Robotic Oncological Surgery: Our Initial Experience of 164 Cases

Puntambekar, Shailesh; Agarwal, Geetanjali A.; Joshi, Saurabh; Rayate, Neeraj; Puntambekar, S.; Sathe, Ravindra

doi:10.1007/s13193-011-0096-0

Cited by 9 publications

(5 citation statements)

References 23 publications

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“…Finally, our overall postoperative complication rate was 8.9 per cent, which is much lower than the 14.4 to 21 per cent complication rates published previously. [5][6][7][8][9][10] A randomized controlled trial comparing robotic versus laparoscopic resection for rectal cancer is presently ongoing with an estimated completion date of June 2018. The primary endpoint of this study is the rate of conversion to open surgery.…”

Section: Discussionmentioning

confidence: 99%

Robotic Colorectal Surgery: Our Initial Experience

Dehal

Patel

Park

et al. 2016

The American Surgeon™

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Robotic colorectal surgery was first performed at our institution in January 2014. The objective of this study is to present our initial experience with robotic colorectal surgery. This is a retrospective review of the prospectively collected data of all patients who underwent robotic colorectal surgery from January 2014 to April 2015. Baseline, perioperative, and postoperative data were obtained for analysis. A total of 101 patients with a mean age of 56 and a body mass index of 31 underwent robotic colorectal surgery between January 2014 and April 2015. The indication for surgery was malignancy in approximately 40 per cent, diverticulitis in 40 per cent, and benign diseases in 20 per cent of the patients. The most common operation was sigmoidectomy (40%) followed by low anterior resection (36%), abdominoperineal resection (7%), right hemicolectomy (6%), rectopexy (6%), total colectomy (4%), and left hemicolectomy (1%). The mean operative and docking time was 226 (range, 104–496) minutes and 3 (range, 1–18) minutes, respectively. The median number of lymph nodes harvested was 19 (range, 0–34). The median length of stay was 3 (range, 1–18) days. Anastomotic leak occurred in one patient and surgical site infection in two patients. Robotic colorectal surgery is safe and technically feasible.

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Section: Discussionmentioning

confidence: 99%

Robotic Colorectal Surgery: Our Initial Experience

Dehal

Patel

Park

et al. 2016

The American Surgeon™

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“…Currently used in urology, gynecology, chest, head and neck, cardiac, general, and pediatric surgeries, da Vinci robotic surgery is expanding worldwide and will continue to grow in the years to come. [1][2][3] On July 13, 2005, da Vinci robotic surgery was approved by the Korean Ministry of Food and Drug Safety, and it is now being used in many specialties and subspecialties for both inpatients and outpatients in that country. 4,5 Although this robotic surgery system is not available in healthcare facilities worldwide, its use will be expanded because of anticipated improved outcomes.…”

mentioning

confidence: 99%

Perioperative Nurses’ Work Experience With Robotic Surgery

Kang

Gagné

Kang³

2016

CIN: Computers, Informatics, Nursing

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The aim of this study was to explore the work experience of perioperative nurses involved in robotic surgery. A qualitative descriptive study was conducted. Participants were 15 nurses who had been on a robotic surgery team at one of five major university hospitals in Seoul, South Korea. Participants were one male and 14 female nurses (mean age, 31.33 [SD, 4.19] years; range, 25-41 years). Their experience as robotic surgery nurses ranged from 8 months to 6 years. Nurses' experiences with robotic surgery were categorized within four main themes: (1) constant checking on patients' safety and the robot's functions; (2) unexpected robotic machine errors or malfunctions; (3) feelings of burden in a robotic surgical team; and (4) need and desire for more information and education. This study showed that there are common concerns about patient safety and the possibility of emergencies related to robot system failure among nurses. Offering more support for nurses involved in robotic surgery should be a priority to empower them to play an extended role in robotic surgery.

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“…In order to maintain the advantages of minimally invasive approach and to avoid the restriction of laparoscopic surgery, robotic surgery is emerging as a reliable surgical option that can achieve the same results as laparoscopic surgery. In this review, Puntambekar S et al, [14] has reported 164 oncological surgeries, which involved thoracic, colorectal, hepatobiliary, gynaecological and urological systems, which were done robotically by using a three arm da Vinchi robot system from Nov 2009 to June 2011. Among these series, they performed surgeries in 37 patients with colorectal malignancies; anterior resections in 33 patients, right hemicolectomies in three patients and abdominoperineal resection (APR) in one patient robotically.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Colorectal Surgery: An Update (with Special Reference to Indian Scenario)

Moirangthem¹

2014

JCDR

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Laparoscopic cholecystectomy, being already declared as gold standard technique, laparoscopic surgery has advanced far and wide, touching almost every corner of the abdomen. This advancement has gradually expanded to colorectal surgery which is done for malignant diseases as well. However, laparoscopic colorectal surgery has not been accepted as quickly as was laparoscopic cholecystectomy. This is because of its steep learning curve, concerns with oncological outcomes, lack of randomized control trials (RCTs) and initial reports on high port site recurrences which occurred after curative resections. But all these initial concerns have been overcome by doing a series of RCTs globally, in the past decade, that revealed that laparoscopic colorectal surgery for malignant disease offered short term benefits without compromising on oncological principles of radicality of resection, tumour resection margins and completeness of lymph node harvesting as compared to those of open surgery. Favourable post-operative results with respect to less blood loss, less pain, lesser surgical site infections, lesser requirement of analgesics, early return of bowel function and shorter hospital stay in patients who underwent laparoscopic colorectal resections were obtained in studies done on individual series, including those done in India and more recently, in large trials. An update on recent studies done on laparoscopic colorectal surgery by reviewing many RCTs and individual series, including our experiences, was made, to support the advantages of this procedure which were obtained when it was carried out by skilled hands.

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Robotic Oncological Surgery: Our Initial Experience of 164 Cases

Cited by 9 publications

References 23 publications

Robotic Colorectal Surgery: Our Initial Experience

Robotic Colorectal Surgery: Our Initial Experience

Perioperative Nurses’ Work Experience With Robotic Surgery

Laparoscopic Colorectal Surgery: An Update (with Special Reference to Indian Scenario)

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