Da Vinci SP System Research Articles

Gasless robotic single-port cholecystectomy using the DaVinci SP system: A feasible way to minimise surgical derangement while obtaining critical view of safety.

The aim of this study was to present our initial experience of gasless robotic single-port cholecystectomy (RSPC). We reviewed 48 patients who underwent gasless RSPC with a da Vinci SP Robotic Surgical System. Demographic data, intra-operative results, and postoperative outcomes were evaluated. Gasless RSPC was successfully performed in 48 of 53 patients. Five patients had conversion to standard pressure pneumoperitoneum due to insufficient surgical space (n=3), GB perforation (n=1), or bleeding during surgery (n=1). The mean whole operation time was 53.6±17.2min. No patients complained of postoperative shoulder pain or had any postoperative complications. The average hospital stay was 2.1±0.3days. Gasless RSPC is feasible and safe. The unique features of an SP robotic platform allow surgeons to perform safely in an incapacious surgical space. However, this procedure is currently only possible for highly selected patients.

Gasless robotic single-port cholecystectomy using the DaVinci SP system: A feasible way minimizing surgical dearrangement while obtaining the critical view of safety

Gasless robotic single-port cholecystectomy using the DaVinci SP system: A feasible way minimizing surgical dearrangement while obtaining the critical view of safety

Retroperitoneal robot-assisted laparoscopic nephroureterectomy using the da Vinci Xi and SP systems: Initial experiences in cadaveric models.

To investigate the feasibility and optimal port placements of robot-assisted laparoscopic nephroureterectomy (RANU) via the retroperitoneal approach in the lateral decubitus and supine positions using the da Vinci Xi (DVXi) and da Vinci SP (DVSP) systems. We performed lateral decubitus extraperitoneal RANU on the right side and supine extraperitoneal RANU on the left side using the DVXi and DVSP systems without repositioning in two fresh cadavers. In addition, paracaval and pelvic lymphadenectomies were performed simultaneously during both surgical procedures. The operative time of each procedure was calculated, and the technical details associated with these procedures were evaluated. Lateral decubitus and supine extraperitoneal RANU using the DVXi and DVSP systems were achieved without repositioning. The surgeon console time ranged from 89 to 178 minutes, and no major technical complications were observed. However, carbon dioxide insufflation into the abdominal cavity was observed owing to a peritoneal breach during the creation of the surgical workspace, particularly in the supine position. Compared with the DVXi system, the DVSP system was more suitable for RANU using the retroperitoneal approach, except for renal handling. The DVXi and DVSP systems are feasible for performing lateral decubitus and supine extraperitoneal RANU without patient repositioning. The lateral decubitus position may be better than the supine position, and the DVSP system is more suitable for retroperitoneal RANU than the DVXi system. Nevertheless, further studies should be performed in clinical settings to validate our results.

Single Port Robotic Hysterectomy after the Previous Robotic Radical Trachelectomy

<h3>Study Objective</h3> The basic treatment for cervix cancer is hysterectomy. For nullipara women, trachelectomy may be considered. In this video, we described the technique of a single port robotic hysterectomy to a patient who underwent a multi-port robotic radical trachelectomy previously. <h3>Design</h3> Case Report. <h3>Setting</h3> Academic medical center. <h3>Patients or Participants</h3> This 32-year-old woman presented with a recurrence of cervical cancer. She had a history of robotic radical trachelectomy with pelvic lymphadenectomy for stage IA1 cervical cancer 9 years earlier. <h3>Interventions</h3> At first, we described the typical multi-port robotic radical trachelectomy which preserved the main uterine artery and round ligament. There was no recurrence in follow up MRI and colposcopy after the surgery. But in December 2021, her pap-smear revealed adenocarcinoma. MRI of the pelvis and PET CT were all normal. After careful consideration, our team used DaVinci SP system to perform the hysterectomy and BS. The operation was similar to a general hysterectomy, but there was an adhesion between the uterus and the ovary due to the previous operation. Although several branches of the uterine artery were ligated, the blood supply to the uterus was sufficient. The uterus and bladder also had moderate adhesion. After the colpotomy, the thread of cervical cerclage in the previous operation was confirmed. The subsequent procedure was similar to that of a typical hysterectomy. <h3>Measurements and Main Results</h3> The operation was performed successfully with no intraoperative complications. <h3>Conclusion</h3> Single port robotic hysterectomy after the previous robotic trachelectomy is a safe and effective approach for the recurrence of cervical cancer patients. There was some difficulty in finding the incision margin between the uterus ithmus and the upper vagina. The bladder and vagina fornix should be carefully dissected. The secondary assistant should push the colpotomizer in the same direction as the incision. Single port Robotics can help to overcome the limitations of laparoscopy, especially in complicated procedures.

Initial experience of minimal invasive PPPD using the new davinci SP system: Case report with video

Initial experience of minimal invasive PPPD using the new davinci SP system: Case report with video

Initial experience of robotic single port plus one (SP+1) distal pancreatectomy using the daVinci SP system: A report of three cases with video

Initial experience of robotic single port plus one (SP+1) distal pancreatectomy using the daVinci SP system: A report of three cases with video

V12-07 ROBOTIC-ASSISTED RADICAL PROSTATECTOMY UTILIZING THE DAVINCI SP SYSTEM IN A PATIENT WITH PREVIOUS KIDNEY TRANSPLANT

You have accessJournal of UrologyProstate Oncology I (Prostatectomy) (V12)1 Sep 2021V12-07 ROBOTIC-ASSISTED RADICAL PROSTATECTOMY UTILIZING THE DAVINCI SP SYSTEM IN A PATIENT WITH PREVIOUS KIDNEY TRANSPLANT Joseph Ivey, and Raymond Pak Joseph IveyJoseph Ivey More articles by this author , and Raymond PakRaymond Pak More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002093.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We present what is to our knowledge the first reported case of robotic assisted radical prostatectomy in a patient with previous kidney transplant utilizing the DaVinci SP system. Prior literature discusses altering port placement with multiport robotic prostatectomy in a patient with previous kidney transplant in order to prevent robotic arms from clashing with and/or injuring the transplant kidney. Our hypothesis is that the SP system would simplify this process by the fact that the system only requires one port placement which is easily altered. METHODS: The DaVinci SP system was utilized for robotic prostatectomy in a patient with previous kidney transplant to the left lower quadrant of the abdomen. Our single port trocar was placed through a 2.5cm incision through the Gelpoint Mini device. The port was placed 4cm cephalad to the umbilicus and 3 cm laterally to the patient's right side in order to minimize contact of the robot with the transplanted kidney. An additional 12mm Airseal assistant port was placed 8cm lateral to the SP trocar on the right hemiabdomen, making the case an "SP-plus-one" set-up. The robotic prostatectomy was carried out in standard fasion, including a posterior approach to dissect out the seminal vesicles and posterior prostate, followed by an anterior approach within the space of Retzius. The bladder was dropped in standard fashion on the right-hand side, but on the left-hand side the bladder was not dissected off lateral to the medial umbilical ligament, in order to prevent damage to the transplant kidney transplant ureter. The SP system was easily maneuvered past the partially dropped bladder in transplant kidney to gain access to the prostate. The remaining portions of the case were carried out in a standard fashion. RESULTS: There were no apparent postoperative complications. Estimated blood loss was 100 mL. The patient's hospital stay was slightly prolonged due to an ileus which resolved on POD 3 when he was discharged. His creatinine and urine output remained at preoperative baseline during his hospital stay. His Foley catheter was removed on POD 7 with no apparent complication. Pathology revealed Gleason 3+4=7 in 5% of the prostate, confined to the gland. CONCLUSIONS: The DaVinci SP system is safe to use for RALP in patients with prior kidney transplantation, and facilitates avoidance of the transplanted kidney. The SP system makes altering port placement simple and easy. The SP system’s compact nature minimizes contact of robotic arms with surrounding structures. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1026-e1026 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph Ivey More articles by this author Raymond Pak More articles by this author Expand All Advertisement Loading ...

Robotic single port (plus one) unroofing of multiple liver cysts using the DaVinci SP system

Unroofing or marsupialization of liver cyst is performed for symptomatic case or growing cysts. Laparoscopic approach is widely used but few reports describe robotic approach for this procedure. Nowadays, single-port robotic surgery is adopted for various surgical procedures. We present a case of robotic single port (plus one) unroofing of multiple liver cysts using the DaVinci SP system. A 53-year-old female was referred for multiple liver cysts which were diagnosed 6 years ago. Albeit asymptomatic, surgical resection was decided for enlarging cysts and subsequent pancreatic duct dilatation. Robotic port was inserted through transumbilical incision and an additional 5-mm-port was placed on the left side of the DaVinci SP system for energy device and suction/irrigation. Unroofing was done for most cysts and a drain was placed through the additional port. The operation time was 90 minutes, including 2 minutes of docking time and 57 minutes of console time, with negligible intraoperative blood loss. The drain was removed on the fifth postoperative day and the patient discharged on the ninth postoperative day without acute complication. Postoperative CT scan 3 months later confirmed decreased size of liver cysts and no evidence of pancreatic duct dilatation. We report our experience of robotic single port (plus one) unroofing of multiple liver cysts using the DaVinci SP system. To our knowledge, this is the first report in Korea using the DaVinci SP system for unroofing of liver cyst. We believe that this approach is superior to laparoscopic approach while achieving similar safety outcome with fewer incisions.

The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer.

This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer. From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed. During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60min, and the average time required to set up the robotic system was 10min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient's head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx. The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion.

Gasless transoral robotic thyroidectomy using the DaVinci SP system: Feasibility, safety, and operative technique

BackgroundTransoral robotic thyroidectomy (TORT) is an ideal method for minimally invasive thyroidectomy, as there is less flap dissection during the procedure and no postoperative scars. However, this method also has the limitation of present DaVinci system and some technical problems related to CO2 gas insufflation that must be resolved. We investigated the feasibility and safety of gasless TORT using the latest version of the DaVinci system (SP). MethodsFrom October 2018 to January 2019, we performed 10 surgeries of gasless TORT using the DaVinci SP at Yonsei University Hospital. ResultsNine patients underwent unilateral thyroid lobectomy and one patient received total thyroidectomy. All operations were successfully completed. Nine cases had papillary thyroid carcinoma, and one had benign nodules. The mean surgical time was 177 min, and the mean hospital stay was 6.3 days. There were no reports of transient or permanent vocal cord palsy, recurrence, or mortality during the follow-up period. Temporary hypoesthesia of the chin due to mental nerve injury was observed in 3 of 10 patients, but it recovered spontaneously within 1 months in all cases. ConclusionsGasless TORT using the DaVinci SP system is feasible and safe for selected patients and is a potential alternative approach for scarless thyroid surgery.