BACKGROUND Bimanual, three-dimensional robotic surgery has proved valuable for a variety of surgical procedures. AIMS To examine the use of a commercially available surgical robot for ocular microsurgery. METHODS Using a da Vinci surgical robot, ocular microsurgery was performed with repair of a corneal laceration in a porcine model. The experiments were performed on harvested porcine eyes ...

A spinal surgery has evolved, new techniques have been developed to address complex pathologies through smaller anatomical corridors, leading to better outcomes. Surgical procedures of the spine benefit from fine motor coordination, a highly experienced surgeon, and the best available technology,5,9,45 and it is clear that surgical robotic systems have established a foothold in medicine as an e...

The da Vinci S surgical system (Intuitive Surgical) was approved as a medical device in 2009 by the Japanese Ministry of Health, Labour and Welfare. Robotic surgery has since been used in gastrointestinal, thoracic, gynecological, and urological surgeries. In April 2012, robotic-assisted laparoscopic radical prostatectomy (RALP) was first approved for insurance coverage. Since then, RALP has be...

The exponential use of robotic surgery is not the result of evidence-based benefits but mainly driven by the manufacturers, patients and enthusiastic surgeons. The present review of the literature shows that robot-assisted surgery is consistently more expensive than video-laparoscopy and in many cases open surgery. The average additional variable cost for gynecological procedures was about 1600...

This workshops aims at summarizing the results and on going discussions within some of the EUfunded projects in robotic surgery, such as SAFROS, STIFF-FLOP, Active and micro-Ralp. Although patient safety in all types of surgery seems an obvious concept, the close examination of patient safety in the specific case of robotic surgery raises a number of concerns. The validity of these concerns is ...

BACKGROUND AND OBJECTIVE The robotic surgical platform is an alternative technique to traditional laparoscopy and requires the development of new surgical skills for both the experienced surgeon and trainee. Our goal was to perform an early evaluation of the feasibility of training fellows in robotic-assisted gynecologic procedures at the outset of our incorporation of this technology into clin...

BACKGROUND Laparoscopic pancreaticoduodenectomy is rarely performed, and it has not been particularly successful due to its technical complexity. The objective of this study is to highlight how robotic surgery could improve a minimally invasive approach and to expose the usefulness of robotic surgery even in complex surgical procedures. CASE PRESENTATION The surgical technique employed in our...

BACKGROUND AND OBJECTIVES Laparoscopic colectomies, with and without robotic assistance, are performed to treat both benign and malignant colonic disease. This study compared clinical and economic outcomes for laparoscopic colectomy procedures with and without robotic assistance. METHODS Patients aged ≥18 years having primary inpatient laparoscopic colectomy procedures (cecectomy, right hemic...

n engl j med 363;8 nejm.org august 19, 2010 701 stood. These technologies can lead to increases in costs, either because they are simply more expensive than previous treatments or because their introduction leads to an expansion in the types and numbers of patients treated. We examined these patterns as they apply to the case of robot-assisted surgery. Robotic surgical devices allow a surgeon a...