle

The principles of R-S learning were applied to a 32-yr.-old Caucasian woman to reduce the frequency and duration of fingernail-biting activity in a reversal-replication (ABAB) research design. The undesirable behavior, fingernail-biting which included frequency and duration, antecedents, and setting events, was recorded during a 28-day study. Self-monitoring recordings indicated that anxiety was the most prevalent antecedent. Through the use of a preliminary questionnaire and interview, increase in self-awareness was judged to be most effective in the extinction of the un-desired behavior. The systematic desensitization techniques of deep muscle relaxation and Transcendental Meditation were used during the treatment phase.

scholarly journals Comparison of Short-Term Outcomes Between Robotic-Assisted and Laparoscopic Surgery in Colorectal Cancer

2018 ◽  
Vol 26 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Xiao-Long Zhu ◽  
Pei-Jing Yan ◽  
Liang Yao ◽  
Rong Liu ◽  
De-Wang Wu ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hospital Stay ◽  
Bowel Function ◽  
Postoperative Recovery ◽  
Postoperative Hospital Stay ◽  
Robot Assisted ◽  
Short Term ◽  
Robotic Colorectal Surgery

Aim. The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. Methods. The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination. A multivariable linear regression model was used to assess short-term outcomes between robot-assisted and laparoscopic surgery. Short-term outcomes included time to passage of flatus and postoperative hospital stay. Results. A total of 284 patients were included in the study. There were 104 patients in the robotic colorectal surgery (RCS) group and 180 in the laparoscopic colorectal surgery (LCS) group. The mean age was 60.5 ± 10.8 years, and 62.0% of the patients were male. We controlled for confounding factors, and then the multiple linear model regression indicated that the time to passage of flatus in the RCS group was 3.45 days shorter than the LCS group (coefficient = −3.45, 95% confidence interval [CI] = −5.19 to −1.71; P < .001). Additionally, the drainage of tube duration (coefficient = 0.59, 95% CI = 0.3 to 0.87; P < .001) and transfers to the intensive care unit (coefficient = 7.34, 95% CI = 3.17 to 11.5; P = .001) influenced the postoperative hospital stay. The total costs increased by 15501.48 CNY in the RCS group compared with the LCS group ( P = .008). Conclusions. The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of shorter postoperative recovery time of bowel function and shorter hospital stays.

scholarly journals Remedial robot-assisted laparoscopic surgery in the treatment of neuropathic inguinodynia and repair of inguinal hernia

2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Mohamed Mohamed ◽  
Mohamed Elsouri ◽  
Adel Elmoghrabi ◽  
Daniel Coffey ◽  
Michael McCann
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Robot Assisted

scholarly journals Health Economic Analysis of Open and Robot-assisted Laparoscopic Surgery for Prostate Cancer Within the Prospective Multicentre LAPPRO Trial

2018 ◽  
Vol 74 (6) ◽  
pp. 816-824 ◽  
Author(s):  
Annabelle Forsmark ◽  
Jacob Gehrman ◽  
Eva Angenete ◽  
Anders Bjartell ◽  
Ingela Björholt ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Economic ◽  
Laparoscopic Surgery ◽  
Economic Analysis ◽  
Robot Assisted ◽  
Health Economic Analysis
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