Objective: This case is reported to introduce an advanced surgical technique and share our experience with surgeons.
Methods: A 53-year-old man was admitted to the Department of Urology of The Second Xiangya Hospital with complaints of frequent urination and dysuria in June 2018. He had been diagnosed with genitourinary tuberculosis and left renal dysfunction at another hospital and had undergone left nephrectomy 6 months previously. At our institution, intravenous urography showed a normally functioning right solitary kidney. Computed tomography indicated a high-density mass in the abdominal cavity. At the patient’s request, robot-assisted laparoscopic augmentation ileocystoplasty and excision of the intraperitoneal mass was performed.
Results: The surgery was performed using a completely intracorporeal technique. The procedure was completed in 240 minutes, and the patient was discharged on postoperative day 11. At the 2-month follow-up, ultrasound examination showed that the maximal bladder capacity had increased to 1000 mL. Intravenous urography revealed no urine leakage, and filling of the bladder was satisfactory.
Conclusions: With the development of robot-assisted surgery, robotic surgery can be successfully used for less frequently performed operations.
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http://dx.doi.org/10.1177/0300060519852845 | DOI Listing |
BMC Surg
December 2024
Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
Background: Lateral lymph node dissection (LLND) for locally advanced rectal cancer (LARC) is performed widely since it reduces local recurrence. However, there are some disadvantages to LLND, including technical difficulties and association with postoperative urinary dysfunction. Procedures for LARC have also become more minimally invasive: laparoscopic surgery (LS) has become more common, and use of robot-assisted LS (RALS) is increasing.
View Article and Find Full Text PDFInt J Surg
December 2024
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Background: The utilization of robot-assisted surgery (RAS) has been increasing among cancer patients. However, evidence supporting the use of RAS remains uncertain. The availability of randomized controlled trials (RCTs) for each surgical procedure is limited.
View Article and Find Full Text PDFCureus
November 2024
Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, JPN.
The Senhance robotic system (Asensus Surgical, Durham, NC, USA) is an innovative platform for minimally invasive surgery. It enables surgeons to perform precise and cost-effective procedures using reusable instruments and has advanced features such as haptic feedback and eye-tracking camera control. Herein, we present the first application of the "double bipolar method" (DBM) in a Senhance-assisted laparoscopic partial cystectomy utilizing 3 mm Maryland bipolar instruments.
View Article and Find Full Text PDFJ Hepatobiliary Pancreat Sci
December 2024
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Background/purpose: The Japanese public health insurance system has recently covered robotic pancreaticoduodenectomy (RPD). This study aimed to review the results of RPD during the introductory period and elucidate its safety and feasibility in Japan.
Methods: Consecutive data of 425 patients who underwent RPD were retrospectively collected from 10 high-volume centers in Japan between April 2020 and September 2022.
Asian J Endosc Surg
December 2024
Department of Gynecology, Yamanashi Central Hospital, Yamanashi, Japan.
Introduction: Due to the growing medical need for gynecologic robotic surgery, several robotic surgeries may be performed in a single day at high-volume centers. This study evaluated the safety of performing multiple robot-assisted hysterectomies (RAHs) per day by the same surgeon.
Methods: We reviewed the clinical data of patients who underwent robotic surgery from April 2018 to September 2024 at the Department of Gynecology, Yamanashi Central Hospital, and also examined the surgical type, order, and surgeon for each procedure.
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