Robot-assisted laparoscopic cholecystectomy

Abstract

Amaç: Çali §manin amací üikemizin genel cerrahi alaninda ilk tecrübesi olan robot yardimli laparoskopik (RO-YAL) kolesistektomi sonuçlanmn degerlendirilmesidirOlgu Sunumu: Ümraniye Egitim ve Ara §tirma Hastanesi Genel Cerrahi Klinigl'nde semptomatik safra kesesi ta §i nedeniyle 5 hastaya ROYAL kolesistektomi yapildi. Hastalann cinsiyeti, ya §i, robotun kurulma süresi, total /f tem süresi, hastanede kali § süresi ve komplikasyonlar degerlendirildi. Hastalarm tümü kadmdi ve ya § ortalamasi 47 idi. Hastalann silinmesi, örtülmesi, pozisyon verilmesi ve robotlk kollarm steril örtülerle giydirilmesi ortalama 63 dakika sürdü. Total i §lem süresi ortalama 138 dakika idi. Tüm giri §imler robotik olarak sonlandinldi. Hiçbir olguda intraoperatif veya postoperatif komplikasyon geli §medi. Hastanede kali § süresi ortalama 1.6 gün idi. Sonuç: Semptomatik safra kesesi ta §larinin cerrahi tedavisinde ROYAL kolesistektomi güvenle uygulanabilmektedir. Anahtar Kelimeler: Robotik cerrahi, "da Vinci" robotu, laparoskopik kolesistektomi, robot yardimli kolesistektomi GÍRÍ § Conciusion: Robot-assisted laparoscopic cholecystectomy can be performed safely in symptomatic gallbladder stones.

Robot assisted laparoscopic (RAL) gastrectomy: case series and a review of the literature

“…Specially designed, 4 multi -jointed robotic arms can move like the human hand. The center arm handles the camera, while others carry surgical instruments (15). The tip of the instruments is designed to mimic the wrist.…”

“…The three-dimensional imaging system forms another part of the console. There are two handgrips and four pedals that move robotic arms, focus the camera and move other robotic instruments (15).…”

“…The dual camera is placed at the tip of an endoscope and provides three-dimensional image, there are two independent 5 mm telescopes in addition to the 12 mm telescope (15).…”

“…In robotic systems, laparoscopic instruments that have improved movement abilities and its applicability is easier. Robotic tool tip due to the nature of the increased freedom of movement of the surgeon's hand and wrist movements can be completely transferred to the surgical environment (15).…”

Robotik Gastrointestinal Cerrahide Güncel Uygulama

“…The surgeon utilizes a virtual three-dimensional (3D) operating area and carries out the operation by managing two telerobotic arms, both of which hold surgical instruments. These tele-robotic arms simulate the movements of the surgeon's hands with six degrees of freedom and two degrees of axial rotation, combining the 3D images and movements that are similar to the manual movements of the surgical instruments (3).…”