E. Kebebew

A new post has been published on Clinical Robotics.

Cheng – Hong Peng (Shanghai – Cina)

A new post has been published on Clinical Robotics.

V. Bindal, P. Bhatia

A new post has been published on Clinical Robotics.

V. Bindal, P. Bhatia

Retroperitoneal schwannoma is a rare tumor which is often painless arising from Schwann cells of peripheral nerve sheaths and predominantly occur in females between 2nd to 5th decade of life. Schwannomas usually do not exceed a diameter of 5 to 6 cm but larger tumors have been reported. They are rarely located in retroperitoneum, as the usually affected structures are the cranial or peripheral nerves. Complete surgical excision is the mainstay of therapy. This video depicts use of robotic technology to provide the minimally invasive advantage to a patient who presented with large retroperitoneal tumor on right side. This tumor was adhrenet to lateral wall of IVC and displacing the right kidney and renal vessels anteriorly. She underwent robotic tumor excision using da Vinci Si HD Surgical System.

A new post has been published on Clinical Robotics.

Paolo Pietro Bianchi (Grosseto – Italy) Wanda Petz (Milano – Italy) L. Casali, M. Parodi, D. Belotti

The robotic approach can help to perform fine dissection of lesions even if located in difficult anatomical regions. The video shows a robotic resection of a paracaval mass of unknown origin. The patient was a 50 year-old male with silent medical history who presented with a 7 cm paracaval mass of unknown origin. With the patient in left lateral position, five trocars were inserted: one optical right paraumbilical trocar, three 8 mm robotic trocars in the left hypocondrium and one in the right flank and 2 accessory laparoscopic trocars, paraumbilical and epigastric. After intraoperative ultrasonography, the posterior parietal peritoneum was opened inferiorly to the liver; the lesion was dissected from the duodenum and carefully from the vena cava and from the right renal vein. The specimen was then removed in a plastic bag enlarging the optical access. Operating time was 180 minutes with negligible blood loss. No intraoperative complications occurred. Oral feeding was reintroduced in first post operative day (POD) and the patient was discharged in second POD without complications. Histopathological examination revealed a low grade leiomyosarcoma. The robotic assistance can help to realize fine surgical dissection and to perform conservative surgery also in difficult retroperitoneal tumors.

A new post has been published on Clinical Robotics.

L. Bresler

A new post has been published on Clinical Robotics.

A. Coratti, A. Lombardi, L. Felicioni, E. Gentile, S. Bongiolatti, L. Salvischiani

A new post has been published on Clinical Robotics.

A. Patriti, G.Ceccarelli, L. Casciola

Summary:
Primary mucinous cystic cystadenomas of the retroperitoneum are very rarely encountered. The histogenesis of primary mucinous cystadenomas is unclear. Most authors suggested that it develops through mucinous metaplasia in a pre-existing mesothelium-lined cyst. Complete surgical excision is the only treatment. Care to avoid peritoneal leaks is mandatory to avoid recurrences.

A new post has been published on Clinical Robotics.