Robotic versus Standard Laparoscopic Partial/Wedge Nephrectomy: A Comparison of Intraoperative and Perioperative Results from a Single Institution

Deane, Leslie A.; Lee, Hak J.; Box, Geoffrey N.; Melamud, Ori; Yee, David S.; Abraham, Jose Benito A.; Finley, David S.; Borin, James F.; McDougall, Elspeth M.; Clayman, Ralph V.; Ornstein, David K.

doi:10.1089/end.2007.0376

Cited by 147 publications

(74 citation statements)

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“…Features of the robotic arm include a tremor filtering system, motion scaling, dexterity, and ambidexterity, and these enable surgeons to access deep and narrow spaces for complete cervical lymph node dissection and are likely to increase the facility of preserving the parathyroid gland and RLN. [6][7][8][9][10]19,20 Robotic thyroidectomy using a gasless transaxillary approach was first performed in 2007 by Chung and coworkers. 7 However, robotic thyroidectomy with cervical lymph node dissection is not widely used.…”

Section: Discussionmentioning

confidence: 99%

“…Another potential advantage of a robot approach performing CCND is that surgeons can simultaneously manipulate 3-arm system. [6][7][8]19,20 In conventional endoscopic procedure, the surgeon can use only 2 arms during lymph node dissection, and it took more effort and time to perform accurate lymph node dissection. Therefore, these 3-arm systems combined with 3-D magnified view of robot provide surgeon the ability to perceive depth and space in the surgical field more accurately and facilitate the ability to perform precise and meticulous dissection during CCND.…”

Section: Discussionmentioning

confidence: 99%

“…Others reported that the shorter learning curve when using the da Vinci system for complex laparoscopic procedures was due to the 3-D surgical field, stable camera platform, and instrumentation with 270°of freedom. 19 Such features are likely to be even more beneficial when the surgical field is narrow and limited, such as in head and neck surgery.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Endoscopic and Robotic Thyroidectomy

et al. 2010

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Background. Endoscopic thyroidectomy is a technically challenging procedure. Robot-assisted thyroidectomy has been recently introduced and offers improved visualization and dexterity. The present study compared conventional endoscopic and robotic thyroidectomy for thyroid cancer patients in terms of perioperative outcomes and learning curve. All operations were performed by the same surgeon. Materials and Methods. Between April 2007 and March 2010, 96 patients underwent endoscopic thyroidectomy (endoscopy group) and 163 patients underwent robotic thyroidectomy (robot group). A gasless transaxillary approach was used in both groups. The 2 groups were compared in terms of patient characteristics, perioperative clinical results, complications, and pathologic details. Learning curves for the 2 procedures were compared based on the number of cases required to reach a consistent operation time. Results. Patient characteristics were similar for both groups. The mean total operation time for thyroidectomy with central compartment neck dissection was 142.7 ± 52.1 min in the endoscopy group and 110.1 ± 50.7 min in the robot group (P = .041). Both patient groups were similar in terms of pathological features including TNM stage, intraoperative blood loss, length of hospital stay, and complication rate. However, the mean number of retrieved central lymph nodes was 2.4 ± 1.9 for the endoscopy group and 4.5 ± 1.5 for the robot group (P = .004). The learning curve was 55-60 cases for endoscopic thyroidectomy and 35-40 cases for robotic thyroidectomy. Conclusion. Robotic thyroidectomy was found to be superior to endoscopic thyroidectomy in terms of operation time, lymph node retrieval, and learning curve. Complication rates and postoperative hospital stay were similar for the 2 procedures.Endoscopic approaches for thyroid cancer surgery can reduce scarring and postoperative neck discomfort without compromising oncologic effectiveness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of Endoscopic and Robotic Thyroidectomy

et al. 2010

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“…These amenities may allow the surgeon to replicate established maneuvers employed during OPN, allow for extirpation of complex, centrally located tumors, and reconstruction of the pelvicaliceal system. The feasibility and safety of RAPN has been demonstrated in several small, single institution studies (Gettman et al 2004;Phillips et al 2005;Caruso et al 2006;Kaul et al 2007;Aron et al 2008;Deane et al 2008;Benway et al 2009;Ho et al 2009;Michli and Parra 2009;Benway et al 2010). Recent studies have demonstrated the feasibility of RAPN for larger, deeper tumors that are hilar in their location as well as for multiple tumors in the hereditary renal cancer population (Rogers et al 2008;Boris et al 2009;Gupta et al 2011).…”

Section: Wwwintechopencommentioning

confidence: 99%

Partial Nephrectomy for the Treatment of Renal Masses: Oncologically Sound and Functionally Prudent

Singer¹,

Gupta²,

Bratslavsky³

2011

Renal Cell Carcinoma

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“…In fact, one recent study has even shown a shorter learning curve for robot-assisted partial nephrectomy, thus leading to increased permeation of this surgical modality. 27 …”

Section: Robot-assisted Partial Nephrectomymentioning

confidence: 99%

Robot-assisted surgery: applications in urology

Pruthi¹

2010

OAJU

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Abstract:The past decade has seen a dramatic shift in the surgical management of certain urologic conditions with the advent of a robotic surgical platform. In fact, the surgical management of prostate cancer has seen the most dramatic shift, with the majority of cases now being performed robotically. Technical refinements over the years have led to improved outcomes regarding oncologic and functional results. Recently, robotic surgery has also been utilized for the surgical management of bladder cancer, renal cancer, and other benign conditions. As further experience is gained and longer-term outcomes are realized, robotic surgery will likely play an increasing role in the surgical management of many urologic conditions. Keywords: robot-assisted surgery, robotic surgery, cystectomy, prostatectomy, partial nephrectomy Technological advances continue to impact the modern practice of urology, none more so in recent years than the development of robotic surgery. Since the first publication of a series of patients undergoing robot-assisted radical prostatectomy in 2001, the field has seen a dramatic increase in the use of robotic surgery for urologic procedures. In fact, more than 60,000 robot-assisted radical prostatectomies were performed last year alone.The minimally-invasive nature of these procedures allows for better precision, decreased blood loss, shorter hospital stay, decreased morbidity, and shorter convalescence while preserving functional and oncologic outcomes. Additionally, the application of robotic surgery has spread beyond radical prostatectomy to include radical cystectomy, nephrectomy, partial nephrectomy, adrenalectomy, and other upper urinary tract surgery (pyeloplasty, ureteral reimplant, etc.). Robotic surgery has even seen dramatic growth in pediatric urologic applications.In this review, we will attempt to highlight robotic surgical applications to various urologic procedures and discuss the recent advances in these procedures. Robot-assisted radical prostatectomyThe surgical treatment of prostate cancer has seen a dramatic shift over the past decade. Minimally-invasive approaches to prostate surgery were slow to gain a foothold until the development of a robotic surgical platform. Prior to this development, laparoscopic radical prostatectomy was performed, but only by advanced laparoscopic surgeons. This method was undoubtedly limited by a steep learning curve and the arduous tasks of the procedure, including intracorporeal suturing. The robotic platform takes

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Robotic versus Standard Laparoscopic Partial/Wedge Nephrectomy: A Comparison of Intraoperative and Perioperative Results from a Single Institution

Cited by 147 publications

References 11 publications

Comparison of Endoscopic and Robotic Thyroidectomy

Comparison of Endoscopic and Robotic Thyroidectomy

Partial Nephrectomy for the Treatment of Renal Masses: Oncologically Sound and Functionally Prudent

Robot-assisted surgery: applications in urology

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