drainage – Clinical Robotics https://clinicalrobotics.com Mon, 30 Mar 2026 09:30:31 +0000 en-US hourly 1 https://clinicalrobotics.com/wp-content/uploads/2018/01/cropped-logo-x-google-32x32.png drainage – Clinical Robotics https://clinicalrobotics.com 32 32 Robot-assisted Laparoscopic Cholecystectomy + Exploration of Common Bile Duct https://clinicalrobotics.com/robot-assisted-laparoscopic-cholecystectomy-exploration-of-common-bile-duct/ Fri, 11 Nov 2016 06:00:00 +0000 http://www.clinicalrobotics.com/?p=11608 C.N.

A new post has been published on Clinical Robotics.

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Chung Ngai Tang (Hong Kong – China)

Good past health – Obstructive jaundice in Dec/2015 – Ultrasound, Dilated biliary tree with echogenicities within common bile duct – Endoscopic retrograde cholangiopancreatography (ERCP) x3:- 1.5cm impacted common bile duct stone – failed removal – Computed tomography (CT) Sept/2016:- Common bile duct stone – Contracted gallbladder

A new post has been published on Clinical Robotics.

]]> San Francisco 2014 – Experiences with Robot-Assisted Ivor-Lewis Esophagectomy https://clinicalrobotics.com/san-francisco-2014-experiences-with-robot-assisted-ivor-lewis-esophagectomy/ Wed, 17 Jun 2015 05:00:00 +0000 http://www.clinicalrobotics.com/?p=9854 F.

A new post has been published on Clinical Robotics.

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Farid Gharagozloo (Celebration – USA)

A new post has been published on Clinical Robotics.

]]> Toracoscopic Robotic Surgery For Treatment of a Giant Epiphrenic Diverticula – A New Surgical Approach https://clinicalrobotics.com/toracoscopic-robotic-surgery-for-treatment-of-a-giant-epiphrenic-diverticula-a-new-surgical-approach/ Sun, 10 Aug 2014 05:00:00 +0000 http://www.clinicalrobotics.com/index.php/8552/toracoscopic-robotic-surgery-for-treatment-of-a-giant-epiphrenic-diverticula-a-new-surgical-approach/ A.L.V. Macedo, J. Malone, M.G. Epstein, G. Maccapani, S. Okazaki, R.S.

A new post has been published on Clinical Robotics.

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A.L.V. Macedo, J. Malone, M.G. Epstein, G. Maccapani, S. Okazaki, R.S. don Santos

A new post has been published on Clinical Robotics.

]]> Benign Recurrent Hepatic Cyst: Robotic Surgery https://clinicalrobotics.com/benign-recurrent-hepatic-cyst-robotic-surgery/ Wed, 25 Jun 2014 05:00:00 +0000 http://www.clinicalrobotics.com/index.php/8334/benign-recurrent-hepatic-cyst-robotic-surgery/ F. Panaro, H. Habibeh, J.G. Rodier, F. Navarro
A 59 yo WF c/c abdominal pain, abdominal ultrasound: cyst of the liver (16 cm). She underwent to percutaneous alcolization complicated by intracystic bleeding. Due to fever and refractory pain the patient underwent to robotic surgery with two trocars only. The postoperative course was uneventful and the patient was discharged on POD 3. At 6 months of follow-up the patient doing well.

A new post has been published on Clinical Robotics.

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F. Panaro, H. Habibeh, J.G. Rodier, F. Navarro

A 59 yo WF c/c abdominal pain, abdominal ultrasound: cyst of the liver (16 cm). She underwent to percutaneous alcolization complicated by intracystic bleeding. Due to fever and refractory pain the patient underwent to robotic surgery with two trocars only. The postoperative course was uneventful and the patient was discharged on POD 3. At 6 months of follow-up the patient doing well. Abdominal US showed an asymptomatic residual cyst of 5 cm.

A new post has been published on Clinical Robotics.

]]> Robotic Thoracoscopic Resection of Esophageal Stromal Tumor https://clinicalrobotics.com/robotic-thoracoscopic-resection-of-esophageal-stromal-tumor/ Sun, 22 Jun 2014 05:00:00 +0000 http://www.clinicalrobotics.com/index.php/8333/robotic-thoracoscopic-resection-of-esophageal-stromal-tumor/ A.L.V. Macedo, V. Schraibman, M.G. Epstein, G. Maccapani
Female patient, 48 years old.

A new post has been published on Clinical Robotics.

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A.L.V. Macedo, V. Schraibman, M.G. Epstein, G. Maccapani

Female patient, 48 years old. 2 months history of dysphagia for liquids and solids

A new post has been published on Clinical Robotics.

]]> Exploration of CBD https://clinicalrobotics.com/exploration-of-cbd-2/ Mon, 09 Dec 2013 06:00:00 +0000 http://www.clinicalrobotics.com/index.php/7725/exploration-of-cbd-2/ C.N.

A new post has been published on Clinical Robotics.

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Chung Ngai Tang (Hong Kong – China)

A new post has been published on Clinical Robotics.

]]> Robot-assisted Laparoscopic Cholecystectomy + Bile Duct Exploration +/- Bypass +/- Open https://clinicalrobotics.com/robot-assisted-laparoscopic-cholecystectomy-bile-duct-exploration-bypass-open/ Fri, 29 Nov 2013 06:00:00 +0000 http://www.clinicalrobotics.com/index.php/7707/robot-assisted-laparoscopic-cholecystectomy-bile-duct-exploration-bypass-open/ C.N.

A new post has been published on Clinical Robotics.

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Chung Ngai Tang (Hong Kong – China)

A new post has been published on Clinical Robotics.

]]> Houston 2011 – Robotic Common Bile Duct Exploration https://clinicalrobotics.com/houston-2011-robotic-common-bile-duct-exploration/ Tue, 24 Jul 2012 22:00:00 +0000 http://www.clinicalrobotics.com/index.php/5313/houston-2011-robotic-common-bile-duct-exploration/ R.

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R. Seetharamaiah

A new post has been published on Clinical Robotics.

]]> Robotic Laparoscopic Transgastric Pseudocystogastrostomy and Necrosectomy https://clinicalrobotics.com/robotic-laparoscopic-transgastric-pseudocystogastrostomy-and-necrosectomy/ Fri, 25 May 2012 22:00:00 +0000 http://www.clinicalrobotics.com/index.php/5099/robotic-laparoscopic-transgastric-pseudocystogastrostomy-and-necrosectomy/ P.C. Giulianotti, S. Ayloo
Disease: Infected pancreatic pseudocyst after acutenecrotizing pancreatitis.
Age: 34
ASA score: 1
History: a 34-year-old gentleman with the past medical history of alcoholism complicated by acute pancreatitis, which is of the severe type further complicated by infected pseudocyst. The patient after an acute necrotizing pancreatitis developed a pseudocyst suspected for infection, and endoscopy was attempted to drain endoscopically transgastrically, putting a small stent through the opening in the stomach, but the persistence of the pseudocyst and signs of infection showed that probably the endoscopic treatment failed.
Description: Trocars: Open Hasson technique through the umbilicus.

A new post has been published on Clinical Robotics.

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Pier C. Giulianotti (Chicago – USA) Subhashini Ayloo (Newark – USA)

Disease: Infected pancreatic pseudocyst after acutenecrotizing pancreatitis.

Age: 34

ASA score: 1

History: a 34-year-old gentleman with the past medical history of alcoholism complicated by acute pancreatitis, which is of the severe type further complicated by infected pseudocyst. The patient after an acute necrotizing pancreatitis developed a pseudocyst suspected for infection, and endoscopy was attempted to drain endoscopically transgastrically, putting a small stent through the opening in the stomach, but the persistence of the pseudocyst and signs of infection showed that probably the endoscopic treatment failed.

Description: Trocars: Open Hasson technique through the umbilicus. Once the pneumoperitoneum is established, we are looking around with the scope. There are some minor adhesions but we can place more trocars for the procedure, two 8-mm size trocars are placed in the right upper quadrant and then one in the left upper quadrant, and another assistant port is placed on the right side of the umbilicus.
Steps:
1 – The stomach is displaced anteriorly for the presence of the pseudocyst that is compressing. An ultrasound scanning of the pancreas with a laparoscopic probe is performed.
2 – The anterior aspect of the stomach is opened robotically, and the small stents that were positioned endoscopically are removed.
3 – Purulent material is evident. The opening is enlarged with a longitudinal stapler, in order to endure communication between the posterior wall of the stomach and the pseudocyst.
4 – The necrotic material that is placed into an endobag and extracted. After repeated procedure, debridement is achieved. Pseudocyst is checked and Now with irrigation, we are checking inside the pseudocyst.

The procedure allowed a satisfactory including debridement and creation of a larger communication between the stomach and the pseudocyst.

Blood loss has been no more than 50 cc.

A new post has been published on Clinical Robotics.

]]> Robot-Assisted Bilio-Enteric Anastomosis https://clinicalrobotics.com/robot-assisted-bilio-enteric-anastomosis/ Sat, 07 Apr 2012 05:00:13 +0000 http://www.clinicalrobotics.com/index.php/4840/robot-assisted-bilio-enteric-anastomosis/ P.C. Giulianotti

SUMMARY: The pneumoperitoneum is induced with the Verres needle.
The abdominal exploration does not show carcinomatosis and liver metastases. An extensive adhesiolysis till complete exposition of the hepatic hilum is carried out laparoscopically and robotically. Identification and preparation of the jejuanl limb anastomosed with the pancreas and the common bile duct (the patient has undergone a Whipple procedure and developed a biliary stenosis). The bilio-enteric anastomosis is taken down and sent for frozen section (negative for malignancy).
The termino-laterl hepaticojejunostomy is completed with PDS 4.0 – posterior running and anterior interrupted suture -.

A new post has been published on Clinical Robotics.

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Pier C. Giulianotti (Chicago – USA)

SUMMARY: The pneumoperitoneum is induced with the Verres needle.
The abdominal exploration does not show carcinomatosis and liver metastases. An extensive adhesiolysis till complete exposition of the hepatic hilum is carried out laparoscopically and robotically. Identification and preparation of the jejuanl limb anastomosed with the pancreas and the common bile duct (the patient has undergone a Whipple procedure and developed a biliary stenosis). The bilio-enteric anastomosis is taken down and sent for frozen section (negative for malignancy).
The termino-laterl hepaticojejunostomy is completed with PDS 4.0 – posterior running and anterior interrupted suture -. A suction drain is left in place.

A new post has been published on Clinical Robotics.

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