Project description:IntroductionRobotic ureteral reconstruction (RUR) has been widely used to treat ureteral diseases. To summarize the surgical techniques, complications, and outcomes following RUR, as well as to compare data on RUR with open and laparoscopic ureteral reconstruction.MethodsOur systematic review was registered on the PROSPERO (CRD42022309364) database. The PubMed, Cochrane and Embase databases were searched for publications in English on 06-Feb-2022. Randomised-controlled trials (RCTs) or non-randomised cohort studies with sample size ≥ 10 cases were included.ResultsA total of 23 studies were included involving 996 patients and 1004 ureters from 13 non-comparative, and 10 retrospective comparative studies. No RCT study of RUR was reported. The success rate was reported ≥ 90% in 15 studies. Four studies reported 85-90% success rate. Meta-analyses for comparative studies showed that RUR had significantly lower estimated blood loss (EBL) (P = 0.006) and shorter length of stay (LOS) (P < 0.001) than the open approach. RUR had shorter operative time than laparoscopic surgery (P < 0.001).ConclusionsRUR is associated with lower EBL and shorter LOS than the open approach, and shorter operative time than the laparoscopic approach for the treatment of benign ureteral strictures. However, further studies and more evidence are needed to determine whether RUR is more superior.

| S-EPMC10571348 | biostudies-literature

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique.

Project description:BackgroundUreteric stricture is a common and salvaging complications after renal transplantation. Two treatment methods are usually used, retrograde ureteral stent placement and percutaneous nephrostomy. The former has a higher failure rate, the latter has a great risk. Therefore, a safe and reliable treatment is needed.Case presentationA technique of retrograde insertion of ureteral stent was established, which was applicable in three transplant recipients with post-transplant ureteral stenosis, and the data was retrospectively recorded. The patients are 2 men and 1 woman, ages 44, 27 and 32 years. These patients underwent a total of five times of retrograde insertion of ureteral stent between 2018 and 2019. None of these patients had any postoperative complication, but all patients had complete recovery from oliguric status within two weeks.ConclusionsThe retrograde ureteric stent insertion by percutaneous suprapubic access to the bladder (RUS-PSAB) was demonstrated feasibility and safety in a case series with short-term follow-up. However, larger prospective studies are needed.

| S-EPMC7607618 | biostudies-literature

Advancements in minimally invasive bilateral ileal ureter replacement: a promising approach for complex long-segment ureteric strictures.

Project description: Not available

| S-EPMC10481203 | biostudies-literature

ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION.

Project description:BackgroundTrocars position for the Si model (position is similar for the Xi, although trocars stay more in line). Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs.AimTo describe our standard technique with reduced use of robotic instruments.MethodsWe detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description.ResultsAfter standardizing the procedure, 28 patients were operated with this budget technique. For each procedure material used was: 1 (Xi model) or 2 disposable trocars (Si) and 4 robotic instruments. Stapling and clipping were performed by the assistant through an auxiliary port, limiting the use of robotic instruments and reducing the cost.ConclusionThis standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.

| S-EPMC7812686 | biostudies-literature

Technique of robotic esophagectomy.

Project description:Robotic surgery continues to grow in thoracic surgery, and currently plays an evolving role in esophagectomy. Robotic assisted minimally invasive esophagectomy (RAMIE) has continued to expand, with many institutions adapting the technique. As the overall experience continues to grow, new data is emerging in its support. We present our approach to this operation.

| S-EPMC8575817 | biostudies-literature

Robotic inferior vena cava thrombectomy using a novel intracaval balloon occlusion technique.

Project description: Not available

| S-EPMC7203777 | biostudies-literature

A Novel Robotic Technique for Mapping Patellofemoral Kinematics in Total Knee Arthroplasty.

Project description:Computer assistance has significantly improved precision in total knee arthroplasty (TKA). Current robotic systems address tibiofemoral kinematics, ignoring the patellofemoral joint. This described TKA technique allows assessment and adjustment of patellofemoral kinematics. Reproducible landmarks on the tibial tubercle, trochlea, and patella are defined. With the "Special Point" function of the CORI surgical system, arcs of points are recorded dynamically. This records trochlear groove translation, patellar tracking, patellar tilt, and tibial tubercle rotation. During implant trials, special points are recollected to determine how these four parameters have changed compared to the native knee. Component adjustments can be made to optimize patellofemoral kinematics without compromising tibiofemoral balance. This may be a tool to mitigate patellofemoral maltracking and may improve TKA outcomes. Further studies are required to investigate outcomes.

| S-EPMC11804765 | biostudies-literature

Robotic segmentectomy: indication and technique.

Project description:Use of low-dose CT scan allows detection of lung cancer at early stages, enabling a more conservative surgery and a better long-term survival in those patients. In this scenario, intentional anatomical segmentectomy is gaining consent over standard lobectomy among surgeons. A minimally invasive approach such as VATS reduced invasiveness and complication rate compared to open surgery, but this technique comes also with some disadvantages in terms of dexterity and intuitiveness. Robotic surgery allows to overcome those limitations, making segmentectomies easier and safer to perform. In addition, it offers the possibility to utilize intravenous indocyanine green to define the intersegmental plane, allowing a more precise surgery. We reviewed the literature and describe the technique of the robot assisted segmentectomy with a focus on the new technologies available nowadays.

| S-EPMC7330783 | biostudies-literature

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