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Computer-enhanced robotic telesurgery. Initial experience in foregut surgery.

W S Melvin·B J Needleman·K R Krause·C Schneider·R K Wolf·R E Michler·E C Ellison
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Abstract

BACKGROUND: A new type of computer-enhanced telemanipulator device for "robotic" laparoscopic surgery was recently approved. We prospectively evaluated the initial patients undergoing procedures with this new device at our institution. METHODS: Patient demographics, operative indications, port placement, operative time, robot time, complications, and hospital stay were recorded. Follow-up evaluation was appropriate for the individual procedure. RESULTS: Initially, 35 cases were managed. There were 22 anti-reflux procedures, 9 Heller myotomies, 1 pyloroplasty, 1 distal pancreatectomy with splenectomy, 1 esophagectomy with intrathoracic anastomosis, and 1 diagnostic laparoscopy. The operative times ranged from 88 to 458 min. The robot use times were between 16 and 185 min. There were no device-related complications. CONCLUSIONS: Computer-enhanced robotic telesurgery is a safe and effective treatment method for a variety of diseases of the proximal gastrointestinal tract. Further study is needed to determine the benefits of this approach as compared with current technology.

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Anastomosis, SurgicalCholecystitisEsophageal AchalasiaEsophagectomyEsophagogastric JunctionFollow-Up StudiesFundoplicationGangreneHumansIntraoperative ComplicationsLaparoscopyPancreatectomyProspective StudiesPylorusRoboticsSplenectomySurgery, Computer-AssistedSurgical Procedures, OperativeTelemedicineTime FactorsEvaluation StudyJournal Article

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W S Melvin, B J Needleman, K R Krause, C Schneider, R K Wolf, R E Michler, E C Ellison. 2002-09-23. Computer-enhanced robotic telesurgery. Initial experience in foregut surgery.. https://doi.org/10.1007/s00464-001-8192-9

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