Early results of one-year robotic surgery using the Da Vinci system to perform advanced laparoscopic procedures |
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Authors: | Email author" target="_blank">Ahmet?AyavEmail author Laurent?Bresler Laurent?Brunaud Patrick?Boissel |
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Institution: | (1) Department of Digestive Surgery, University Hospital Nancy-Brabois, Vandoeuvre les Nancy, France;(2) Service de Chirurgie Digestive, Hopital de Nancy-Brabois, Alleé du Morvan, 54511 Vandoeuvre les Nancy, France |
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Abstract: | Robotic technology has recently been introduced to gastrointestinal laparoscopic surgery. We prospectively evaluated early
results of robotic surgery using the Da Vinci system in our department. Data were prospectively collected in 40 patients who
underwent robotic surgery during a 1-year period. We performed 3 cholecystectomies, 10 anterior fundoplications for gastroesophageal
reflux disease, 17 transperitoneal adrenalectomies, 2 Heller myotomies, 5 procedures for rectal prolapse, and 3 colpohysteropexies
for genital prolapse. The results for robotic adrenalectomies and anterior fundoplications were compared with the results
from patients who underwent these procedures laparoscopically without robotic assistance at our department during the same
period. We encountered two conversions to laparotomy (5%) and one conversion to standard laparoscopy (2.5%). There was no
morbidity imputable to the robotic approach and no deaths. The mean operative times were significantly longer in robotic groups
compared with laparoscopic groups for adrenalectomies and fundoplications. The Da Vinci robotic system enables surgeons to
perform advanced laparoscopic procedures with ease, safety, and precision. We believe that preferable indications for using
this system are to perform surgery in narrow spaces (pelvic surgery) or when precise dissection is mandatory (Heller myotomy). |
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Keywords: | Robotic surgery Da Vinci rectal prolapse genital prolapse Heller myotomy adrenalectomy |
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