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30.03.2018 | Ausgabe 10/2018

Surgical Endoscopy 10/2018

A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table

Zeitschrift:
Surgical Endoscopy > Ausgabe 10/2018
Autoren:
MD, FACS Luca Morelli, Matteo Palmeri, Tommaso Simoncini, Vito Cela, Alessandra Perutelli, Cesare Selli, Piero Buccianti, Francesco Francesca, Massimo Cecchi, Cristina Zirafa, Luca Bastiani, Alfred Cuschieri, Franca Melfi

Abstract

Background

The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.

Materials and methods

Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.

Results

Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.

Conclusions

The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

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