Abstract
Abstract Introduction: ENDOSEW® is a new sewing device developed for the placement of running sutures during (robot-assisted) laparoscopic procedures.1,2 The study was conducted to evaluate the feasibility of a robot-assisted suturing of a U-shaped ileal neobladder with the ENDOSEW suturing device (KARL STORZ ENDOSKOPE, Tuttlingen, Germany) and the da Vinci System in an experimental setting.3,4 Materials and Methods: The length of the suturing unit is 300 mm with a diameter of 14 mm, so that it can be placed via a 15 mm trocar. Tissue up to 4 mm thickness can be sutured with a stitch overlap of 3 mm. Surgeon decides about the distance between two stitches (from 1.5 to 4 mm) by transporting the tissue more or less forward. An industrialized stitch (type 501) is created with only one threat by wrapping the threat around the tissue. The suturing device can place up to 38 stitches per minute (i.e., 120 mm/min). A polyglycolic acid 4.0 braided thread is used in applicators from 2.5 to 12.5 m. A 40 cm bovine in...
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