30th Mar 2017
Kevin Motz, MD; Hsien-Yen Chang, PhD ; Harry Quon
(Review) In an article published by Johns Hopkins researchers, TORS (Transoral Robotic Surgery) has shown benefits in both recovery and cost-of-care for patients with oropharyngeal cancer.
09th Feb 2017
Ahmed HU1, El-Shater Bosaily A2, Brown LC3, Gabe R4, Kaplan R3, Parmar MK3, Collaco-Moraes Y3, Ward K3, Hindley RG5, Freeman A6, Kirkham AP7, Oldroyd R8, Parker C9,Emberton M2, PROMIS study group
BACKGROUND: Men with high serum prostate specific antigen usually undergo transrectal ultrasound-guided prostate biopsy (TRUS-biopsy). TRUS-biopsy can cause side-effects including bleeding, pain, and infection. Multi-parametric magnetic resonance imaging (MP-MRI) used as a triage test might allow men to avoid unnecessary TRUS-biopsy and improve diagnostic accuracy.
28th Nov 2016
Choi KW, Nam KH, Lee JR,Chung WY, Kang SW, Joe YE, Lee JH
Background from the abstract: The effect of the systemic lidocaine on postoperative recovery has not been definitively investigated despite its analgesic efficacy after surgery. The aim of this randomized, double-blinded, controlled study was to evaluate the effect of intravenously administered lidocaine on the quality of recovery and on acute and chronic postoperative pain after robot-assisted thyroidectomy. For full details, please access the PubMed website via link below.
01st Oct 2016
Alan Tan,Hutan Ashrafian,Alasdair J. Scott,Sam E. Mason,Leanne Harling,Thanos Athanasiou,Ara Darzi
Various robotic procedures
Background Robotic surgery has been in existence for 30 years. This study aimed to evaluate the overall perioperative outcomes of robotic surgery compared with open surgery (OS) and conventional minimally invasive surgery (MIS) across various surgical procedures. (Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.)
12th Jun 2016
Tsampalieros A.,Knoll GA,Molnar AO,et al.
pediatric Renal transplantation
BACKGROUND: A number of corticosteroid minimization and avoidance protocols for post-solid organ transplant have been developed. The study objective was to examine the effect of corticosteroid withdrawal/avoidance on growth and safety parameters in pediatric solid organ transplant recipients.
01st Jun 2016
Nath J1,2, Hodson J3, Canbilen SW2, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?
In this Br J Surg.study of over 9,000 renal transplant patients, this study, by Nath J, Hodson J, Canbilen SW, et al. reports on the results of cold ischemia time on living donor transplants.
29th May 2016
Wayne Lam, Mollika Chakravorty,Ben Challacombe
Review: This insightful commentary was first published in the BJUI, 29 May, 2016, from robotic surgeons from our partner hospital: Urology Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK. The authors make a strong case for why using a robot may be substantially better for the surgeon and patient than open or even laparoscopic procedures. In the words of the authors: "If you are one of the many departments performing LRN with a dormant robotic system sitting in the corner of room, we urge you to use it." We thank the authors for "tweeting" about it recently. The whole commentary is available from the attached link or copy & paste this: http://onlinelibrary.wiley.com/doi/10.1111/bju.13509/full
24th May 2016
Collins JW1, Patel H2, Adding C1,
Robot Assisted Radical Cystectomy
Twenty Four (24) ERUS-affiliated surgeons have collaborated to develop guidelines to provide a European Association of Urology (EAU) Robotic Urology Section (ERUS) policy on ERPs to guide standardised perioperative management of Robot Assisted Radical Cystectomy patients. The abstract review may be found here: Eur Urol. 2016 May 24. pii: S0302-2838(16)30184-1. doi: 10.1016/j.eururo.2016.05.020.We are proud to report that some of the authors listed are Vattikuti Foundation Partner Surgeons. Because the material is subject to copyright, please use this link to access the PubMed Abstract: http://www.ncbi.nlm.nih.gov/pubmed/27234997?dopt=Abstract
20th Apr 2016
Homa Alemzadeh; Jaishankar Raman; Nancy Leveson; Zbigniew Kalbarczyk; Ravishankar K. Iyer
Robotic surgery- all specialties
From PLoS ONE: Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data Abstract Background Use of robotic systems for minimally invasive surgery has rapidly increased during the last decade. Understanding the causes of adverse events and their impact on patients in robot-assisted surgery will help improve systems and operational practices to avoid incidents in the future. Methods By developing an automated natural language processing tool, we performed a comprehensive analysis of the adverse events reported to the publicly available MAUDE database (maintained by the U.S. Food and Drug Administration) from 2000 to 2013. We determined the number of events reported per procedure and per surgical specialty, the most common types of device malfunctions and their impact on patients, and the potential causes for catastrophic events such as patient injuries and deaths. Results During the study period, 144 deaths (1.4% of the 10,624 reports), 1,391 patient injuries (13.1%), and 8,061 device malfunctions (75.9%) were reported. The numbers of injury and death events per procedure have stayed relatively constant (mean = 83.4, 95% confidence interval (CI), 74.2–92.7 per 100,000 procedures) over the years. Surgical specialties for which robots are extensively used, such as gynecology and urology, had lower numbers of injuries, deaths, and conversions per procedure than more complex surgeries, such as cardiothoracic and head and neck (106.3 vs. 232.9 per 100,000 procedures, Risk Ratio = 2.2, 95% CI, 1.9–2.6). Device and instrument malfunctions, such as falling of burnt/broken pieces of instruments into the patient (14.7%), electrical arcing of instruments (10.5%), unintended operation of instruments (8.6%), system errors (5%), and video/imaging problems (2.6%), constituted a major part of the reports. Device malfunctions impacted patients in terms of injuries or procedure interruptions. In 1,104 (10.4%) of all the events, the procedure was interrupted to restart the system (3.1%), to convert the procedure to non-robotic techniques (7.3%), or to reschedule it (2.5%). Conclusions Despite widespread adoption of robotic systems for minimally invasive surgery in the U.S., a non-negligible number of technical difficulties and complications are still being experienced during procedures. Adoption of advanced techniques in design and operation of robotic surgical systems and enhanced mechanisms for adverse event reporting may reduce these preventable incidents in the future.
11th Mar 2016
Jeong, W; Kumar, R; Menon, M.
Cystectomy; Nephrectomy; Prostatectomy; Robotics
From The Vattikuti Urology Institute:The first urologic robotic program in the world was built at the Vattikuti Urology Institute, Henry Ford Hospital Detroit, Michigan, in 2000 under the vision of surgical innovator, Dr. Mani Menon for the radical prostatectomy. The robot-assisted radical prostatectomy continues being modified with techniques to improve perioperative and surgical outcomes. The application of robotic surgical technique has since been expanded to the bladder and upper urinary tract surgery. The evolution of surgical technique and its expansion of application will continue to improve quality, outcome parameters and experience for the patients.