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Background: Intrabdominal pressure (IAP) is an important parameter. Elevated IAP can reduce visceral perfusion, lead to intraabdominal hypertension, and result in life-threatening abdominal compartment syndrome. While ingestible capsular devices have been used for various abdominal diagnoses, their application in continuous IAP monitoring remains unproven.
View Article and Find Full Text PDFTransperitoneal versus low anterior access single-port pyeloplasty: surgical and functional outcomes from a tertiary referral center.
Minerva Urol Nephrol
December 2024
Department of Urology, University of Illinois at Chicago, Chicago, IL, USA.
Background: Transperitoneal approach to robot-assisted pyeloplasty (RAP) have been preferred in the last decades because of the use of multi-port robotic platforms. However, this approach is linked to notable issues, such as pneumoperitoneum and lateral decubitus position, which is associated with potential soft tissues injuries, and it is a time-consuming procedure. Single-port (SP) platform was introduced to potentially address these issues.
View Article and Find Full Text PDFComparative outcomes of Palmer, Umbilical Veress needle, and open entry techniques in robotic-assisted surgery: a propensity-matched analysis of 9482 patients.
J Robot Surg
January 2025
Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, 1425 Madison Ave, New York, USA.
Robotic-assisted surgery offers several advantages over traditional methods, such as reduced blood loss and fewer complications. Establishing pneumoperitoneum is a critical step, with two primary techniques: the Veress needle (closed) and the Hasson (open) technique. Despite extensive studies in laparoscopic surgery, limited data exist regarding their use in robotic surgery.
View Article and Find Full Text PDFArticle Synopsis
- - Bronchoperitoneal (BP) fistulas are rare and complex medical conditions, with few existing studies on their treatment options, which can be either conservative or surgical.
- - A search for BP fistulas related to bladder cancer yielded no relevant studies, indicating a gap in the literature for this specific case.
- - The presented case is the first documented instance of a BP fistula caused by metastatic bladder cancer and the second instance of successfully using an endobronchial valve for its treatment, which improved the patient's quality of life.
Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies.
BMC Urol
November 2024
Surgical Technique and Experimental Surgery Department, University of São Paulo School of Medicine, AV. Dr. Arnaldo, 455, Room 2145, Sao Paulo, SP, 01246-903, Brazil.
Article Synopsis
- This study analyzes the safety of two insufflation systems (conventional vs. Valveless) used in laparoscopic robotic surgery, focusing on complications like pneumothorax and subcutaneous emphysema.
- A literature search gathered data from various databases, ultimately including three studies with a total of 478 patients in the meta-analysis.
- Results showed no significant differences in complications between the AirSealTM and conventional insufflation systems in maintaining pneumoperitoneum pressure.
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