<i>Rapid Communication</i>: Robot-Assisted NOTES Nephrectomy: Initial Report

Box, Geoffrey N.; Lee, Hak J.; Santos, Ricardo J.S.; Abraham, Jose Benito A.; Louie, Michael K.; Gamboa, Aldrin Joseph R.; Alipanah, Reza; Deane, Leslie A.; McDougall, Elspeth M.; Clayman, Ralph V.

doi:10.1089/end.2007.0385

Cited by 79 publications

(48 citation statements)

References 24 publications

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“…The recognized benefits of the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) over conventional laparoscopy include superior ergonomics, optical magnification of the operative field, enhanced surgeon dexterity, and precision of surgical manipulation [82]. Box et al first reported a hybrid NOTES robot-assisted nephrectomy in a porcine model with combined transvaginal and transcolonic access [83]. The authors pointed out that even if currently the robotic system offers many potential advantages, technical difficulties still need to be overcome, including robotic arm collisions, limited triangulation despite the EndoWrist (Intuitive Surgical, Sunnyvale, CA, USA) instruments, and counterintuitive camera angles.…”

Section: Lowmentioning

confidence: 99%

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

et al. 2011

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LESS Natural orifice transluminal endoscopic surgery NOTES Robotics UrologyPlease visit www.eu-acme.org/ europeanurology to read and answer questions on-line. The EU-ACME credits will then be attributed automatically. AbstractContext: Natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) have been developed to benefit patients by enabling surgeons to perform scarless surgery. Objective: To summarize and critically analyze the available evidence on the current status and future perspectives of LESS and NOTES in urology. Evidence acquisition: A comprehensive electronic literature search was conducted in June 2010 using the Medline database to identify all publications relating to NOTES and LESS in urology. Evidence synthesis: In urology, NOTES has been completed experimentally via transgastric, transvaginal, transcolonic, and transvesical routes. Initial clinical experience has shown that NOTES urologic surgery using currently available instruments is indeed possible. Nevertheless, because of the immaturity of the instrumentation, early cases have demanded high technical virtuosity. LESS can safely and effectively be performed in a variety of urologic settings. As clinical experience increases, expanding indications are expected to be documented and the efficacy of the procedure to improve. So far, the quality of evidence of all available studies remains low, mostly being small case series or casecontrol studies from selected centers. Thus, the only objective benefit of LESS remains the improved cosmetic outcome. Prospective, randomized studies are largely awaited to determine which LESS procedures will be established and which are unlikely to stand the test of time. Technology advances hold promise to minimize the challenging technical nature of scarless surgery. In this respect, robotics is likely to drive a major paradigm shift in the development of LESS and NOTES. Conclusions: NOTES is still an investigational approach in urology. LESS has proven to be immediately applicable in the clinical field, being safe and feasible in the hands of experienced laparoscopic surgeons. Development of instrumentation and application of robotic technology are expected to define the actual role of these techniques in minimally invasive urologic surgery.

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Section: Lowmentioning

confidence: 99%

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

et al. 2011

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“…Two segments (15)(16)(17)(18)(19)(20) cm) from the small bowel and one segment (20 cm) from the rectum were collected from adult pigs (50-60 kg). The pigs were cared for according to the "Guidelines for the Care and Use of Laboratory Animals" at the Takaramachi Campus of Kanazawa University.…”

Section: Transrectal Notes Modelmentioning

confidence: 99%

“…However, reports of robotic NOTES using the da Vinci Surgical system are rare as the surgical port is limited to the umbilicus, rectum, and vagina in such procedures [18,19]. Using the da Vinci Surgical system with transrectal robotic NOTES allows surgery that requires a high degree of freedom such as intraperitoneal suturing.…”

Section: Introductionmentioning

confidence: 99%

Transrectal robotic natural orifice translumenal endoscopic surgery (NOTES) applied to intestinal anastomosis in a porcine intestine model

et al. 2013

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“…Single-incision laparoscopic surgery is a very exciting new modality in the field of minimal access surgery which works for further reducing the scars of standard laparoscopy and towards scarless surgery [1][2][3]. Scarless surgery is the Holy Grail of surgery [4].…”

Section: Introductionmentioning

confidence: 99%

Surgery without Incisions; Experiences in Single Incision Laparoscopic Surgery (SILS) For Infants and Children

Bilommi¹

2017

MOJCR

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Single-incision laparoscopic surgery is minimal access surgery with only one small incision result in very small scar after the surgery almost like scarless surgery. In this article, the authors present and discusses the potential benefits of surgical technique the single incision laparoscopic surgery (SILS), why as pediatric surgeons now days need to cope with, and what are the surgeries that can be manages by SILS. As a single surgeon the author present 68 patients who underwent single incision laparoscopic surgery for appendicitis, inguinal hernia, diagnostic laparoscopic surgery, lymph nodes and bowel biopsies, and cholecystectomy from November 2015 to May 2017. The evidence for the large benefits to the patient will be presented, as well as the considerable. The single incision laparoscopic surgery (SILS) approach offer advantages others than fine cosmetic result as no incisions, children comforts, less surgical stress? decreased of infection, in addition there is less postoperative analgesia, shortens postoperative overall hospital stay and better clinical information.

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Rapid Communication: Robot-Assisted NOTES Nephrectomy: Initial Report

Abstract: A robot-assisted NOTES nephrectomy was accomplished in a porcine model using the daVinci S robot. Additional testing on survival animals is necessary to further explore this approach.

Cited by 79 publications

References 24 publications

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

Transrectal robotic natural orifice translumenal endoscopic surgery (NOTES) applied to intestinal anastomosis in a porcine intestine model

Surgery without Incisions; Experiences in Single Incision Laparoscopic Surgery (SILS) For Infants and Children

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