Article
Surgery
Mehmet Gokceimam, Serkan Akbulut, Ozgun Erten, Bora Kahramangil, Yoo S. Kim, Pengpeng Li, Eren Berber
Summary: In this study, robotic adrenalectomy showed superiority over laparoscopic adrenalectomy in terms of quality of procedure and intraoperative performance, with fewer bleeding problems and a wider range of instrument reach around the adrenal gland.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
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
Pavel Tyutyunnik, Sjors Klompmaker, Carlo Lombardo, Hryhoriy Lapshyn, Francesca Menonna, Niccolo Napoli, Ulrich Wellner, Roman Izrailov, Magomet Baychorov, Mark G. Besselink, Mohd Abu Hilal, Abe Fingerhut, Ugo Boggi, Tobias Keck, Igor Khatkov
Summary: This study retrospectively analyzed the outcomes of 300 consecutive patients at three European centers, finding a shorter learning curve with hybrid PD compared to laparoscopic and robotic PD. In the implementation of a MIPD program, a stepwise approach might be beneficial.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
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)
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
Gastroenterology & Hepatology
Shin-Hoo Park, Hyuk-Joon Lee, Ji-Ho Park, Tae-Han Kim, Young-Gil Son, Yeon-Ju Huh, Jong-Ho Choi, Sa-Hong Kim, Ji-Hyeon Park, Yun-Suhk Suh, Hyunsoo Chung, Seong-Ho Kong, Do Joong Park, Han-Kwang Yang
Summary: Intra-operative gastroscopy during totally laprascopic partial gastrectomy can decrease the rate of positive proximal margins and margins <1cm, reducing the need for total gastrectomy in patients with tumors located close to the gastroesophageal junction.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Gyoung Tae Noh, Myunghyun Han, Hyuk Hur, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim, Byung Soh Min
Summary: This study showed that laparoscopic surgical experience had limited impact on the learning curve of robotic rectal cancer surgery, which was greater than previously reported curves.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Surgery
Ariadni Papadopoulou, Niraj S. Kumar, Anne Vanhoestenberghe, Nader K. Francis
Summary: This review investigates the carbon and material footprint of minimally invasive surgical (MIS) techniques and summarizes strategies to make MIS greener. It found that robotic procedures result in higher greenhouse gas emissions and waste production compared to laparoscopic alternatives, with the production of disposables and anaesthetics being carbon footprint hotspots. Waste reduction strategies include repackaging disposables and limiting unused instruments.
BRITISH JOURNAL OF SURGERY
(2022)
Article
Surgery
Stuart Jackson, Alexander Combes, Edward Latif, Minh Tran, Susanna Lam, Neel Gore, Mike Utsiwegota, Jane Mawson, Laura Smith, Catalina Palma, Jerome Laurence, Michael Crawford, Carlo Pulitano, Kate Wyburn, Steve Chadban, Scott Leslie, Arthur Vasilaras
Summary: This study retrospectively reviewed the safety and outcomes of laparoscopic donor nephrectomy in a single tertiary hospital in Sydney. The results showed that laparoscopic donor nephrectomy is a safe and effective procedure with minimal complications.
CLINICAL TRANSPLANTATION
(2023)
Review
Surgery
Zhen Chen, Hua Yu, Huaping Wu, Pingxi Wang, Fanwei Zeng
Summary: This study compared robotic assisted low anterior resection (R-LAR) with laparoscopic low anterior resection (L-LAR). The results showed that robotic surgery had a longer operative time, but the difference decreased with an increase in sample size.
SURGICAL INNOVATION
(2023)
Review
Gastroenterology & Hepatology
Julie Flynn, Jose Tomas Larach, Joseph C. H. Kong, Peadar S. Waters, Satish K. Warrier, Alexander Heriot
Summary: This study analyzed studies comparing robotic and laparoscopic colorectal learning curves, finding that in some cases the robotic learning curve may be faster. Simulation studies showed faster times and error rates favoring robotic surgery. Further research is needed to determine the impact of learning curves on surgical abilities on different platforms.
COLORECTAL DISEASE
(2021)
Article
Surgery
Na Reum Kim, Dai Hoon Han, Gi Hong Choi, Jae Geun Lee, Dong Jin Joo, Myoung Soo Kim, Jin Sub Choi
Summary: This study compared the surgical outcomes of LLDRH and RLDRH. The results showed that RLDRH had less intraoperative bleeding and comparable postoperative outcomes compared to LLDRH. Furthermore, since 2019, RLDRH has been employed more frequently for donors with hilar structure anatomic variations.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
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
Surgery
Fabio Staderini, Giuseppe Barbato, Andrea Bottari, Edda Russo, Laura Fortuna, Francesco Giudici, Francesco Coratti, Lorenzo Stacchini, Giampiero Indennitate, Fabio Cianchi
Summary: This study evaluated the learning curve of a single surgeon with extensive experience in robotic gastrectomy. It was found that the robotic learning curve is faster than that of conventional laparoscopy. The robotic technique can provide sufficient lymph node harvesting even in the early phase of the learning curve.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
Article
Urology & Nephrology
Sachin Perera, Nadil Fernando, Jonathan O'Brien, Declan Murphy, Nathan Lawrentschuk
Summary: This study retrospectively audited all robot-assisted radical prostatectomy (RARP) cases performed at a high-volume Australian center from 2016 to 2021, aiming to assess the impact of learning curves on primary surgical outcomes. The results showed that surgeon experience was associated with operative time, estimated blood loss, and positive surgical margins. This study highlights the importance of surgeon experience in achieving favorable outcomes in RARP.
PROSTATE INTERNATIONAL
(2023)
