Diminished suture strength after robotic needle driver manipulation

Journal of Endourology
Daniel RicchiutiMark Kovacik

Abstract

Robot-assisted minimally invasive surgery has become a routine surgical option for the treatment of prostate cancer. Despite its technical advancements, the da Vinci(®) Surgical System still lacks haptic feedback to the surgeon, resulting in a maximally applied compressive force by the robotic needle driver during every grasping maneuver. Without this perceptional sense of touch and grip control, repetitive robotic needle driver manipulation may unknowingly lead to irreparable damage to fine sutures used during delicate anastomotic repairs. For robotic prostatectomy, any such loss of integrity can potentially lead to premature breakdown of the urethrovesical anastomosis and urine extravasation, especially important for a less-than-perfectly fashioned anastomotic repair. Although it has already been established that overhandling of sutures using handheld laparoscopic instruments can lead to reduced suture strength, it has not been established to what extent this may occur after robotic surgical procedures. We present analytical data and analyses concerning the failure strength of fine sutures commonly used for urethrovesical anastomotic repair during robotic prostatectomy, after repetitive robotic needle driver manipulation. Whe...Continue Reading

References

May 28, 2004·Surgical Endoscopy·J P RuurdaC van der Werken
Jan 6, 2005·The Journal of Thoracic and Cardiovascular Surgery·Masaya KitagawaDavid D Yuh
Nov 15, 2005·Journal of Endourology·Simon V BariolDavid A Tolley
Apr 25, 2006·The Annals of Thoracic Surgery·Michael ArgenzianoUNKNOWN TECAB Trial Investigators
Feb 27, 2007·American Journal of Surgery·Slawomir J MarecikLeela M Prasad
Jul 24, 2007·The Annals of Thoracic Surgery·J Michael SmithLindsey Lonneman
Jan 9, 2008·The Journal of Thoracic and Cardiovascular Surgery·Carol E ReileyDavid D Yuh
Apr 29, 2008·Journal of Minimally Invasive Gynecology·Thomas N Payne, Francis R Dauterive
Feb 12, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Prokar Dasgupta, Roger S Kirby
Apr 29, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Won Sik HamYoung Deuk Choi
Jun 23, 2009·Interactive Cardiovascular and Thoracic Surgery·Paul ModiW Randolph Chitwood
Jul 30, 2009·Acta Obstetricia Et Gynecologica Scandinavica·Celine Lönnerfors, Jan Persson

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Citations

Jan 17, 2012·Transplantation·Ugo BoggiFranco Mosca
Jan 9, 2014·Journal of Endourology·Thomas P CundyAzad S Najmaldin
Dec 25, 2015·Expert Review of Medical Devices·Angela M Arlen, Andrew J Kirsch
Nov 26, 2010·Transplant International : Official Journal of the European Society for Organ Transplantation·Ugo BoggiFranco Mosca
May 4, 2013·The British Journal of Surgery·U BoggiF Mosca
Nov 21, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·C FreschiA Cuschieri
Aug 28, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Aug 25, 2016·Langenbeck's Archives of Surgery·Emanuele F KauffmannUgo Boggi
Jun 26, 2018·Journal of Forensic Sciences·Benjamin E CrissRandall T Butler

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