Review
Oncology
Kevin M. Sullivan, Yuman Fong
Summary: This article reviews and describes the use of robotic surgery in liver surgery and provides a detailed introduction to multivisceral resections. The existing reports indicate that robotic multivisceral resection in liver surgery is feasible and has good outcomes in experienced hands. As robotic technology advances and experience grows, further investigation should be conducted in this field.
Article
Medicine, General & Internal
Aristotelis Perrakis, Mirhasan Rahimli, Andrew A. Gumbs, Victor Negrini, Mihailo Andric, Jessica Stockheim, Cora Wex, Eric Lorenz, Joerg Arend, Mareike Franz, Roland S. Croner
Summary: The study introduces a new three-dimensional technique for liver parenchyma dissection in robotic surgery, using multiple devices simultaneously. The results demonstrate that this new method is safe and feasible for liver surgery.
JOURNAL OF CLINICAL MEDICINE
(2021)
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.
Review
Oncology
Fabio Giannone, Emanuele Felli, Zineb Cherkaoui, Pietro Mascagni, Patrick Pessaux
Summary: Robotic surgery for liver resection has gained attention for its potential to improve surgical dexterity in minimally invasive procedures. While there are promising results reported in the literature, there is still a lack of strong evidence. The robotic system allows for a hybrid interface that can utilize pre- and intra-operative imaging tools to guide surgical resection, aiming to enhance safety and oncological outcomes.
Review
Oncology
Mirhasan Rahimli, Aristotelis Perrakis, Mihailo Andric, Jessica Stockheim, Mareike Franz, Joerg Arend, Sara Al-Madhi, Mohammed Abu Hilal, Andrew A. Gumbs, Roland S. Croner
Summary: A comparison between robotic and laparoscopic approaches in liver surgery showed no significant difference in resection margin status, but a significantly larger tumor size in the robotic group.
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
Medicine, General & Internal
Yaron Rudnicki, Ron Pery, Sherief Shawki, Susanne Warner, Sean Patrick Cleary, Kevin T. Behm
Summary: This case series describes the initial institutional experience of synchronous robotic colorectal and liver resections for metastatic colorectal cancer. Eight patients underwent the surgeries without any intra-operative complications or conversions. There were two post-operative complications, but overall short-term outcomes and oncologic resection quality were acceptable.
JOURNAL OF CLINICAL MEDICINE
(2023)
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)
Article
Biology
Okker D. Bijlstra, Alexander Broersen, Timo T. M. Oosterveer, Robin A. Faber, Friso B. Achterberg, Rob Hurks, Mark C. Burgmans, Jouke Dijkstra, J. Sven D. Mieog, Alexander L. Vahrmeijer, Rutger-Jan Swijnenburg
Summary: Robotic liver surgery with multimodal imaging platform, incorporating 2D images into 3D models, has been proven feasible and effective in preoperative planning and surgical guidance. The high quality of 3D reconstructions in the surgical cockpit assists surgeons in liver resections.
Article
Surgery
Linda Feldbruegge, Santiago Andres Ortiz Galindo, Oliver Frisch, Christian Benzing, Felix Krenzien, Anna Riddermann, Anika Kaestner, Nora Franziska Nevermann, Thomas Malinka, Wenzel Schoening, Johann Pratschke, Moritz Schmelzle
Summary: The study found that robotic liver surgery is safe and feasible for patients with prior abdominal surgeries, despite limited experience in the field. Baseline characteristics and perioperative outcomes in robotic liver resection showed no significant differences between patients with and without prior surgeries.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Maria Conticchio, Antonella Delvecchio, Valentina Ferraro, Matteo Stasi, Annachiara Casella, Rosalinda Filippo, Michele Tedeschi, Riccardo Memeo
Summary: Since its introduction, robotics has been increasingly used for liver lesion resection, providing the benefits of minimally invasive approach and overcoming laparoscopy limitations. We present a standardized technique of robotic right liver mobilisation, which offers all the advantages of minimally invasive approaches and more ergonomic conditions for surgeons. This technique can reduce the conversion rate and improve the learning curve in young surgeons.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
Article
Medicine, General & Internal
James Griffin, Edward T. Davis, Helen Parsons, Elke Gemperle Mannion, Chetan Khatri, David R. Ellard, Mark J. Blyth, Nicholas David Clement, David Deehan, Nicholas Flynn, Josephine Fox, Nicholas J. Grant, Fares S. Haddad, Charles E. Hutchinson, James Mason, Bishal Mohindru, Chloe E. H. Scott, Toby O. Smith, John A. Skinner, Andrew D. Toms, Sophie Rees, Martin Underwood, Andrew Metcalfe
Summary: This article discusses the introduction of robotic-assisted knee replacement systems worldwide and highlights the lack of high-quality evidence on their clinical and cost-effectiveness. The trial aims to evaluate the clinical and cost-effectiveness of robotic-assisted knee replacement compared to traditional methods, providing high-quality evidence on this technology.
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
Medicine, General & Internal
Muhieddine Labban, Prokar Dasgupta, Chao Song, Russell Becker, Yanli Li, Usha Seshadri Kreaden, Quoc-Dien Trinh
Summary: This study compares the cost-effectiveness of different surgical techniques for radical prostatectomy in the UK. The results show that robotic-assisted radical prostatectomy (RARP) is a cost-effective option compared to open radical prostatectomy (ORP) and laparoscopic-assisted radical prostatectomy (LRP). RARP had lower costs and higher quality-adjusted life-years (QALYs) compared to LRP, and although it had higher costs than ORP, the incremental cost-effectiveness ratio (ICER) was below the willingness-to-pay threshold, making RARP more cost-effective than ORP in the UK.
Article
Surgery
Moritz Schmelzle, Linda Feldbruegge, Santiago Andres Ortiz Galindo, Simon Moosburner, Anika Kaestner, Felix Krenzien, Christian Benzing, Matthias Biebl, Robert Oellinger, Thomas Malinka, Wenzel Schoening, Johann Pratschke
Summary: This prospective study evaluated the safety and feasibility of robotic liver surgery and compared it with conventional laparoscopy. The results suggest that robotic liver surgery is a safe and feasible alternative.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Biochemistry & Molecular Biology
Mohamed M. Ali, Dina Naquiallah, Maryam Qureshi, Mohammed Imaduddin Mirza, Chandra Hassan, Mario Masrur, Francesco M. Bianco, Patrice Frederick, Giulianotti P. Cristoforo, Antonio Gangemi, Shane A. Phillips, Abeer Mahmoud
Summary: In individuals with obesity, there was a higher fraction of methylated genes in the control group compared to obese subjects, while proinflammatory genes showed significantly lower methylation levels in obese individuals. Fifteen genes had significantly higher mRNA levels in obese subjects compared to controls, including CXCL6, TLR5, IL6ST, EGR1, IL15RA, and HDAC4. Methylation percentage was inversely correlated with various cardiometabolic risk factors and positively correlated with parameters associated with vascular function such as FID, NO production, and FMD. This suggests that vascular dysfunction in obese adults may be due to systemic hypomethylation and overexpression of immune-related genes.
Review
Surgery
T. E. Lobe, F. M. Bianco
Summary: This review examines the choice of repair methods for inguinal hernias in adolescents. The evidence suggests that there is no difference in recurrence and complications between the two types of repairs. Selective, individualized approaches based on the size and nature of the pathology are recommended.
Article
Surgery
Nicolas H. Dreifuss, Julia Xie, Francisco Schlottmann, Antonio Cubisino, Carolina Baz, Carolina Vanetta, Alberto Mangano, Francesco M. Bianco, Antonio Gangemi, Mario A. Masrur
Summary: This retrospective study aimed to determine risk factors associated with readmission following same-day discharge sleeve gastrectomy (SG) and found that female sex, preoperative gastroesophageal reflux disease, renal insufficiency, and intraoperative drain placement were independent risk factors for readmission. The study concluded that same-day discharge SG is safe with low readmission rates, but identifying preoperative and intraoperative variables associated with higher risk of readmission could help develop safer and more effective protocols for same-day discharge.
Article
Oncology
Nicolas H. Dreifuss, Francisco Schlottmann, Antonio Cubisino, Francesco M. Bianco
Summary: This study demonstrates the safety and feasibility of robotic-assisted single port surgery in patients with gastric GIST, and it may help expand the indications of previous single incision techniques.
SURGICAL ONCOLOGY-OXFORD
(2022)
Review
Medicine, General & Internal
Carolina Vanetta, Nicolas H. Dreifuss, Francisco Schlottmann, Alberto Mangano, Antonio Cubisino, Valentina Valle, Carolina Baz, Francesco M. Bianco, Chandra Hassan, Antonio Gangemi, Mario A. Masrur
Summary: Bariatric surgery is effective in achieving weight loss and remission of obesity-related comorbidities, but some patients may fail to lose enough weight or experience complications, requiring revisional surgeries. Robotic-assisted revisional bariatric surgeries (RBS) are technically challenging procedures, but studies demonstrate their safety and feasibility. However, long operative times and high costs remain major drawbacks.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Julia Xie, Nicolas H. Dreifuss, Francisco Schlottmann, Antonio Cubisino, Alberto Mangano, Carolina Vanetta, Carolina Baz, Valentina Valle, Francesco M. Bianco, Antonio Gangemi, Mario A. Masrur
Summary: This study evaluates the safety and postoperative outcomes of revisional bariatric surgeries (RBS) performed with a minimally invasive approach. The results show that minimally invasive RBS can be performed safely with low conversion and complication rates, and improved weight loss outcomes.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Antonio Cubisino, Nicolas H. Dreifuss, Francisco Schlottmann, Carolina Baz, Alberto Mangano, Mario A. Masrur, Francesco M. Bianco
Summary: This study aims to introduce a novel surgical approach - single-port SP robotic surgery - and evaluate its safety and feasibility in anti-reflux operations. The results show that robotic SP anti-reflux surgery is safe and feasible, offering advantages of lower invasiveness and improved cosmesis compared to traditional multiport robotic surgery.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2022)
Article
Surgery
Francesco M. Bianco, Nicolas H. Dreifuss, Betty Chang, Francisco Schlottmann, Antonio Cubisino, Alberto Mangano, Yevhen Pavelko, Mario A. Masrur, Pier C. Giulianotti
Summary: The safety and feasibility of the DaVinci Single Port (SP) platform in general surgery were analyzed in this study. The results showed that robotic SP surgery is safe and feasible for transabdominal pre-peritoneal inguinal hernia repairs and cholecystectomies, with no conversions or perioperative complications.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2022)
Article
Surgery
Nicolas H. Dreifuss, Carolina Vanetta, Francisco Schlottmann, Antonio Cubisino, Alberto Mangano, Carolina Baz, Francesco M. Bianco, Antonio Gangemi, Chandra Hassan, Mario A. Masrur
Summary: This study analyzed the safety of same-day discharge after RYGB and found that SDD-RYGB had comparable outcomes to In-RYGB in terms of postoperative complications, reoperations, readmissions, and mortality rates, but had lower risk of interventions within 30 days.
Article
Surgery
Nicolas H. Dreifuss, Betty Chang, Francisco Schlottmann, Antonio Cubisino, Alberto Mangano, Mario A. Masrur, Francesco M. Bianco
Summary: This study evaluated the safety and feasibility of robotic single-port transabdominal preperitoneal inguinal hernia repair (SP-TAPP) and compared it to the robotic multiport technique (MP-TAPP). The results showed that SP-TAPP is safe and feasible, with similar postoperative morbidity, higher same-day discharge rates, and quicker postoperative recovery compared to MP-TAPP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Antonio Cubisino, Nicolas H. Dreifuss, Gianluca Cassese, Francesco M. Bianco, Fabrizio Panaro
Summary: This study analyzed the safety and outcomes of the minimally invasive (MI) approach for biliary anastomosis in patients with major bile duct injuries (BDIs). The results showed that the MI approach was safe and feasible, with similar morbidity rates in laparoscopic and robotic procedures. However, more prospective comparative studies are needed for more definitive conclusions.
UPDATES IN SURGERY
(2023)
Article
Biochemistry & Molecular Biology
Imaduddin Mirza, Ariej Mohamed, Hania Deen, Swetha Balaji, Duaa Elsabbahi, Amier Munasser, Dina Naquiallah, Uzma Abdulbaseer, Chandra Hassan, Mario Masrur, Francesco M. Bianco, Mohamed M. Ali, Abeer M. Mahmoud
Summary: The study suggests that vitamin D deficiency may contribute to adipokine hypomethylation, inflammation, and vascular dysfunction in obesity. Higher degrees of deficiency are associated with lower DNA methylation and increased expression of inflammatory adipokines. Additionally, moderate and severe deficiency are correlated with impaired vascular reactivity and increased arterial stiffness.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Pediatrics
Maria Consuelo Puentes, Marko Rojnica, Thomas Sims, Robert Jones, Francesco M. M. Bianco, Thom E. E. Lobe
Summary: Different robotic systems have been widely used in human surgery since 2000, but pediatric patients require specific features that are lacking in commonly used systems. The study evaluates the feasibility, ease, and safety of using the Senhance(R) robotic system in pediatric patients, and concludes that it is a safe and effective device with advantages over other systems.
Article
Surgery
Antonio Cubisino, Francisco Schlottmann, Nicolas H. Dreifuss, Carolina Baz, Alberto Mangano, Mario A. Masrur, Francesco M. Bianco, Pier Cristoforo Giulianotti
Summary: This article presents a stepwise technique for robotic revisional procedure after failed Heller myotomy. The surgical steps are thoroughly described and visually represented with useful technical tips. The role of robotic redo Heller myotomy in the treatment algorithm of patients with recurrent symptoms should be further explored.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Mohamed M. Ali, Imaduddin Mirza, Dina Naquiallah, Chandra Hassan, Mario Masrur, Francesco M. Bianco, Abeer M. Mahmoud
Summary: Elevated levels of CD147 protein in obese and obese diabetic subjects are associated with vascular dysfunction and cardiometabolic risk factors.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2022)