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Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience

PURPOSE: The da Vinci Xi robot surgical system was newly released with several upgrades and modifications made to its previous Si platform; to further enhance the capabilities to carry out minimally invasive surgery. This study aimed to evaluate the intraoperative and postoperative outcomes of robot...

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Autores principales: Lee, Hyung Ho, Na, Joon Chae, Yoon, Young Eun, Rha, Koon Ho, Han, Woong Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189114/
https://www.ncbi.nlm.nih.gov/pubmed/32377610
http://dx.doi.org/10.4111/icu.2020.61.3.323
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author Lee, Hyung Ho
Na, Joon Chae
Yoon, Young Eun
Rha, Koon Ho
Han, Woong Kyu
author_facet Lee, Hyung Ho
Na, Joon Chae
Yoon, Young Eun
Rha, Koon Ho
Han, Woong Kyu
author_sort Lee, Hyung Ho
collection PubMed
description PURPOSE: The da Vinci Xi robot surgical system was newly released with several upgrades and modifications made to its previous Si platform; to further enhance the capabilities to carry out minimally invasive surgery. This study aimed to evaluate the intraoperative and postoperative outcomes of robot laparoendoscopic single-site surgery performed with the da Vinci Xi system. MATERIALS AND METHODS: Retrospective chart review of patients undergoing of robot laparoendoscopic single-site by a single surgeon using the Xi single-site platform from November 2016 and May 2019. For the da Vinci Xi system, multichannel port and “Lap Single Vision” port access platform were placed through a single periumbilical incision. RESULTS: Fourteen patients underwent single-site surgery with benign cases (n=9) and partial nephrectomy cases (n=5). Among surgeries for the partial nephrectomy patients, one case of conversion to multiport robotic surgery occurred due to difficulty of tumor resection. Other major intraoperative complication, renal vein injury, was occurred in a patient who underwent a pyelolithotomy. The patient required a blood transfusion however, we were able to repair the vascular injury using prolene suture without additional port placement and open conversion. In our series, there were no conversions to open. The postoperative course was uneventful in all patients; only Clavien–Dindo III complications occurred. CONCLUSIONS: Our preliminary experience with robot laparoendoscopic single-site surgery using the da Vinci Xi system demonstrated feasibility and safety in selected patients. Further studies with a greater number of patients in multiple settings will help to fully elucidate the role of da Vinci Xi surgical system in single-site surgery.
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spelling pubmed-71891142020-05-06 Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience Lee, Hyung Ho Na, Joon Chae Yoon, Young Eun Rha, Koon Ho Han, Woong Kyu Investig Clin Urol Innovations in Urology PURPOSE: The da Vinci Xi robot surgical system was newly released with several upgrades and modifications made to its previous Si platform; to further enhance the capabilities to carry out minimally invasive surgery. This study aimed to evaluate the intraoperative and postoperative outcomes of robot laparoendoscopic single-site surgery performed with the da Vinci Xi system. MATERIALS AND METHODS: Retrospective chart review of patients undergoing of robot laparoendoscopic single-site by a single surgeon using the Xi single-site platform from November 2016 and May 2019. For the da Vinci Xi system, multichannel port and “Lap Single Vision” port access platform were placed through a single periumbilical incision. RESULTS: Fourteen patients underwent single-site surgery with benign cases (n=9) and partial nephrectomy cases (n=5). Among surgeries for the partial nephrectomy patients, one case of conversion to multiport robotic surgery occurred due to difficulty of tumor resection. Other major intraoperative complication, renal vein injury, was occurred in a patient who underwent a pyelolithotomy. The patient required a blood transfusion however, we were able to repair the vascular injury using prolene suture without additional port placement and open conversion. In our series, there were no conversions to open. The postoperative course was uneventful in all patients; only Clavien–Dindo III complications occurred. CONCLUSIONS: Our preliminary experience with robot laparoendoscopic single-site surgery using the da Vinci Xi system demonstrated feasibility and safety in selected patients. Further studies with a greater number of patients in multiple settings will help to fully elucidate the role of da Vinci Xi surgical system in single-site surgery. The Korean Urological Association 2020-05 2020-02-28 /pmc/articles/PMC7189114/ /pubmed/32377610 http://dx.doi.org/10.4111/icu.2020.61.3.323 Text en © The Korean Urological Association, 2020 http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Innovations in Urology
Lee, Hyung Ho
Na, Joon Chae
Yoon, Young Eun
Rha, Koon Ho
Han, Woong Kyu
Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title_full Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title_fullStr Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title_full_unstemmed Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title_short Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience
title_sort robot-assisted laparoendoscopic single-site upper urinary tract surgery with da vinci xi surgical system: initial experience
topic Innovations in Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189114/
https://www.ncbi.nlm.nih.gov/pubmed/32377610
http://dx.doi.org/10.4111/icu.2020.61.3.323
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