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Journal of Robotic Surgery

Journal of Robotic Surgery OnlineFirst articles

11.08.2018 | Brief Communication

Low confidence levels with the robotic platform among senior surgical residents: simulation training is needed

Acquisition of robotic surgical skills by surgical residents is usually hindered by time pressure and financial imperatives. Robotic simulation training offers an attractive solution because it allows residents to learn in a safe, controlled, and …

09.08.2018 | Original Article

Fluorescence-guided selective arterial clamping during RAPN provides better early functional outcomes based on renal scan compared to standard clamping

To compare the functional and operative outcomes of robot-assisted partial nephrectomy with selective arterial clamping guided by near infrared fluorescence imaging (NIRF-RAPN) versus a cohort of patients who underwent standard RAPN without …

07.08.2018 | Original Article

The importance of robotic-assisted procedures in residency training to applicants of a community general surgery residency program

Surgery is an ever evolving discipline, and robotic-assisted procedures are the next generation of surgical techniques. There is currently no requirement for robotic training in surgical residency programs; thus, general surgery programs have …

07.08.2018 | Original Article

Training robotic community surgeons: our experience implementing a robotics curriculum at a rural community general surgery training program

Robotic-assisted surgical procedures are being increasingly used in general surgery, including in the rural and community setting. Although there is no requirement, general surgery residency programs have begun to incorporate curriculums to train …

30.07.2018 | Case Report

Robotic-assisted laparoscopic repair of rectovesical fistula after Hartmann’s reversal procedure

The case is of a 59-year-old male with history of severe ischemic colitis following emergent intervention for a ruptured infrarenal aortic aneurysm who subsequently underwent left hemicolectomy, partial proctectomy, and Hartmann colostomy. The …

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Surgery has traditionally been a specialty within the medical profession that has revolved around invasive procedures to treat various maladies. Initially, trauma induced by the therapeutic procedure was necessary and reasonable to provide benefit to the patient. But now, through the innovation of digital imaging technology, combined with optical engineering and improved video displays, surgeons can operate inside of body cavities for therapeutic intervention without the larger incisions previously necessary to allow a surgeons hands access to the necessary organs. Rather than creating large incisions several inches long to gain access to underlying tissues, minimally invasive surgical techniques typically rely on small half-inch incisions encircling the surgical field in order to insert small scopes and instruments. Minimally invasive surgery has caused a change in the route of access and has significantly and irrevocably changed the surgical treatment of most disease processes. Patients still undergo interventions to treat disease, but minimally invasive surgery makes possible a reduction or complete elimination of the "collateral damage" required to gain access to the organ requiring surgery.

While the benefits of this approach were numerous for the patient, early technology limited the application of minimally invasive surgery to some procedures. Specifically, surgeons using standard minimally invasive techniques lost the value of a natural three dimensional image, depth perception, and articulated movements. Magnification of small structures was often difficult and instruments were rigid and without joints. Robotic surgery has provided the technology to address these limitations and allow the application of minimally invasive surgery to a broader spectrum of patients and their diseases. Surgical robots relieve some of these limitations by providing fine motor control, magnified three dimensional imaging and articulated instruments.

The use of robotics in surgery is now broad-based across multiple surgical specialties and will undoubtedly expand over the next decades as new technical innovation and techniques increase the applicability of its use.

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