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  1. Article ; Online: From Miles' procedure to robotic transanal proctectomy.

    Gómez Fleitas, Manuel

    Cirugia espanola

    2014  Volume 92, Issue 8, Page(s) 507–509

    MeSH term(s) Digestive System Surgical Procedures/instrumentation ; Digestive System Surgical Procedures/methods ; Humans ; Rectal Neoplasms/surgery ; Rectum/surgery ; Robotic Surgical Procedures
    Language Spanish
    Publishing date 2014-10
    Publishing country Spain
    Document type Editorial
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2014.01.001
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  2. Article ; Online: Robot-assisted resection of liver segment vii: A technique demonstration video.

    Marino, Marco Vito / Kah Heng, Adrian Chiow / Gomez Ruiz, Marcos / Gomez Fleitas, Manuel

    Cirugia espanola

    2020  Volume 98, Issue 7, Page(s) 411

    Title translation Resección robótica asistida del segmento vii del hígado: vídeo de demostración técnica.
    MeSH term(s) Aged ; Colorectal Neoplasms/complications ; Colorectal Neoplasms/pathology ; Hepatectomy/instrumentation ; Humans ; Length of Stay ; Liver/anatomy & histology ; Liver/pathology ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Male ; Operative Time ; Robotic Surgical Procedures/methods ; Treatment Outcome
    Language Spanish
    Publishing date 2020-03-24
    Publishing country Spain
    Document type Case Reports ; Video-Audio Media
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.02.010
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  3. Article ; Online: The Application of Indocyanine Green Fluorescence Imaging During Robotic Liver Resection: A Case-Matched Study.

    Marino, Marco Vito / Di Saverio, Salomone / Podda, Mauro / Gomez Ruiz, Marcos / Gomez Fleitas, Manuel

    World journal of surgery

    2019  Volume 43, Issue 10, Page(s) 2595–2606

    Abstract: Background: The ICG fluorescence properties are progressively gaining momentum in the HPB surgery. However, the exact impact of ICG application on surgical outcomes is yet to be established.: Methods: Twenty-five patients who underwent ICG ... ...

    Abstract Background: The ICG fluorescence properties are progressively gaining momentum in the HPB surgery. However, the exact impact of ICG application on surgical outcomes is yet to be established.
    Methods: Twenty-five patients who underwent ICG fluorescence-guided robotic liver resection were case-matched in a 1:1 ratio to a cohort who underwent standard robotic liver resection.
    Results: In the ICG group, six additional lesions not diagnosed by preoperative workup and intraoperative ultrasound were identified and resected. Four of the lesions were proved to be malignant. Despite the similar operative time (288 vs. 272 min, p = 0.778), the risk of postoperative bile leakage (0% vs. 12%, p = 0.023), R1 resection (0% vs. 16%, p = 0.019) and readmission (p = 0.023) was reduced in the ICG group compared with the no-ICG group.
    Conclusions: The ICG fluorescence is a real-time navigation tool which enables surgeons to enhance visualization of anatomical structures and overcome the disadvantages of minimally invasive liver resection. The procedure is not time-consuming, and its applications can reduce the postoperative complication rate in robotic liver surgery.
    MeSH term(s) Adult ; Aged ; Female ; Fluorescence ; Hepatectomy/adverse effects ; Hepatectomy/methods ; Humans ; Indocyanine Green ; Liver/diagnostic imaging ; Male ; Middle Aged ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/methods
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2019-06-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-019-05055-2
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  4. Article ; Online: Robotic-assisted pancreaticoduodenectomy with vascular resection. Description of the surgical technique and analysis of early outcomes.

    Marino, Marco Vito / Giovinazzo, Francesco / Podda, Mauro / Gomez Ruiz, Marcos / Gomez Fleitas, Manuel / Pisanu, Adolfo / Latteri, Mario Adelfio / Takaori, Kyoichi

    Surgical oncology

    2020  Volume 35, Page(s) 344–350

    Abstract: Background: Despite the potential benefits, the adoption of the minimally invasive surgery for the treatment of borderline resectable pancreatic cancer is still in the initial phase. We investigated the safety and feasibility of the robotic ... ...

    Abstract Background: Despite the potential benefits, the adoption of the minimally invasive surgery for the treatment of borderline resectable pancreatic cancer is still in the initial phase. We investigated the safety and feasibility of the robotic pancreaticoduodenectomy with venous resection/reconstruction (RPD SMV/PV).
    Methods: Since March 2013 to October 2019, a total of 73 RPD and 10 RPD SMV/PV were performed. The two groups were case-matched according to the preoperative characteristics.
    Results: Mean operative times and estimated blood loss were less in the RPD group in comparison to that in the RPD with SMV-PV group (525 vs 642 min, p = 0.003 and 290 vs 620 ml, p = 0.002, respectively). The mean length of hospital stay was similar in the RPD group in comparison to that in the RPD with SMV-PV group (10 days vs 13 days, p = 0.313). The two groups had similar overall postoperative morbidity rate (57.5% vs 60%, p = 0.686), although the severe complication rate was lower in the RPD group (11% vs 40%, p = 0.004).
    Conclusions: RPD with SMV-PV is associated with increased operative time, estimated blood loss, higher major complication rate compared with RPD.
    MeSH term(s) Adenocarcinoma/pathology ; Aged ; Female ; Humans ; Male ; Middle Aged ; Operative Time ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/methods ; Pancreaticoduodenectomy/statistics & numerical data ; Robotic Surgical Procedures/methods ; Robotic Surgical Procedures/statistics & numerical data ; Treatment Outcome ; Vascular Surgical Procedures/methods ; Vascular Surgical Procedures/statistics & numerical data
    Language English
    Publishing date 2020-08-28
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 1107810-8
    ISSN 1879-3320 ; 0960-7404
    ISSN (online) 1879-3320
    ISSN 0960-7404
    DOI 10.1016/j.suronc.2020.08.025
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    Zs.A 3409: Show issues Location:
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  5. Article: La necesidad de cambios en la formación y la capacitación quirúrgica: un problema pendiente de resolver en la cirugía endoscópica.

    Gómez-Fleitas, Manuel

    Cirugia espanola

    2006  Volume 77, Issue 1, Page(s) 3–5

    Title translation The need for changes in surgical training: an unresolved problem in endoscopic surgery.
    MeSH term(s) Clinical Competence ; Education, Medical/methods ; Endoscopy/education ; General Surgery/education ; Humans
    Language Spanish
    Publishing date 2006-01-06
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/s0009-739x(05)70795-8
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    Zs.B 96: Show issues Location:
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  6. Article ; Online: Robotic-assisted versus open pancreaticoduodenectomy: the results of a case-matched comparison.

    Marino, Marco Vito / Podda, Mauro / Gomez Ruiz, Marcos / Fernandez, Carmen Cagigas / Guarrasi, Domenico / Gomez Fleitas, Manuel

    Journal of robotic surgery

    2019  Volume 14, Issue 3, Page(s) 493–502

    Abstract: Robotic-assisted pancreaticoduodenectomy (RPD) is progressively gaining momentum. It seems to provide some potential advantages over open approach. Unfortunately, only few studies investigated the impact of RPD on the oncologic outcomes. We performed a 1: ...

    Abstract Robotic-assisted pancreaticoduodenectomy (RPD) is progressively gaining momentum. It seems to provide some potential advantages over open approach. Unfortunately, only few studies investigated the impact of RPD on the oncologic outcomes. We performed a 1:1 case-matched comparison between two groups of 35 patients affected by a malignant tumor who underwent RPD and open (OPD) pancreaticoduodenectomy from August 2014 to April 2016. Operative time was longer in the RPD group compared to OPD (355 vs 262 min, p = 0.023), whereas median blood loss (235 vs 575 ml, p = 0.016) and length of hospitalization (6.5 vs 8.9 days, p = 0.041) were lower for RPD. A significant reduction of overall postoperative morbidity rate was found in the RPD group compared to the OPD group (31.4% vs 48.6% p = 0.034). No statistically significant difference was found between the two groups in terms of overall pancreatic fistula rate, R0 resection rate, and number of harvested lymph nodes. The overall and disease-free survival at 1 and 3 years were similar. RPD is a safe and effective technique. It reduces the estimated blood loss, the length hospital of stay and the rate of complications after pancreaticoduodenectomy, while preserving a good oncologic adequacy.
    MeSH term(s) Adenocarcinoma/mortality ; Adenocarcinoma/surgery ; Adult ; Aged ; Blood Loss, Surgical/prevention & control ; Blood Loss, Surgical/statistics & numerical data ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Pancreatic Fistula/epidemiology ; Pancreatic Fistula/prevention & control ; Pancreatic Neoplasms/mortality ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Robotic Surgical Procedures/methods ; Survival Rate ; Treatment Outcome
    Language English
    Publishing date 2019-08-31
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-019-01018-w
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  7. Article ; Online: Central venous oxygen saturation: is it time to find its clinical applications?

    Solares, Gumersindo / Gomez-Fleitas, Manuel

    Journal of cardiothoracic and vascular anesthesia

    2009  Volume 23, Issue 2, Page(s) 272–273

    MeSH term(s) Cardiac Output, Low/blood ; Cardiac Surgical Procedures ; Humans ; Monitoring, Intraoperative ; Oximetry ; Oxygen/blood ; Terminology as Topic
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2009-04
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2008.05.008
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    Zs.A 2203: Show issues Location:
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  8. Article ; Online: Implementation of an enhanced recovery after surgery program with robotic surgery in high-risk patients obtains optimal results after colorectal resections.

    Cristóbal Poch, Lidia / Cagigas Fernández, Carmen / Gómez-Ruiz, Marcos / Ortega Roldán, Marta / Cantero Cid, Ramón / Castillo Diego, Julio / Gómez-Fleitas, Manuel

    Journal of robotic surgery

    2021  Volume 16, Issue 3, Page(s) 575–586

    Abstract: Enhanced recovery after surgery programs reduce postoperative complications and length of stay after laparoscopic colorectal surgery, but are still under evaluation after robotic colorectal surgery. To evaluate potential benefits in terms of length of ... ...

    Abstract Enhanced recovery after surgery programs reduce postoperative complications and length of stay after laparoscopic colorectal surgery, but are still under evaluation after robotic colorectal surgery. To evaluate potential benefits in terms of length of stay and complications of an Enhanced recovery after surgery program in colorectal surgery. A subanalysis was performed to assess what combination of surgical approach and perioperative care had better outcomes. Prospective observational cohort study. 300 consecutive colorectal surgery patients: 150 were prospectively included in the enhanced recovery after Surgery program group and 150 retrospectively in the traditional care group, and subdivided according to the type of surgery, in Hospital Marques de Valdecilla, between 2013 and 2016. Postoperative complications decreased significantly (p = 0.002) from 46 to 28% (traditional care vs program group). The length of stay was decreased by 2 days (p < 0.001). Multivariate analysis indicated similar effect sizes after adjusting for age, gender, Charlson score, and type of surgery. Type of surgery was an independent predictive factor for postoperative complications and length of stay. Compared to open surgery, postoperative complications decreased by 50% (p < 0.001) after robotic surgery and by 40% (p = 0.01) after laparoscopic surgery, while the median length of stay decreased by three days (p < 0.001) after minimally invasive surgery. Enhanced recovery after surgery program and minimally invasive surgery were associated with decreased morbidity and length of stay after colorectal surgery compared to open surgery and traditional care. An enhanced recovery after surgery program with robotic surgery in high-risk patients might be beneficial.
    MeSH term(s) Colorectal Neoplasms/surgery ; Enhanced Recovery After Surgery ; Humans ; Laparoscopy/adverse effects ; Length of Stay ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Prospective Studies ; Retrospective Studies ; Robotic Surgical Procedures/methods
    Language English
    Publishing date 2021-07-18
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-021-01281-w
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  9. Article ; Online: La simulación clínica en la formación quirúrgica en el siglo xxi.

    Gómez Fleitas, Manuel / Palazuelos, José Carlos Manuel

    Cirugia espanola

    2011  Volume 89, Issue 3, Page(s) 133–135

    Title translation Clinical simulation in surgical training in the 21st century.
    MeSH term(s) Computer Simulation ; Computer-Assisted Instruction ; Education, Medical/methods ; General Surgery/education
    Language Spanish
    Publishing date 2011-03
    Publishing country Spain
    Document type Editorial
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2011.01.003
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  10. Article ; Online: Buscando la calidad en la formación quirúrgica basada en simulación.

    Martín Parra, José Ignacio / Manuel Palazuelos, José Carlos / Gómez Fleitas, Manuel

    Cirugia espanola

    2013  Volume 91, Issue 10, Page(s) 623–624

    Title translation Pursuing quality in simulation-based surgical education.
    MeSH term(s) Computer Simulation ; Digestive System Surgical Procedures/education ; Education, Medical/methods ; Education, Medical/standards ; General Surgery/education
    Language Spanish
    Publishing date 2013-12
    Publishing country Spain
    Document type Editorial
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2013.06.013
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