Interest areas for training in endourology, laparoscopy and robotics: results of a multicentric survey among Spanish residents.

Objectives: To determine the current status of the training of Urology Resident's in Laparoscopic surgery, robotics and endourology.

Methods: We performed a survey among Spanish Urology Residents between 2011 and may 2012. We designed a survey that was disseminated through the web page of the Spanish Society of Laparoscopic and Robotic surgery (SECLA) (www.

Cost is not a drawback to perform laparoscopic appendectomy in an academic hospital.

Appendectomy is the most frequently performed emergent surgical procedure in western countries. There is still controversy about which alternative is clinically and economically superior: open or laparoscopic appendectomy (LA). Our aim was to determine clinical outcomes and cost of both procedures in our academic institution.

Robotic Anderson-Hynes dismembered pyeloplasty: initial experience.

Introduction: The introduction of the da Vinci(®) robotic system in 2000 has been a new step forward in the treatment of ureteropelvic junction obstruction (UPJO). The aim of this study was to analyse our initial experience with robot-assisted dismembered Anderson-Hynes pyeloplasty and to perform a bibliographic review on the topic.

Patients And Methods: We performed 11 robot-assisted pyeloplasties between March 2007 and April 2011.

Laparoscopic and robotic distal gastrectomy for gastrointestinal stromal tumour: case report.

Background: Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the digestive tract. The most frequent site of occurrence is the stomach. Due to the high potential for malignancy of GIST, resection should be the first-line treatment.

Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta-analysis.

Background: We hypothesized that robotic assistance (RARS) could provide better intraoperative and short-term outcomes than a traditional laparoscopic approach (LARS) to rectal cancer surgery.

Methods: Systematic review of the literature, including electronic searches and communications to international robotic meetings.

Inclusion Criteria: studies involving rectal cancer patients and comparing outcomes of robotic surgery vs laparoscopic surgery.

Key areas in the learning curve for robotic urological surgery: a Spanish multicentre survey.

Background: The number of robotic-assisted procedures offered in Spain is rapidly increasing despite a lack of consensus criteria for training and credentialling.

Objective: This national multicentre study was designed to analyze the different areas of the robotic urological surgery learning curve.

Material And Methods: A questionnaire was sent to all 13 urology units in Spain with an active robotics programme requesting information on training and problems encountered.

Long-term outcomes after robotic sacrocolpopexy in pelvic organ prolapse: prospective analysis.

Objective: To evaluate the feasibility and long-term outcomes of our initial series of robot-assisted laparoscopic sacrocolpopexy.

Methods: We conducted a prospective analysis of our series of robotic sacrocolpopexy.

Inclusion Criteria: patients with grades III and IV cystocele and or other symptomatic pelvic organ prolapse.

Bladder diverticulum robotic surgery: systematic review of case reports.

Introduction: We report one case of robot-assisted transperitoneal bladder diverticulectomy and perform a systematic review of published experience.

Patient And Methods: Our patient was a 64-year-old male with a history of lower urinary tract symptoms secondary to benign prostatic enlargement for 6 years with recurrent urinary tract infection. Ultrasound and voiding cystourethrogram showed a 7-cm diverticulum in the posterior bladder wall.

[Multidisciplinary development of robotic surgery in a University Tertiary Hospital: Organization and outcomes].

Background: Da Vinci system (Intuitive Surgical) is a surgical telemanipulator providing many technical advantages over conventional laparoscopic approach (3-D vision, ergonomics, highly precise movements, endowrist instrumentation...

[Current state of digestive system robotic surgery in the light of evidence based medicine].

The incorporation of robotics in minimally invasive surgery has had mixed reception in the different fields of digestive surgery. Nowadays we are exposed to a continuous stream of publications on robotic approach techniques and outcomes, which do not always provide objective criteria and whose value, through scientific evidence analysis, is sometimes arguable. With the aim of shedding light on current knowledge on digestive robotic surgery and giving an update of its possibilities, the authors analyse the abundant literature available on the different digestive robotic surgery procedures, and sum up their own experience.

Lessons learned from long-term university training in minimally invasive surgery in Spain.

Purpose: Starting from our prolonged experience in university minimally invasive surgery training (1993 to 2005), we aim to analyze the most important differences in participants' requirements from these courses along this time span.

Methods: Surveys' answers from the 6 first course editions (from 1993 to 1999, group 1) are compared with the last 6 ones (from 1999 to 2005, group 2), for a number of items including reasons to choose these courses, opinion about duration of training minimally invasive surgery (MIS) courses, responsibility of training MIS, and opinion about experimental training with animals.

Results: Total number (N) of participants was 341, with 177 in group 1 and 164 in group 2.

[Robotic assisted laparoscopic colposacropexy in the treatment of pelvic organ prolapse].

Laparoscopic colposacropexy has become a substitute for open surgery in the treatment of pelvic organ prolapse. In the same way, robotic assisted surgery is a new step in the evolution of the procedure. In this paper we intend to show our surgical technique and preliminary results.