Article
Surgery
Ayesha P. Ng, Yas Sanaiha, Syed Shahyan Bakhtiyar, Shayan Ebrahimian, Corynn Branche, Peyman Benharash
Summary: This study compared the hospitalization costs and clinical outcomes between robotic-assisted surgery and laparoscopic approaches for major abdominal operations, and found that the costs of robotic-assisted surgery were higher but did not result in significant clinical benefits.
Article
Surgery
Jiangrui Huang, Zhong Huang, Hong Mei, Liying Rong, Yun Zhou, Jialing Guo, Li Wan, Yinhui Xu, Shaotao Tang
Summary: Robotics in pediatric surgery has shown to be cost-effective with better postoperative outcomes compared to conventional laparoscopic surgery, particularly for complex diseases and longer operative times. The incremental cost of RALS relative to LS is mainly driven by robot consumables and the incremental cost-effectiveness ratios are all below $100,000/QALY, indicating favorable cost-effectiveness for RALS in pediatric surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Jiangrui Huang, Zhong Huang, Hong Mei, Liying Rong, Yun Zhou, Jialing Guo, Li Wan, Yinhui Xu, Shaotao Tang
Summary: This study compared the cost-effectiveness of robotic-assisted laparoscopic surgery (RALS) and conventional laparoscopic surgery (LS) in pediatric surgery using Python statistical analysis software. The results showed that although RALS had higher inpatient costs, it had better postoperative outcomes and all four RALS treatments were cost-effective with incremental cost-effectiveness ratios (ICERs) lower than $100,000/QALY. Children with complex diseases and long operative times may benefit more from RALS.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Oncology
Linh M. Duong, Hui Cai, Martha J. Shrubsole, Christina E. Bailey, Kamran Idrees, Xiao-Ou Shu
Summary: Robotic surgery is not inferior to laparoscopic surgery in treating early-stage HCC and may be associated with improved long-term survival.
Article
Surgery
Xiaodong Chen, Michael Meara, Alan Harzman, Heidi Pieper, E. Christopher Ellison
Summary: The involvement of senior residents in noncomplex robotic surgeries does not significantly prolong the surgery duration or increase the cost. This suggests that training in noncomplex robotic surgeries can be efficiently incorporated into the residency curriculum.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Health Care Sciences & Services
Antonio Raffone, Diego Raimondo, Arianna Raspollini, Alessia Oliviero, Antonio Travaglino, Federica Renzulli, Giulia Rovero, Simona Del Forno, Gabriella Vullo, Antonio Simone Lagana, Vito Chiantera, Renato Seracchioli, Paolo Casadio, Antonio Mollo
Summary: A systematic review and meta-analysis found no significant difference between laparoscopic and robotic approaches for sentinel lymph node biopsy in endometrial carcinoma patients in terms of various outcomes.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Surgery
Salini Hota, Salvatore Parascandola, Savannah Smith, Mayou Martin Tampo, Richard Amdur, Vincent Obias
Summary: Minimally invasive surgical techniques for Crohn's disease showed lower incidence of complications compared to open surgery based on a retrospective review of a national database.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Cardiac & Cardiovascular Systems
Brendan T. Heiden, Joshua D. Mitchell, Eric Rome, Varun Puri, Bryan F. Meyers, Su-Hsin Chang, Benjamin D. Kozower
Summary: Compared with VATS, RAL is not cost-effective for lung cancer lobectomy at lower willingness-to-pay thresholds. However, several factors including lower robotic instrument costs, shorter operating room times, lower conversion rates, shorter lengths of stay, higher hospital volumes, and improved quality of life may drive RAL to emerge as the more cost-effective approach for minimally invasive lung cancer resection.
ANNALS OF THORACIC SURGERY
(2022)
Article
Multidisciplinary Sciences
Greg Marchand, Ahmed Taher Masoud, Ahmed Abdelsattar, Alexa King, Hollie Ulibarri, Julia Parise, Amanda Arroyo, Catherine Coriell, Sydnee Goetz, Carmen Moir, Atley Moberly, Malini Govindan
Summary: Recent evidence suggests that laparoscopic radical hysterectomy (LRH) and robot-assisted radical hysterectomy (RRH) open techniques (ORH) are associated with an increase in recurrence and a decrease in overall survival in patients with cervical cancer. This study aimed to reassess the outcomes of LRH compared to ORH, excluding RRH. A systematic review was conducted, and 60 studies met the eligibility criteria. The findings indicate that LRH is associated with a shorter hospital stay, less blood loss, and a lower complication rate compared to ORH, while ORH is superior in terms of operating time and the number of resected lymph nodes.
SCIENTIFIC REPORTS
(2023)
Article
Endocrinology & Metabolism
Xuwen Li, Song Xiao, Yue Yu, Wei Liu, Haibo Xi, Gongxian Wang, Xiaochen Zhou
Summary: Compared with retroperitoneal laparoscopic adrenalectomy (RLA), robot-assisted laparoscopic adrenalectomy (RARLA) can significantly reduce intraoperative blood loss and accelerate postoperative gastrointestinal recovery. However, RARLA has longer operation time, drainage tube placement time, post-operative hospital stay, and higher hospitalization expense.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Article
Oncology
C. Uwins, H. Patel, G. Prakash Bhandoria, S. Butler-Manuel, A. Tailor, P. Ellis, J. Chatterjee
Summary: Minimally invasive surgery has multiple benefits for the treatment of endometrial and cervix cancer, but oncological efficacy and safety should be rigorously established when adopting new techniques, rather than assumed based on first principles.
Review
Surgery
K. F. Kowalewski, L. Seifert, S. Ali, M. W. Schmidt, S. Seide, C. Haney, C. Tapking, A. Shamiyeh, Y. Kulu, T. Hackert, B. P. Mueller-Stich, F. Nickel
Summary: Surgical resection is crucial for curative treatment of rectal cancer, and robotic-assisted surgery (RAS) shows potential benefits in terms of functional outcomes without compromising oncological results.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Oncology
Laura Bukavina, Kirtishri Mishra, Amr Mahran, Austin Fernstrum, III Al Ray, Sarah Markt, Fredrick Schumacher, Britt Conroy, Robert Abouassaly, Gregory MacLennan, Garrett Smith, Elizabeth Ferry, Daniel Wong, Yair Lotan, Hemant Chaparala, David Sharp, Kareem Alazem, Alireza Moinzadeh, Brittany Adamic, Gregory Zagaja, Puneet Kang, Holly Lawry, Benjamin Lee, Adam Calaway, Lee Ponsky
Summary: The study investigated the outcomes of performing multiple robotic-assisted surgeries on the same operating day, specifically focusing on robotic-assisted laparoscopic prostatectomy. Results showed that sequential surgeries did not significantly impact outcomes such as positive surgical margin rate, lymph node yield, or operative time. Factors such as disease-specific characteristics and institutional experience were found to be more closely associated with the risk of positive surgical margins.
UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS
(2021)
Article
Obstetrics & Gynecology
Anna Padoa, Yair Shiber, Tal Fligelman, Roni Tomashev, Anna Tsviban, Noam Smorgick
Summary: The study aimed to assess the outcome of robotic-assisted laparoscopic sacrocolpopexy (RALSCP) in patients at high risk for surgical failure and identify risk factors for surgical failure and long-term complications. The results showed that the anatomic success rate was lower than previously reported in high-risk patients, and advanced preoperative anterior vaginal wall prolapse was a risk factor for surgical failure.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Review
Engineering, Electrical & Electronic
Wenjie Wang, Yang Luo, Jie Wang, Xiaohua Wang, Huajian Song
Summary: With the advancement of robot technology, the use of a robot assistant to control an endoscope during minimally invasive surgery has achieved significant progress. It frees the surgeon's hands and improves their focus on the surgical procedure. Moreover, it prevents hand trembling from affecting the surgical field of vision, enhancing the clinical efficacy of endoscopic minimally invasive surgery. However, there are still substantial obstacles to overcome. This article comprehensively analyzes the key technologies and discusses the current challenges and future directions for robot-assisted endoscopic surgery.
IEEE TRANSACTIONS ON INSTRUMENTATION AND MEASUREMENT
(2023)
Article
Obstetrics & Gynecology
Olga Kilpio, Paivi S. M. Harkki, Maarit J. Mentula, Ritva M. Jokela, Paivi I. Pakarinen
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2017)
Article
Obstetrics & Gynecology
Katrine Fuglsang, Ingfrid S. Haldorsen, Elisabeth Avall-Lundqvist, Gabriel Lindahl, Henrik Roed, Kathrine Woie, Paivi Pakarinen, Asgeir Thoroddsen, Maarit Anttila, Jan Blaakaer
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2018)
Article
Oncology
Vedran Stefanovic, Paivi Pakarinen, Henrik Alfthan, Ulf-Hakan Stenman, Arto Leminen, Jurate Pociuviene, Annika Riska, Mikko Loukovaara
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
(2012)
Article
Public, Environmental & Occupational Health
Helena Puro, Paivi Pakarinen, Kari Korttila, Minna Tallgren
PATIENT EDUCATION AND COUNSELING
(2013)
Article
Obstetrics & Gynecology
A. Ayravainen, A. Pasanen, T. Ahvenainen, T. Heikkinen, P. Pakarinen, P. Harkki, P. Vahteristo
HUMAN REPRODUCTION
(2020)
Article
Oncology
Miika Mehine, Sara Khamaiseh, Terhi Ahvenainen, Tuomas Heikkinen, Anna Ayravainen, Paivi Pakarinen, Paivi Harkki, Annukka Pasanen, Ralf Butzow, Pia Vahteristo
Article
Obstetrics & Gynecology
Paivi Pakarinen, Tapani Luukkainen
Article
Obstetrics & Gynecology
P Pakarinen, T Luukkainen
Article
Obstetrics & Gynecology
P Pakarinen, J Toivonen, T Luukkainen
Article
Obstetrics & Gynecology
JB Laoag-Fernandez, T Maruo, P Pakarinen, IM Spitz, E Johansson
HUMAN REPRODUCTION
(2003)
Article
Obstetrics & Gynecology
P Pakarinen, J Toivonen, T Luukkainen
SEMINARS IN REPRODUCTIVE MEDICINE
(2001)
Article
Obstetrics & Gynecology
T Luukkainen, P Pakarinen, J Toivonen
SEMINARS IN REPRODUCTIVE MEDICINE
(2001)
Article
Obstetrics & Gynecology
T Maruo, JB Laoag-Fernandez, P Pakarinen, H Murakoshi, IM Spitz, E Johansson
HUMAN REPRODUCTION
(2001)