Publications by authors named "F Willeke"
Introduction: Despite spectacular visuals and the seemingly convincing rationale of using indocyanine-green-enhanced fluorescence in assessing bowel perfusion during colorectal resections, a lingering sense of subjectivity remains in the challenge of quantifying this fluorescence. This prospective study analyzed the application of O2C® spectrophotometry to quantify zones of fluorescence on the large bowel during low anterior resection.
Materials And Methods: Patients receiving a low anterior resection for cancer of the mid- and lower rectum were enrolled in this observational prospective study between February 2020 and December 2022.
Anastomotic leaks are a significant complication in colorectal surgery. Indocyanine green fluorescence angiography (ICG-FA) has been suggested as a method to reduce the risk. This meta-analysis aims to evaluate the effect of ICG-FA on reducing anastomotic leaks in colorectal surgery.
View Article and Find Full Text PDFArticle Synopsis
- Robotic-assisted surgery, particularly with Senhance® systems, has transformed minimally invasive colorectal surgery, though comprehensive multi-center studies are lacking.
- This study, part of the TransEnterix European Patient Registry (TRUST), analyzed safety, feasibility, and procedural metrics from 355 colorectal surgeries across two European centers, revealing a median surgery time of 147.2 minutes and a low complication rate.
- Despite minor issues like limited motion and collisions, the study highlighted the system's positive safety profile and effectiveness in colorectal procedures, suggesting its potential for future clinical applications.
Article Synopsis
- Robotic-assisted surgery has evolved significantly since the 20th century, with the Senhance Surgical System becoming popular for total hysterectomies despite a lack of multi-site studies in current literature.
- A multi-site study involving 295 cases at Klaipeda University Hospital and Academic Teaching Hospital Feldkirch demonstrated the system's safety and feasibility, with short procedure times and minimal complications.
- Patients experienced significant pain reduction post-surgery, and the overall success and control established by the Senhance Surgical System confirm its effectiveness for performing total hysterectomies.
Purpose: Robotic-assisted surgery for radical prostatectomy is becoming a standard treatment, and respective implementations are expanding. The Senhance Surgical System is a robotic system with existing but limited data on radical prostatectomy, including a lack of multicenter study experiences. The TRUST study aims to fill this gap and explores observations for radical prostatectomy with the Senhance Surgical System.
View Article and Find Full Text PDF