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11. |
Early Experience With Robotically Assisted Laparoscopic Donor Nephrectomy |
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques,
Volume 12,
Issue 1,
2002,
Page 64-70
Santiago Horgan,
Daniel Vanuno,
Enrico Benedetti,
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摘要:
The da Vinci robotic system became available at our institution in late August 2000. We decided to use this system to perform robotically assisted laparoscopic donor nephrectomies. A prospective study was conducted of 10 consecutive patients who underwent robotically assisted laparoscopic donor nephrectomy between January and May 2001. The mean operative time was 166 minutes. The mean hospital stay was 1.8 days. The need for parenteral pain medication was limited to the first postoperative day. All kidneys were transplanted successfully; no rejections occurred. This early experience suggests that the results of robotically assisted laparoscopic donor nephrectomy are similar to those of laparoscopic donor nephrectomy. We believe that robotic surgery, which enables regaining of the hand–eye coordination and three-dimensional view lost in laparoscopic surgery, allows us to perform the donor nephrectomy with greater precision, confidence, and comfort.
ISSN:1051-7200
出版商:OVID
年代:2002
数据来源: OVID
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12. |
Applications of Robotic Surgery in Pediatric Patients |
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques,
Volume 12,
Issue 1,
2002,
Page 71-76
Celeste Hollands,
Laramie Dixey,
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摘要:
Minimally invasive surgery is increasingly becoming the standard approach to treatment for pediatric patients. Infants present a technical challenge due to the small size of structures and the small workspace available. Master–slave robotic surgical telemanipulators help overcome this challenge by facilitating microsurgery in a confined workspace. The Zeus Robotic Surgical System (Computer Motion, Inc., Goleta, CA, U.S.A.) was used to develop the robotic approach and to evaluate the technical feasibility of performing four technically challenging procedures that are typically performed in infants. Robotic enteroenterostomy, hepaticojejunostomy, portoenterostomy, and esophagoesophagostomy were performed in piglets and compared with the same procedures performed by standard minimally invasive techniques. Enteroenterostomy, hepaticojejunostomy, and esophagoesophagostomy procedures were successfully developed and are technically feasible. The portoenterostomy procedure needs further study to validate data from the second set of experiments, showing a lower complication rate in the robotic group. Survivor studies are needed to fully elucidate the advantages that may be provided by the robotic approach.
ISSN:1051-7200
出版商:OVID
年代:2002
数据来源: OVID
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