Review of the evidence for robotic-assisted robotic cystectomy and intra-corporeal urinary diversion in bladder cancer

Brodie, Andrew; Kijvikai, Kittinut; Decaestecker, Karel; Vasdev, Nikhil

doi:10.21037/tau.2019.12.19

Cited by 2 publications

(3 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other perioperative outcomes associated with the quality of surgery, including EBL, blood transfusion rate, and length of hospital stay (LOS), have been widely adopted in RARC [3].…”

Section: World Journal Of Clinical Surgerymentioning

confidence: 99%

“…Recently, minimally invasive surgical approaches, including laparoscopic RC (LRC) and robotassisted RC (RARC), have been rapidly adopted for the treatment of MIBC, improving perioperative morbidity and the ease of recovery [2]. Although LRC cannot be widely implemented because of a prolonged learning curve and technically challenging procedure, RARC has been gradually adopted as a surgical treatment option for MIBC [3]. The RAZOR trial, a randomized open-label phase-III non-inferiority trial, demonstrated that RARC was non-inferior to open RC (ORC), based on 2-year progression-free survival rates [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Favorable surgical outcomes and perioperative complication rates after robotic radical cystectomy and intracorporeal urinary diversion at a single, low-volume center: Initial experience with 65 consecutive cases

Nakane¹,

Enomoto²,

Tomioka³

et al. 2021

wjsurgy

View full text Add to dashboard Cite

Purpose: This study aimed to evaluate the surgical outcomes and perioperative complications among patients who underwent robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD). Methods & materials: We retrospectively reviewed the clinical and pathological records of 65 consecutive patients who underwent RARC with ICUD between November 2018 and June 2021 at Gifu University. The patients were divided into three groups according to the type of urinary diversion: ureterocutaneostomy (UC), ileal conduit (IC), and ileal neobladder (NB). The endpoints of this study were surgical outcomes and perioperative complications according to the type of UD. Results: There were no significant differences between the IC and NB groups with respect to the total operation time. Twenty-seven complications were registered in the first 90 days. The most frequent early complication was urinary tract infection in 11 patients. Conclusion: Our initial experience with RARC followed by ICUD was favorable, with acceptable surgical outcomes and perioperative complications.

show abstract

“…Other perioperative outcomes associated with the quality of surgery, including EBL, blood transfusion rate, and length of hospital stay (LOS), have been widely adopted in RARC [3].…”

Section: World Journal Of Clinical Surgerymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Favorable surgical outcomes and perioperative complication rates after robotic radical cystectomy and intracorporeal urinary diversion at a single, low-volume center: Initial experience with 65 consecutive cases

Nakane¹,

Enomoto²,

Tomioka³

et al. 2021

wjsurgy

View full text Add to dashboard Cite

show abstract

“…Robot-assisted surgery is particularly beneficial in urology, where surgical dexterity is paramount for complex procedures. For example, robotic assistance can lead to fewer complications in cystectomy [1], along with other potential benefits [2]. It has also been shown that prostatectomy and nephrectomy benefit from robotic assistance [3,4].…”

mentioning

confidence: 99%

Rethinking Autonomous Surgery: Focusing on Enhancement over Autonomy

Battaglia

Boehm

Zheng

et al. 2021

European Urology Focus

View full text Add to dashboard Cite

Context: As robot-assisted surgery is increasingly used in surgical care, the engineering research effort towards surgical automation has also increased significantly. Automation promises to enhance surgical outcomes, offload mundane or repetitive tasks, and improve workflow. However, we must ask an important question: should autonomous surgery be our long-term goal? Objective: To provide an overview of the engineering requirements for automating control systems, summarize technical challenges in automated robotic surgery, and review sensing and modeling techniques to capture real-time human behaviors for integration into the robotic control loop for enhanced shared or collaborative control. Evidence acquisition: We performed a nonsystematic search of the English language literature up to March 25, 2021. We included original studies related to automation in robot-assisted laparoscopic surgery and human-centered sensing and modeling. Evidence synthesis: We identified four comprehensive review papers that present techniques for automating portions of surgical tasks. Sixteen studies relate to human-centered sensing technologies and 23 to computer vision and/or advanced artificial intelligence or machine learning methods for skill assessment. Twenty-two studies evaluate or review the role of haptic or adaptive guidance during some learning task, with only a few applied to robotic surgery. Finally, only three studies discuss the role of some form of training in patient outcomes and none evaluated the effects of full or semi-autonomy on patient outcomes. Conclusions: Rather than focusing on autonomy, which eliminates the surgeon from the loop, research centered on more fully understanding the surgeon's behaviors, goals, and limitations could facilitate a superior class of collaborative surgical robots that could be more effective and intelligent than automation alone. Patient summary: We reviewed the literature for studies on automation in surgical robotics and on modeling of human behavior in human-machine interaction. The main application is to enhance the ability of surgical robotic systems to collaborate more effectively and intelligently with human surgeon operators.

show abstract

Review of the evidence for robotic-assisted robotic cystectomy and intra-corporeal urinary diversion in bladder cancer

Cited by 2 publications

References 68 publications

Favorable surgical outcomes and perioperative complication rates after robotic radical cystectomy and intracorporeal urinary diversion at a single, low-volume center: Initial experience with 65 consecutive cases

Favorable surgical outcomes and perioperative complication rates after robotic radical cystectomy and intracorporeal urinary diversion at a single, low-volume center: Initial experience with 65 consecutive cases

Rethinking Autonomous Surgery: Focusing on Enhancement over Autonomy

Contact Info

Product

Resources

About