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Journal of Robotic Surgery

Journal of Robotic Surgery OnlineFirst articles

17.05.2018 | Original Article

Totally robotic complete mesocolic excision for right-sided colon cancer

Complexity and operative risks of complete mesocolic excision (CME) seem to be important drawbacks to generalize this procedure in the surgical treatment of right colon cancer. Robotic systems have been developed to improve quality and outcomes of …

14.05.2018 | Original Article

Examining validity evidence for a simulation-based assessment tool for basic robotic surgical skills

Increasing focus on patient safety makes it important to ensure surgical competency among surgeons before operating on patients. The objective was to gather validity evidence for a virtual-reality simulator test for robotic surgical skills and …

10.05.2018 | Letter to the Editor

What is the role of Neurosafe in robotic radical prostatectomy?

10.05.2018 | Original Article

Radiation exposure for the surgical team in a hybrid-operating room

Hybrid-operating rooms enable the surgeon to acquire intraoperative high-resolution 2- and 3D images and use them for navigation. The radiation dose of the operating personal and the patient remains the major concern. In 9 months, 109 pelvic and …

09.05.2018 | Review Article Open Access

Systematic review of operative outcomes of robotic surgical procedures performed with endoscopic linear staplers or robotic staplers

A comprehensive review of operative outcomes of robotic surgical procedures performed with the da Vinci robotic system using either endoscopic linear staplers (ELS) or robotic staplers is not available in the published literature. We conducted a …

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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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Conflict of Interest and Ethical Standards:
http://www.springer.com/authors?SGWID=0-111-6-791531-0

Informed Consent:
http://www.springer.com/authors?SGWID=0-111-6-608209-0

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