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Anesthetic Implications of Robotically Assisted Surgery with the da vinci xi Surgical Robot

Open Journal of Anesthesiology 2016年第8期6卷 115-118页

作者： John L. Raytis Bertram E. Yuh Clayton S. Lau Yuman Fong Michael W. Lew Department of Anesthesiology City of Hope Duarte USA Department of Surgery City of Hope Duarte USA

Surgeries performed with traditionally available robotic systems have many well-documented anesthetic implications. In this observational report, new and unique anesthetic considerations encountered with the introduction of the da vinci xi robot related to positioning operating room equipment, patient access and chance for unintended patient contact are described.

关键词： Anesthetic Implications Robotic Surgery da vinci xi

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Robotic rectal cancer surgery:Results from a European multicentre case series of 240 resections and comparative analysis between cases performed with the da vinci Si and xi systems

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Laparoscopic, Endoscopic and Robotic Surgery 2020年第1期3卷 6-11页

作者： Sofoklis Panteleimonitis Oliver Pickering Mukhtar Ahmad Mick Harper Tahseen Qureshi Nuno Figueiredo Amjad Parvaiz University of Portsmouth School of Health and Care ProfessionsSt Andrews CourtPortsmouthPO12PRUnited Kingdom Poole Hospital NHS Trust PooleBH152JBUnited Kingdom Bournemouth University School of Health and Social Care BournemouthUnited Kingdom Champalimaud Foundation Av.Brasilia1400-038LisbonPortugal

Introduction:Robotic systems are designed to address the limitations of laparoscopic surgery,leading to a growing interest in robotic rectal ***,certain technical limitations associated with the previous systems(da vinci S&Si)have arguably slowed down its wholesale *** latest robotic platform,the da vinci xi,addresses these *** study aims to examine the short-term surgical outcomes of 240 single-docking fully-robotic rectal cancer resections and compare the outcomes of cases performed with the da vinci xi vs Si *** and methods:All consecutive patients receiving robotic rectal cancer resections from three centres between 2013 and 2018 were identified from prospectively collated *** baseline characteristics and short-term surgical outcomes are presented and the da vinci xi vs Si system outcomes are ***:A total of 240 patients were identified(124 Si,116 xi).Median operation-time and length-of-stay were 260 minutes and 6 days *** and 30-day mortality rates were *** da vinci Si vs xi system analysis shows that operation-time was lower in the Si group(230 vs 300 min,p=0.000)but length-of-stay,lymph node yield and circumferential resection margin favoured the xi group(7 vs 5 days,p=0.010;17 vs 21,p=0.000;92.7%vs 99.1%,p=0.020).Conclusion:Single-docking fully-robotic rectal cancer surgery is safe,feasible and can lead to good shortterm outcomes,making it a good alternative to laparoscopic rectal cancer *** new systems technological advances may result in better short-term outcomes but further larger scale observational studies are required if we are to reach such a conclusion.

关键词： Robotic surgery Rectal cancer surgery da vinci xi da vinci Si

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Robotically assisted removal of pelvic splenosis fifty-six years after splenectomy: A case report

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World Journal of Clinical Cases 2021年第12期9卷 2868-2873页

作者： Alessio Tognarelli Lorenzo Faggioni Anna Paola Erba Pinuccia Faviana Jacopo Durante Francesca Manassero Cesare Selli Department of Translational Research and New Technologies in Medicine and Surgery Section of UrologyUniversity of PisaPisa 56126Italy Department of Translational Research and New Technologies in Medicine and Surgery Section of Diagnostic and Interventional RadiologyUniversity of PisaPisa 56126Italy Department of Translational Research and New Technologies in Medicine and Surgery Section of Nuclear MedicineUniversity of PisaPisa 56126ItalyPisa 56126Italy Department of Surgical Medical and Molecular Pathology and Critical AreaSection of PathologyUniversity of PisaPisa 56126Italy

BACKGROUND‘Splenosis’is defined as the autotransplantation of splenic tissue following trauma or surgery,usually in the form of intraperitoneal *** proliferation of imaging techniques has resulted in increased unexpected discoveries of splenosis nodules,and achieving a differential diagnosis can be *** medicine studies have been playing an increasingly important role in this process,but the clinical significance of asymptomatic nodules remains *** SUMMARY We present a case of pelvic splenosis in a 73-year-old man diagnosed 56 years after a splenectomy during a computed tomography(CT)follow-up for B-cell lymphoma,presenting intense contrast enhancement of an 18 mm nodule in the right recto-vesical space.18F-fluorodeoxyglucose demonstrated weak metabolic *** histological diagnosis was deemed necessary,the nodule was easily removed with robotically assisted laparoscopy,together with another 6 mm left a paracolic *** latter was previously undiagnosed but retrospectively visible on the CT *** In a patient requiring differential diagnosis of splenosis nodules from lymphomarecurrence, the robotic approach provided a safe en bloc removal with shorthospitalization. The da vinci xi robot was particularly helpful because its opticscan be introduced from all ports, facilitating visualization and lysis of multipleintra-abdominal adhesions.

关键词： Pelvic splenosis Computed tomography Nuclear medicine Robotically assisted laparoscopy da vinci xi Case report

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Donor defects after lymph vessel transplantation and free vascularized lymph node transfer:A comparison and evaluation of complications

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World Journal of Transplantation 2021年第4期11卷 129-137页

作者： Gunther Felmerer Dominik Behringer Nadine Emmerich Marian Grade Adam Stepniewski Division of Plastic Surgery Department for Trauma SurgeryOrthopedics and Plastic SurgeryUniversity Medical Center GoettingenGoettingen 37075Lower SaxonyGermany Georg-August University Goettingen University Medical Center GoettingenGoettingen 37075Lower SaxonyGermany Department of General Visceral and Pediatric SurgeryUniversity Medical Center GoettingenGoettingen 37075Lower SaxonyGermany

BACKGROUND Secondary lymphedema after surgical interventions is a progressive,chronic disease that is still not completely *** the past years,a multitude of surgical therapy options have been *** To summarize the single-center complications in lymph vessel(LVTx)and free vascularized lymph node transfer(VLNT).METHODS In total,the patient collective consisted of 87 patients who were undergoing treatment for secondary leg lymphedema during the study period from March 2010 to April *** data collection was performed preoperatively during consultations,as well as three weeks,six months and twelve months after surgical *** the event of complications,more detailed follow-up checks were carried *** total n=18 robot-assisted omental lymph node transplantations,n=33 supraclavicular lymph node transplantations and n=36 Lymph vessel transplantations were *** exemplary drawing is shown in Figure 1.A graphical representation of patient selection is shown in Figure *** harvest was performed with the da vinci xi Robot Systems(Intuitive Surgical,CA,United States).RESULTS In total,11 male and 76 female patients were operated *** mean age of the patients at study entry was:omental VLNT:57.45±8.02 years;supraclavicular VLNT:49.76±4.16 years and LVTx:49.75±4.95 *** average observation time postoperative was:omental VLNT:18±3.48 mo;supraclavicular VLNT:14.15±4.9 and LVTx:14.84±4.46 *** our omental VLNT,three patients showed a slight abdominal sensation of tension within the first 12 postoperative *** other donor side morbidities *** intraoperative conversion to open technique was *** supraclavicular VLNT collective showed 10 lift defect morbidities with one necessary surgical *** our LVTx collective,12 cases of donor side morbidity were *** one case,surgical intervention was *** Concerning donor side morbidity,robot-assisted omental VLNT is clearly superior to supraclavic

关键词： Lymph surgery Vascularized lymph node transfer Lymph vessel transfer Robot-assisted surgery da vinci xi Donor side morbidity

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