LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 56

Search options

  1. Article: Robotic-Assisted Left Hepatectomy: A Video Technique.

    Marino, Marco V / Kah, Adrian Chiow / Potapov, Olexii / Komorowski, Andrzej L

    Chirurgia (Bucharest, Romania : 1990)

    2021  Volume 116, Issue 4, Page(s) 499–500

    Abstract: The robotic liver surgery is gaining momentum and several centers worldwide reported their promising results in terms of shorter recovery, less post-operative pain when compared to the open counterpart. Despite the benefits in terms of better ergonomic, ... ...

    Abstract The robotic liver surgery is gaining momentum and several centers worldwide reported their promising results in terms of shorter recovery, less post-operative pain when compared to the open counterpart. Despite the benefits in terms of better ergonomic, enhanced visualization and microsuturing capabilities in comparison to the laparoscopic surgery, this approach is still confined to high selected centers and the reproducibility of the results published are still questioned. Herein, we report our surgical technique for a robotic-assisted left hepatectomy in a step-by-step fashion. The patient is located in left-side up supine position and four robotic and one laparoscopic trocarts are inserted. After the mobilization of the liver, a meticolous intraoperative ultrasound is performed with the aim to assess the tumor location and its relationship with main vascular structures. The hepatic hylum is dissected and both left hepatic artery and portal vein are clipped and divided. The Pringle maneuver is not routinely performed. The parenchymal transection is performed employing the "clamp-crush" technique and the sharp technique. The left bile duct is controlled intraparenchymally. The left hepatic vein is transected by a robotic stapler (white load). The transection surface is inspected to check for potential bile leaks and finally a fibrin glue is over it. A drain is place close to the liver remnant. (video article https://www.revistachirurgia.ro/pdfs/video/Robotic-Assisted-Hepatectomy-2280.mp4).
    MeSH term(s) Hepatectomy ; Humans ; Laparoscopy ; Liver Neoplasms/surgery ; Reproducibility of Results ; Robotic Surgical Procedures ; Treatment Outcome
    Language English
    Publishing date 2021-06-09
    Publishing country Romania
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.116.4.499
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: Comparison of 2D versus 3D in the Basic Single Incision Laparoscopy Training. A Randomized Controlled Trial.

    Potapov, Oleksii / Kosiukhno, Sergii / Kalashnikov, Oleksandr / Marino, Marco V / Todurov, Ivan / Komorowski, Andrzej L

    Chirurgia (Bucharest, Romania : 1990)

    2022  Volume 117, Issue 1, Page(s) 69–80

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Clinical Competence ; Female ; Humans ; Imaging, Three-Dimensional ; Laparoscopy/methods ; Male ; Treatment Outcome
    Language English
    Publishing date 2022-03-10
    Publishing country Romania
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.2677
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article: Robotic-assisted Laparoscopic Liver Resections - Technical Considerations for da Vinci Xi.

    Thiruchelvam, Nita / Chiow, Adrian Kh / Seng, Lee Lip / Potapov, Olexii / Marino, Marco V

    Chirurgia (Bucharest, Romania : 1990)

    2021  Volume 116, Issue 4, Page(s) 431–437

    Abstract: As laparoscopic approach becomes increasingly routine for liver resections, several centers have also adopted the robotic approach for its many purported benefits of magnified steady views, intuitive instrument articulation, and tremor filtration amongst ...

    Abstract As laparoscopic approach becomes increasingly routine for liver resections, several centers have also adopted the robotic approach for its many purported benefits of magnified steady views, intuitive instrument articulation, and tremor filtration amongst others. In this article we highlight the technical considerations specific to robotic-assisted laparoscopic liver resections for the da Vinci robotic Xi Surgical System.
    MeSH term(s) Hepatectomy ; Humans ; Laparoscopy ; Liver ; Robotic Surgical Procedures ; Treatment Outcome
    Language English
    Publishing date 2021-06-09
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.116.4.431
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article: Rate of Post-Operative Pancreatic Fistula after Robotic-Assisted Pancreaticoduodenectomy with Pancreato-Jejunostomy versus Pancreato-Gastrostomy: A Retrospective Case Matched Comparative Study.

    Marino, Marco V / Heng Chiow, Adrian Kah / Mirabella, Antonello / Vaccarella, Gianpaolo / Komorowski, Andrzej L

    Journal of clinical medicine

    2021  Volume 10, Issue 10

    Abstract: Background: Different techniques of pancreatic anastomosis have been described, with inconclusive results in terms of pancreatic fistula reduction. Studies comparing robotic pancreaticogastrostomy (PG) and pancreaticojejunostomy (PJ) are scarcely ... ...

    Abstract Background: Different techniques of pancreatic anastomosis have been described, with inconclusive results in terms of pancreatic fistula reduction. Studies comparing robotic pancreaticogastrostomy (PG) and pancreaticojejunostomy (PJ) are scarcely reported.
    Methods: The present study analyzes the outcomes of two case-matched groups of patients who underwent PG (
    Results: Operative time (375 vs. 315 min,
    Conclusions: The outcomes of post-operative pancreatic fistula are comparable between the two reconstruction techniques. PG may have a lower incidence of POPF in patients with high-risk of pancreatic fistula.
    Language English
    Publishing date 2021-05-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10102181
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Robotic-assisted Pancreaticoduodenectomy: Technique Description and Performance Evaluation After 60 Cases.

    Marino, Marco V / Podda, Mauro / Pisanu, Adolfo / di Saverio, Salomone / Fleitas, Manuel G

    Surgical laparoscopy, endoscopy & percutaneous techniques

    2020  Volume 30, Issue 2, Page(s) 156–163

    Abstract: Purpose: Robotic pancreaticoduodenectomy (RPD) remains one of the most challenging abdominal operations. During the implementation of new surgical technologies, safety and efficacy outcomes must be rigorously monitored and the learning curve clearly ... ...

    Abstract Purpose: Robotic pancreaticoduodenectomy (RPD) remains one of the most challenging abdominal operations. During the implementation of new surgical technologies, safety and efficacy outcomes must be rigorously monitored and the learning curve clearly identified.
    Materials and methods: The authors investigated their experience during the adoption of RPD, analyzing the outcomes of our first 60 consecutive cases, divided into group A (1 to 30) and group B (31 to 60). The cumulative sum (CUSUM) analysis was used to define the learning curve.
    Results: The authors observed a reduction in operative time (125 min) and estimated blood loss (185 mL) between the firsts 1 to 30 and the latest 30 cases. The overall rate of complications showed the tendency to decrease during the experience (46.7% vs. 23.3%, P=0.02), conversely, severe complications and the rate of clinically relevant postoperative pancreatic fistula did not show a significant reduction in the incidence (P=0.37 and P=0.67, respectively). The mean number of lymph nodes harvested improved significantly after 30 cases (P=0.004).
    Conclusion: Surgical performance improved significantly after the first 30 cases.
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Humans ; Learning Curve ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Pancreatic Diseases/mortality ; Pancreatic Diseases/pathology ; Pancreatic Diseases/surgery ; Pancreaticoduodenectomy/adverse effects ; Pancreaticoduodenectomy/methods ; Postoperative Complications/epidemiology ; Retrospective Studies ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/methods ; Treatment Outcome
    Language English
    Publishing date 2020-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1475108-2
    ISSN 1534-4908 ; 1530-4515 ; 1051-7200
    ISSN (online) 1534-4908
    ISSN 1530-4515 ; 1051-7200
    DOI 10.1097/SLE.0000000000000751
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article: Safety and Feasibility of Robotic-Assisted Drainage of Symptomatic Pancreatic Pseudocysts: A Case-Series Analysis (with video).

    Marino, Marco V / Heng, Adrian Kah / Mirabella, Antonello / Potapov, Olexii / Vaccarella, Gianpaolo / Latteri, Mario Adelfio / Komorowski, Andrzej Lech

    Chirurgia (Bucharest, Romania : 1990)

    2021  Volume 116, Issue 3, Page(s) 261–270

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Drainage ; Feasibility Studies ; Humans ; Neoplasm Recurrence, Local ; Pancreatic Pseudocyst/surgery ; Retrospective Studies ; Robotic Surgical Procedures/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2021-08-30
    Publishing country Romania
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.116.3.261
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Comparison Between Minimally Invasive Right Anterior and Right Posterior Sectionectomy vs Right Hepatectomy: An International Multicenter Propensity Score-Matched and Coarsened-Exact-Matched Analysis of 1,100 Patients.

    Willems, Edward / D'Hondt, Mathieu / Kingham, T Peter / Fuks, David / Choi, Gi-Hong / Syn, Nicholas L / Sucandy, Iswanto / Marino, Marco V / Prieto, Mikel / Chong, Charing C / Lee, Jae Hoon / Efanov, Mikhail / Chiow, Adrian K H / Choi, Sung Hoon / Sutcliffe, Robert P / Troisi, Roberto I / Pratschke, Johann / Cheung, Tan-To / Wang, Xiaoying /
    Tang, Chung-Ngai / Liu, Rong / Han, Ho-Seong / Goh, Brian K P

    Journal of the American College of Surgeons

    2022  Volume 235, Issue 6, Page(s) 859–868

    Abstract: Background: The role of minimally invasive right anterior and right posterior sectionectomy (MI-RAS/MI-RPS) for right-sided liver lesions remains debatable. Although technically more demanding, these procedures might result in faster recovery and lower ... ...

    Abstract Background: The role of minimally invasive right anterior and right posterior sectionectomy (MI-RAS/MI-RPS) for right-sided liver lesions remains debatable. Although technically more demanding, these procedures might result in faster recovery and lower postoperative morbidity compared with minimally invasive right hemihepatectomy.
    Study design: This is an international multicenter retrospective analysis of 1,114 patients undergoing minimally invasive right hemihepatectomy, MI-RAS, and MI-RPS at 21 centers between 2006 and 2019. Minimally invasive surgery included pure laparoscopic, robotic, hand-assisted, or a hybrid approach. A propensity-matched and coarsened-exact-matched analysis was performed.
    Results: A total of 1,100 cases met study criteria, of whom 759 underwent laparoscopic, 283 robotic, 11 hand-assisted, and 47 laparoscopic-assisted (hybrid) surgery. There were 632 right hemihepatectomies, 373 right posterior sectionectomies, and 95 right anterior sectionectomies. There were no differences in baseline characteristics after matching. In the MI-RAS/MI-RPS group, median blood loss was higher (400 vs 300 mL, p = 0.001) as well as intraoperative blood transfusion rate (19.6% vs 10.7%, p = 0.004). However, the overall morbidity rate was lower including major morbidity (7.1% vs 14.3%, p = 0.007) and reoperation rate (1.4% vs 4.6%, p = 0.029). The rate of close/involved margins was higher in the MI-RAS/MI-RPS group (23.4% vs 8.9%, p < 0.001). These findings were consistent after both propensity and coarsened-exact matching.
    Conclusions: Although technically more demanding, MI-RAS/MI-RPS is a valuable alternative for minimally invasive right hemihepatectomy in right-sided liver lesions with lower postoperative morbidity, possibly due to the preservation of parenchyma. However, the rate of close/involved margins is higher in these procedures. These findings might guide surgeons in preoperative counselling and in selecting the appropriate procedure for their patients.
    MeSH term(s) Humans ; Hepatectomy/methods ; Propensity Score ; Liver Neoplasms/surgery ; Retrospective Studies ; Laparoscopy/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Length of Stay ; Treatment Outcome
    Language English
    Publishing date 2022-11-15
    Publishing country United States
    Document type Multicenter Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1097/XCS.0000000000000394
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Watchful Waiting After Radiological Guided Drainage of Intra-abdominal Abscess in Patients With Crohn's Disease Might Be Associated With Increased Rates of Stoma Construction.

    El-Hussuna, Alaa / Steenholdt, Casper / Merrild Karer, Mette Louise / Nyggard Uldall Nielsen, Natasja / Mujukian, Angela / Fleshner, Phillip R / Iesalnieks, Igors / Horesh, Nir / Kopylov, Uri / Jacoby, Harel / Al-Qaisi, Haider Mahmoud / Colombo, Francesco / Sampietro, Gianluca M / Marino, Marco V / Ellebæk, Mark / Sørensen, Nina / Celentano, Valerio / Ladwa, Nikhil / Warusavitarne, Janindra /
    Pellino, Gianluca / Zeb, Aurang / Di Candido, Francesca / Hurtado-Pardo, Luis / Frasson, Matteo / Kunovsky, Lumir / Yalcinkaya, Ali / Alonso, Sandra / Pera, Miguel / Rodríguez, Cristina Antón / Bravo, Ana-Minaya / Granero, Alvaro Garcia / Tatar, Ozan Can / Spinelli, Antonino / Qvist, Niels

    Crohn's & colitis 360

    2023  Volume 5, Issue 3, Page(s) otad038

    Abstract: Background: Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn's disease (CD) with radiologically guided percutaneous drainage (PD) was debated.: Methods: This is a secondary analysis from a multicenter, retrospective ... ...

    Abstract Background: Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn's disease (CD) with radiologically guided percutaneous drainage (PD) was debated.
    Methods: This is a secondary analysis from a multicenter, retrospective cohort study of all the patients with CD who underwent PD followed by surgery at 19 international tertiary centers.
    Results: Seventeen patients (4.8%) who did not undergo surgery after PD were compared to those who had PD followed by surgical intervention 335/352 (95.2%). Patients who had PD without surgery were those with longer disease duration, more frequently had previous surgery for CD (laparotomies/laparoscopies), enteric fistula, on steroid treatment before and continue to have it after PD. Patients who had PD without subsequent surgical resection had a higher risk of stoma construction at later stages 8/17 (47.1%) versus 90/326 (27.6%) (
    Conclusions: Even with the low number of patients enrolled in this study who had PD of IAA without subsequent surgery, the findings indicate a markedly worse prognosis in terms of recurrence, length of stay, readmission, and stoma construction. Watchful waiting after PD to treat patients with spontaneous IAA might be indicated in selected patients with poor health status or poor prognostic factors.
    Language English
    Publishing date 2023-07-19
    Publishing country England
    Document type Journal Article
    ISSN 2631-827X
    ISSN (online) 2631-827X
    DOI 10.1093/crocol/otad038
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Propensity score-matched analysis of laparoscopic-assisted and hand-assisted laparoscopic liver resection versus pure laparoscopic liver resection: an international multicenter study.

    Krenzien, Felix / Schmelzle, Moritz / Pratschke, Johann / Syn, Nicholas L / Sucandy, Iswanto / Chiow, Adrian K H / Marino, Marco V / Gastaca, Mikel / Wang, Xiaoying / Lee, Jae Hoon / Chong, Charing C / Fuks, David / Choi, Gi Hong / Efanov, Mikhail / Kingham, T Peter / D'Hondt, Mathieu / Troisi, Roberto I / Choi, Sung Hoon / Sutcliffe, Robert P /
    Liu, Rong / Cheung, Tan-To / Tang, Chung Ngai / Han, Ho-Seong / Goh, Brian K P

    Surgical endoscopy

    2023  Volume 37, Issue 7, Page(s) 5482–5493

    Abstract: Background: Laparoscopic-assisted (LALR) and hand-assisted (HALR) liver resections have been utilized during the early adoption phase by surgeons when transitioning from open surgery to pure LLR. To date, there are limited data reporting on the outcomes ...

    Abstract Background: Laparoscopic-assisted (LALR) and hand-assisted (HALR) liver resections have been utilized during the early adoption phase by surgeons when transitioning from open surgery to pure LLR. To date, there are limited data reporting on the outcomes of LALR or HALR compared to LLR. The objective was to compare the perioperative outcomes after LALR and HALR versus pure LLR.
    Methods: This is an international multicentric analysis of 6609 patients undergoing minimal-invasive liver resection at 21 centers between 2004 and 2019. Perioperative outcomes were analyzed after propensity score matching (PSM) comparison between LALR and HALR versus LLR.
    Results: 5279 cases met study criteria of whom 5033 underwent LLR (95.3%), 146 underwent LALR (2.8%) and 100 underwent HALR (1.9%). After 1:4 PSM, LALR was associated with inferior outcomes as evidenced by the longer postoperative stay, higher readmission rate, higher major morbidity rate and higher in-hospital mortality rate. Similarly, 1:6 PSM comparison between HALR and LLR also demonstrated poorer outcomes associated with HALR as demonstrated by the higher open conversion rate and higher blood transfusion rate. All 3 approaches technical variants demonstrated the same oncological radicality (R1 rate).
    Conclusion: LALR and HALR performed during the learning curve was associated with inferior perioperative outcomes compared to pure LLR.
    MeSH term(s) Humans ; Liver Neoplasms/surgery ; Propensity Score ; Hand-Assisted Laparoscopy ; Retrospective Studies ; Hepatectomy ; Laparoscopy ; Length of Stay ; Carcinoma, Hepatocellular/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery
    Language English
    Publishing date 2023-04-12
    Publishing country Germany
    Document type Multicenter Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-023-10028-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: International experts consensus guidelines on robotic liver resection in 2023.

    Liu, Rong / Abu Hilal, Mohammed / Wakabayashi, Go / Han, Ho-Seong / Palanivelu, Chinnusamy / Boggi, Ugo / Hackert, Thilo / Kim, Hong-Jin / Wang, Xiao-Ying / Hu, Ming-Gen / Choi, Gi Hong / Panaro, Fabrizio / He, Jin / Efanov, Mikhail / Yin, Xiao-Yu / Croner, Roland S / Fong, Yu-Man / Zhu, Ji-Ye / Wu, Zheng /
    Sun, Chuan-Dong / Lee, Jae Hoon / Marino, Marco V / Ganpati, Iyer Shridhar / Zhu, Peng / Wang, Zi-Zheng / Yang, Ke-Hu / Fan, Jia / Chen, Xiao-Ping / Lau, Wan Yee

    World journal of gastroenterology

    2023  Volume 29, Issue 32, Page(s) 4815–4830

    Abstract: The robotic liver resection (RLR) has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system, however, controversies still exist. Based on the foundation of the ... ...

    Abstract The robotic liver resection (RLR) has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system, however, controversies still exist. Based on the foundation of the previous consensus statement, this new consensus document aimed to update clinical recommendations and provide guidance to improve the outcomes of RLR clinical practice. The guideline steering group and guideline expert group were formed by 29 international experts of liver surgery and evidence-based medicine (EBM). Relevant literature was reviewed and analyzed by the evidence evaluation group. According to the WHO Handbook for Guideline Development, the Guidance Principles of Development and Amendment of the Guidelines for Clinical Diagnosis and Treatment in China 2022, a total of 14 recommendations were generated. Among them were 8 recommendations formulated by the GRADE method, and the remaining 6 recommendations were formulated based on literature review and experts' opinion due to insufficient EBM results. This international experts consensus guideline offered guidance for the safe and effective clinical practice and the research direction of RLR in future.
    MeSH term(s) Humans ; Robotic Surgical Procedures/adverse effects ; Hepatectomy/adverse effects ; China ; Consensus ; Liver/surgery
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2185929-2
    ISSN 2219-2840 ; 1007-9327
    ISSN (online) 2219-2840
    ISSN 1007-9327
    DOI 10.3748/wjg.v29.i32.4815
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top