First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform

Kroh, Matthew; El‐Hayek, Kevin; Rosenblatt, Steven; Chand, Bipan; Escobar, Pedro F.; Kaouk, Jihad; Chalikonda, Sricharan

doi:10.1007/s00464-011-1759-1

Cited by 184 publications

(128 citation statements)

References 31 publications

(34 reference statements)

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“…The results of this examination were also not significantly different between the 2 groups. As a result of the development of several new devices and surgical techniques, 17 laparoscopic surgery is now thought to be more feasible. Laparoscopic surgery for achalasia is well established; however, continuous efforts to improve the surgical procedure should, of course, be considered.…”

Section: Discussionmentioning

confidence: 99%

The Outcome of Laparoscopic Surgery With and Without Short Gastric Vessel Division for Achalasia

Akutsu

Hanari

Kono

et al. 2014

International Surgery

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Short gastric vessel division (SGVD) has been performed as a part of fundoplication for achalasia. However, whether or not SGVD is necessary is still unknown. Forty-six patients with achalasia who underwent a laparoscopic surgery with or without SGVD were analyzed. A questionnaire was administered to assess the postoperative improvement. Regarding improvement of dysphagia and postoperative reflux, there were no significant differences between SGVD (þ) group and SGVD (À) group (P ¼ 0.588 and P ¼ 0.686, respectively). Nineteen patients (95%) in the SGVD (þ) group and 24 (92%) in the SGVD (À) group answered that the surgery was satisfactory (P ¼ 0.756). In the SGVD (þ) group, the pre-and postsurgical body weight increase was þ7.3%. In the SGVD (À) group, it was 8.2%. There was no significant difference of body weight increase between the 2 groups (P ¼ 0.354). SGVD is not always required in laparoscopic surgery for achalasia.Key words: Achalasia -Fundoplication -Short gastric vessels -Heller-Dor A chalasia is a well-known functional disorder of the esophagus. Although its causes have not yet been clearly revealed, the main mechanism is thought to be the degeneration of the Auerbach's plexus, which causes the insufficiency of relaxation of the lower esophageal sphincter muscle. The first surgical case of achalasia was reported by Rumpel in 1987, 1 and today's standard therapeutic procedure consists of myotomy to improve the passage and half-fundoplication to avoid reflux after surgery. 2,3As of result of the recent developments in laparoscopic surgery, the surgical procedure has also been changed for achalasia surgery, and laparoscopic

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Section: Discussionmentioning

confidence: 99%

The Outcome of Laparoscopic Surgery With and Without Short Gastric Vessel Division for Achalasia

Akutsu

Hanari

Kono

et al. 2014

International Surgery

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“…an increased preference by patients [43][44][45]. When compared to single-site laparoscopy, the robotic approach is associated with less pain [46].…”

Section: Updates In Gallbladder Diseases 132mentioning

confidence: 99%

Robotic Approach to Cholecystectomy

Barrera¹,

Sugiyama²

2017

Updates in Gallbladder Diseases

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Cholecystectomy is one of the most commonly performed abdominal procedures with more than 600,000 performed annually in the United States. Laparoscopic cholecystectomy, first introduced in the 1980s, offered faster recovery time and a more cosmetic result making it the more favorable approach. In developed countries, up to 90% of cholecystectomies are done via laparoscopy. After the first robotic surgery platform was approved by the FDA in 2000, it provided surgeons with enhanced ergonomic capabilities and visualization and also offered possibility of telemedicine. The first series of robotic cholecystectomies soon followed in the last 15 years, and robotic cholecystectomy has become increasingly popular and has been established as a safe approach. The aims of this chapter are to address the history of robotic-assisted cholecystectomy, the technical aspects of multiport and single-port approaches, use of cholangiography, demonstration of safety and use in both community and academic settings.

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“…Manufacturing automation avoids regrasp through the design of specialized grippers, part feeders, work-holding fixtures, and tools [5]. Avoidance of regrasp is also a common consideration in the design of surgical instruments and procedures [6].…”

Section: Related Workmentioning

confidence: 99%

Extrinsic dexterity: In-hand manipulation with external forces

Dafle

Rodríguez

Paolini

et al. 2014

2014 IEEE International Conference on Robotics and Automation (ICRA)

211

109

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Abstract-"In-hand manipulation" is the ability to reposition an object in the hand, for example when adjusting the grasp of a hammer before hammering a nail. The common approach to in-hand manipulation with robotic hands, known as dexterous manipulation [1], is to hold an object within the fingertips of the hand and wiggle the fingers, or walk them along the object's surface. Dexterous manipulation, however, is just one of the many techniques available to the robot. The robot can also roll the object in the hand by using gravity, or adjust the object's pose by pressing it against a surface, or if fast enough, it can even toss the object in the air and catch it in a different pose. All these techniques have one thing in common: they rely on resources extrinsic to the hand, either gravity, external contacts or dynamic arm motions. We refer to them as "extrinsic dexterity".In this paper we study extrinsic dexterity in the context of regrasp operations, for example when switching from a power to a precision grasp, and we demonstrate that even simple grippers are capable of ample in-hand manipulation. We develop twelve regrasp actions, all open-loop and handscripted, and evaluate their effectiveness with over 1200 trials of regrasps and sequences of regrasps, for three different objects (see video [2]). The long-term goal of this work is to develop a general repertoire of these behaviors, and to understand how such a repertoire might eventually constitute a general-purpose in-hand manipulation capability.

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First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform

Abstract: Cholecystectomy using the da Vinci Single-Site system is feasible. Availability of this new semi-rigid, robotic surgery platform may increase access to the potential advantages of single-site surgery. Additional advantages of single-site surgery may be elucidated with further studies.

Cited by 184 publications

References 31 publications

The Outcome of Laparoscopic Surgery With and Without Short Gastric Vessel Division for Achalasia

The Outcome of Laparoscopic Surgery With and Without Short Gastric Vessel Division for Achalasia

Robotic Approach to Cholecystectomy

Extrinsic dexterity: In-hand manipulation with external forces

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