Initial experience with the four-arm computer-enhanced telesurgery device in foregut surgery

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Matthew E NewlinScott W Melvin

Abstract

The da Vinci robotic system (Intuitive Surgical, Sunnyvale, CA) has been used effectively and with good results. Previously, the surgeon could manipulate three arms on the robot: one camera port and two working ports. This configuration required a second surgeon for most general surgical procedures. Recently, the robotic device has been modified to include a fourth arm, adding another computer-assisted instrument that the surgeon can manipulate. In this report, we describe our experience with the da Vinci robot with a fourth arm modification for the performance of selected surgical procedures. A total of six patients were prospectively enrolled and underwent surgery using the modified da Vinci robot. Their average age was 56 years. Five patients underwent Nissen fundoplication, and one patient underwent Heller myotomy. Operative time, defined as the time from skin incision to completed skin closure, as well as robotic time, defined as the time during which the robot was being used, were recorded. Intra-operative and perioperative complications were also recorded. Average operative and robotic times for Nissen fundoplication were 134 and 80 minutes, respectively. Operative and robotic times for the Heller myotomy were 118 and 70...Continue Reading

References

Jan 5, 2002·World Journal of Surgery·G B CadièreJ Bruyns
Sep 20, 2002·Surgical Endoscopy·W S MelvinE C Ellison
Apr 5, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·W S MelvinE C Ellison
Jul 16, 2003·Archives of Surgery·Pier Cristoforo GiulianottiGiuseppe Caravaglios
Aug 14, 2003·Surgical Endoscopy·M A TalaminiUNKNOWN Academic Robotics Group

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Citations

Nov 21, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jens HartmannChris Braumann
Dec 31, 2004·Current Treatment Options in Gastroenterology·Jedediah A Kaufman, Brant K Oelschlager
Dec 31, 2004·Current Treatment Options in Gastroenterology·Dimitrios StefanidisDaniel J Scott
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·S A Khan, L Stephens
Jun 29, 2014·Surgical Endoscopy·Juan P ToroAnkit D Patel
Dec 10, 2009·Wiener klinische Wochenschrift·Heinz F WykypielThomas Schmid
Oct 7, 2011·Journal of Visceral Surgery·F PuginP Morel
Dec 31, 2008·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jens HartmannChris Braumann
Oct 31, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·H C FernandoR J Shemin
May 23, 2015·Journal of Surgical Oncology·R C TolboomW A Draaisma
May 24, 2007·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Fumito Ito, Jon C Gould
Sep 10, 2015·Cancer Control : Journal of the Moffitt Cancer Center·David M StraughanEric M Toloza

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