Farid Gharagozloo (Celebration – USA)

A new post has been published on Clinical Robotics.

L. Katz

This video demonstrates the use of the 4 arm robotic approach to the repair of a hiatal hernia. A Nissen Fundoplication wrap is utilized in this case.

A new post has been published on Clinical Robotics.

Pier C. Giulianotti (Chicago – USA) Eduardo Fernandes (Chicago – USA)

Giant paraoesophageal hernia, noticeable advantages of the robotic platform in dissecting the sac and suturing large defect.

A new post has been published on Clinical Robotics.

A. Parisi

Repair of hiatal hernia is recommended in symptomatic patients. Surgical strategies and the best approach that can permit a long term success are still under debate. Robotic surgery begins to play an important role in digestive surgery and several studies on the use of the robot for esophageal diseases have underlined the effectiveness and feasibility of this approach. The robotic system adds precision in the movements and greatly increases the comfort of the surgeon dealing with a delicate reconstructive phase. The Da Vinci Surgical System instrumentation allows for the use of a large and three-dimensional viewing field, a steady traction, tremor suppression and flexibility of the instruments, and, thus, safe suturing.

A new post has been published on Clinical Robotics.

L. Katz

Robotic assisted Nissen Fundoplication using a 3 armed approach

A new post has been published on Clinical Robotics.

C. Galvani

A new post has been published on Clinical Robotics.

A.L.V. Macedo, G.N. Maccapani, S. Okazaki, J. Matone

A new post has been published on Clinical Robotics.

A. Parisi

Gastroesophageal reflux disease is a significant public health concern. Robotic fundoplication has recently been introduced into clinical practice with the aim of improving surgical dexterity. We report a video of a case of Nissen fundoplication performed with the ausilium of the Da Vinci Surgical System. A 45-year-old man was admitted to the Department of Digestive Surgery and Liver Unit of St. Maria Hospital, Terni, Italy. During case history, the patient reported a ten years of heartburn, regurgitation and trouble swallowing. The medical management failed with inadequate symptoms control. So considering the quality of life of the patient we decided for surgery. Estimated intraoperative bleeding was 50ml and no blood transfusions were necessary in the perioperative period. Operative time was 190 minutes. Hospital stay (2 days) was particularly short and regular: in first postoperative day the patient started oral liquid intake and referred Visual Analogue Scale (VAS) score for pain was 3. Physical examination at discharge showed not painful, palpable abdomen, normal bowel functioning and hematological laboratory values. No complications were reported peri-operatively and at follow-up, a quick return to daily activities was demonstrated by the Short Form-12 (SF-12) assessment scale. In particular the patient answers no limitations in moderate activities or problems with work and other regular daily activities as a result of their phisical health. During a 24 months follow-up the patient was completely free of reflux symptoms with no dysphagia or recurrent hiatal hernia. Advantages of Da Vinci Surgical system seems to be the dexterity of the Endowrist, that could extend the feasibility of a minimally invasive approach to patients requiring advanced suturing, precise tissue dissection and tridimensional visualization of the operative field. Our experience demonstrates the feasibility of the robotic surgical approach but new evidences are needed to clarify its effective role.

A new post has been published on Clinical Robotics.

E. Fernandes

A new post has been published on Clinical Robotics.

C.A. Galvani, J. Samam?, W. Good

A new post has been published on Clinical Robotics.