Review
Medicine, General & Internal
Joel E. Rosenberg, Jae Hung Jung, Hunju Lee, Solam Lee, Caitlin J. Bakker, Philipp Dahm
Summary: The study found that posterior reconstruction during robotic-assisted laparoscopic prostatectomy (PR-RALP) may improve early continence one week after catheter removal, but not in the longer term. Adverse event rates are not significantly affected, and surgical margins rates remain similar. However, the impact of age, nerve-sparing status, or clinical stage on these findings remains uncertain.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Oncology
Yanlei Wang, Dongpeng Wen, Cheng Zhang, Zhikai Wang, Jiancheng Zhang
Summary: This study compared two different training programs for minimally invasive low anterior resection (LAR), focusing on the learning curve and perioperative outcomes of two trainee surgeons. The results showed that simultaneous training for laparoscopic and robotic-assisted LAR of rectal cancer is safe, effective, and associated with accelerated learning curves for surgeons with rich experience in open colorectal resections.
FRONTIERS IN ONCOLOGY
(2023)
Article
Urology & Nephrology
Sophia M. V. Schermerhorn, Matthew S. Christman, Nicholas R. Rocco, Haidar Abdul-Muhsin, James O. L'Esperance, Erik P. Castle, Sean P. Stroup
Summary: Experience with robotic retroperitoneal lymph node dissection (R-RPLND) is associated with decreased surgical times and lower complication rates, similar to the learning curves seen in other technologically advanced surgical techniques.
JOURNAL OF ENDOUROLOGY
(2021)
Article
Urology & Nephrology
Emmett H. H. Kennady, Jacqueline Zillioux, Marwan Ali, Dylan Hutchison, Jacques Farhi, Anthony DeNovio, David Barquin, David E. E. Rapp
Summary: This study aims to assess the outcomes of urgency symptoms following robotic-assisted laparoscopic prostatectomy (RALP). The study found significantly worsened urgency urinary incontinence (UUI) after RALP, with a large incidence of new UUI cases. Although the severity of UUI is associated with quality of life, further research is needed to understand its impact on health-related quality of life following RALP.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Surgery
M. Dewulf, L. Aspeslagh, F. Nachtergaele, P. Pletinckx, F. Muysoms
Summary: In patients who have previously undergone transabdominal prostatectomy, it is recommended to use open anterior technique rather than minimally invasive posterior technique for inguinal hernia repair to avoid potential complications. In a study comparing open and robotic-assisted laparoscopic repair, no significant differences in outcomes were observed, but robotic-assisted laparoscopic approach may offer advantages in bilateral inguinal hernia repairs.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Urology & Nephrology
Turki Altaylouni, Pimrapat Gebert, Sefer Elezkurtaj, Florian Rossner, Bernhard Ralla, Sarah Weinberger, Diana Moldovan, Thorsten Schlomm, Bertrand Guillonneau
Summary: We investigated the improvement in pathological outcomes with experience and surgeon generation after robot-assisted laparoscopic prostatectomy (RALP). A study was conducted on 1338 patients who underwent RALP between February 2010 and April 2020. Learning curves were created for pelvic lymph node dissection (PLND), number of lymph nodes (LNs) removed, and positive surgical margin (PSM) after adjusting for confounders. The study found that experience and surgeon generation had a significant impact on PLND and LN removal, but not on PSM.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Surgery
E. M. de Groot, L. Goense, B. F. Kingma, J. W. van den Berg, J. P. Ruurda, R. van Hillegersberg
Summary: This study demonstrates that the implementation of a robotic abdominal phase in RAMIE is safe and does not compromise intraoperative, postoperative, and oncological outcomes. The learning curve is estimated to be 22 cases in a high-volume center with experienced upper GI robotic surgeons.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Samer AlMasri, Mazen S. Zenati, Georgios Papachristou, Adam Slivka, Michael Sanders, Jennifer Chennat, Mordechai Rabinowitz, Asif Khalid, Andres Gelrud, John Nasr, Savreet Sarkaria, Rohit Das, Kenneth K. Lee, Wolfgang Schraut, Steve J. Hughes, A. James Moser, Alessandro Paniccia, Melissa E. Hogg, Herbert J. Zeh, Amer H. Zureikat
Summary: LA-ERCP is effective in treating pancreaticobiliary pathology after RYGB, with high success rates and low adverse events. The study identified a learning curve for surgical and gastroenterology teams at case 27 and case 9 respectively, and highlighted the need for 3-5 cases per surgeon to optimize operative metrics.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Oncology
Haichang Li, Dongning Lu, Yuning Hu, Yixuan Mou, Dahong Zhang, Zhenghong Liu
Summary: This study investigated the outcome of anatomic periurethral reconstruction during robotic assisted laparoscopic radical prostatectomy (RARP). The results showed that the reconstruction group had better continence outcome at 1 and 3 months. Therefore, anatomic reconstruction of periurethral structure during RARP is safe and feasible with improved continence outcome.
FRONTIERS IN ONCOLOGY
(2023)
Article
Medicine, General & Internal
Emir Kilinc, Serap Aktas Yildirim, Halim Ulugol, Elif Eroglu Bueyuekoener, Buelent Gucyetmez, Fevzi Toraman
Summary: This study demonstrates the correlation between cardiac cycle efficiency and longitudinal strain by observing the effect of the deep Trendelenburg position. It indicates that the deep Trendelenburg position increases cardiac workload.
FRONTIERS IN MEDICINE
(2023)
Review
Anesthesiology
Gabriela Hernandez-Meza, Daniel M. Gainsburg
Summary: The anesthetic concerns of patients undergoing robotic-assisted laparoscopic radical prostatectomy primarily involve the use of pneumoperitoneum in the steep Trendelenburg position and its impact on cerebrovascular, ocular, respiratory, and hemodynamic homeostasis. Non-surgical complications range from mild subcutaneous emphysema to devastating ischemic optic neuropathy. Successful management requires thorough preoperative evaluation, careful positioning, ventilation management, and coordinated efforts between the anesthesia and surgical teams.
MINERVA ANESTESIOLOGICA
(2023)
Article
Oncology
Bo Tang, Tao Li, Gengmei Gao, Jun Shi, Taiyuan Li
Summary: This study assessed the learning curve of robotic-assisted total mesorectal excision for rectal cancer and its impact on long-term oncologic outcomes. The results showed that surgical outcomes improved after 36 cases, and the learning curve seemingly did not have an obvious impact on long-term oncologic outcomes.
FRONTIERS IN ONCOLOGY
(2022)
Article
Multidisciplinary Sciences
Ying-Jui Chao, Wei-Hsun Lu, Ting-Kai Liao, Ping-Jui Su, Chih-Jung Wang, Chao-Han Lai, Jo-Ying Hung, Pei-Fang Su, Yan-Shen Shan
Summary: This study retrospectively reviewed the data of patients undergoing Laparoscopic Pancreaticoduodenectomy (LPD) and Robotic Pancreaticoduodenectomy (RPD) between 2014 and 2021. The learning curves of LPD and RPD were similar, with a decrease in operative time associated with case sequence. LPD had higher complication rates in the pre-learning curve phase compared to the after-learning curve phase, while RPD had similar surgical outcomes between the two phases. Simultaneous development of LPD and RPD is feasible and safe for experienced surgeons, with similar learning processes and comparable surgical outcomes.
SCIENTIFIC REPORTS
(2023)
Article
Surgery
Francesco Proietti, Davide La Regina, Ramon Pini, Matteo Di Giuseppe, Agnese Cianfarani, Francesco Mongelli
Summary: This study found that experienced laparoscopists performing rTAPP require 43 procedures to achieve 90% proficiency and significantly reduce operative time. During the learning curve, there was a decrease in operative time and occurrence of complications compared to after the learning curve.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Emanuele Balzano, Lorenzo Bernardi, Giovanni Tincani, Davide Ghinolfi, Fabio Melandro, Jessica Bronzoni, Sonia Meli, Giuseppe Arenga, Giandomenico Biancofiore, Laura Crocetti, Paolo De Simone
Summary: The study compared outcomes of robotic liver resection (RLR) and laparoscopic liver resection (LLR) for hepatocellular carcinoma and found that concurrent implementation of both programs was feasible and safe with similar long-term oncologic outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
