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  1. Article: Sensory substitution increases robotic surgical performance and sets the ground for a mediating role of the sense of embodiment: a systematic review.

    Cesari, Valentina / Melfi, Franca / Gemignani, Angelo / Menicucci, Danilo

    Heliyon

    2023  Volume 9, Issue 11, Page(s) e21665

    Abstract: Sensory Substitution (SS) allows the elaboration of information via non preferential sensory modalities. This phenomenon occurs in robotic-assisted surgery (RAS), in which haptic feedback is lacking. It has been suggested that SS could sustain surgeons' ... ...

    Abstract Sensory Substitution (SS) allows the elaboration of information via non preferential sensory modalities. This phenomenon occurs in robotic-assisted surgery (RAS), in which haptic feedback is lacking. It has been suggested that SS could sustain surgeons' proficiency by means of visual clues for inferring tactile information, that also promotes the feeling of haptic phantom sensations. A critical role in reaching a good performance in procedural tasks is also sustained by the Sense of Embodiment (SE), that is, the capacity to integrate objects into subjective bodily self-representation. As SE is enhanced by haptic sensations, we hypothesize a role of SS in promoting SE in RAS. Accordingly, the goal of this systematic review is to summarize the evidence pertaining the study of SS in RAS in order to highlight the impact on the performance, and to identify a mediating role of the SE in increasing dexterity in RAS. Eight studies selected from the MEDLINE and Scopus® databases met inclusion criteria for a qualitative synthesis. Results indicated that haptic to other modalities SS enhanced force consistency and accuracy, and decreased surgeon fatigue. Expert surgeons, as compared to novices, showed a better natural SS processing, testified by a proficient performance with and without SS aids. No studies investigated the mediating role of SE. These findings indicate that SS is subjected to learning and memory processes that help surgeons to rapidly derive haptic-correlates from visual clues, which are highly required for a good performance. Also, the higher ability of doing SS and the associated perception of haptic sensations might increase multisensory integration, which might sustain performance.
    Language English
    Publishing date 2023-11-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e21665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Discussion.

    Melfi, Franca M A

    The Journal of thoracic and cardiovascular surgery

    2020  Volume 160, Issue 2, Page(s) 566–567

    Language English
    Publishing date 2020-03-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2019.11.121
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Update in the Treatment of Pleural Tumors: Robotic Surgery Combined with Hyperthermic Intrathoracic Chemotherapy.

    Romano, Gaetano / Zirafa, Carmelina Cristina / Ceccarelli, Ilaria / Elia, Gianmarco / Davini, Federico / Melfi, Franca

    Cancers

    2024  Volume 16, Issue 9

    Abstract: 1) Background. Intracavitary hyperthermic chemotherapy (HITHOC) remains part of the complex mosaic that is the multimodal approach for advanced stage thymoma and pleural malignancies. However, robotic pleurectomy/removal of pleural lesions in ... ...

    Abstract (1) Background. Intracavitary hyperthermic chemotherapy (HITHOC) remains part of the complex mosaic that is the multimodal approach for advanced stage thymoma and pleural malignancies. However, robotic pleurectomy/removal of pleural lesions in combination with intrathoracic chemotherapy is not currently being investigated. The aim of this study is to evaluate the safety of robotic pleurectomy/removal of relapses and HITHOC in patients with pleural recurrence of thymoma or MPM. (2) Methods: The data of nine consecutive patients affected by thymoma relapses or MPM who underwent robotic surgery in combination with HITHOC from February 2017 to November 2022 were collected and analyzed. Surgery performed prior to intrathoracic infusion of high-temperature chemotherapy consisted of removal of recurrences (three patients) or pleurectomy (six patients). All surgeries were performed with a four-port, fully robotic technique. (3) Results: No intraoperative complications occurred. No renal complications related to infusion were recorded. One patient, who underwent pleurectomy for MPM, had a grade II Clavien-Dindo postoperative complication. Oncological follow-up showed results in line with the literature. (4) Conclusions: With the limitation of the small number of patients, robotic surgery in combination with HITHOC seems to be safe in patients with pleural relapses of thymoma and early-stage MPM.
    Language English
    Publishing date 2024-04-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16091691
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Sense of Agency and Skills Learning in Virtual-Mediated Environment: A Systematic Review.

    Cesari, Valentina / D'Aversa, Sveva / Piarulli, Andrea / Melfi, Franca / Gemignani, Angelo / Menicucci, Danilo

    Brain sciences

    2024  Volume 14, Issue 4

    Abstract: Agency is central to remote actions, and it may enhance skills learning due to a partial overlap between brain structures and networks, the promotion of confidence towards a telemanipulator, and the feeling of congruence of the motor choice to the motor ... ...

    Abstract Agency is central to remote actions, and it may enhance skills learning due to a partial overlap between brain structures and networks, the promotion of confidence towards a telemanipulator, and the feeling of congruence of the motor choice to the motor plan. We systematically reviewed studies aiming to verify the role of agency in improving learning. Fifteen studies were selected from MEDLINE and Scopus
    Language English
    Publishing date 2024-03-31
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci14040350
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Editorial: Current trends in endoscopic thoracic surgery: insights from the XXI SIET national meeting.

    Raveglia, Federico / Melfi, Franca / Cioffi, Ugo / Lococo, Filippo / Ricciardi, Sara / Pompili, Cecilia / Cardillo, Giuseppe

    Frontiers in surgery

    2023  Volume 10, Page(s) 1237928

    Language English
    Publishing date 2023-06-30
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1237928
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Real-world postoperative outcomes of segmentectomy versus lobectomy for lung cancer.

    Cao, Christopher / Gossot, Dominique / Seguin-Givelet, Agathe / Melfi, Franca

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2022  Volume 63, Issue 1

    MeSH term(s) Humans ; Pneumonectomy/adverse effects ; Propensity Score ; Lung Neoplasms/surgery ; Lung
    Language English
    Publishing date 2022-12-30
    Publishing country Germany
    Document type Journal Article ; Comment
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezac571
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Right robotic-assisted thoracoscopic lower lobectomy.

    Stamenkovic, Sasha / Melfi, Franca

    Annals of cardiothoracic surgery

    2019  Volume 8, Issue 2, Page(s) 279–285

    Abstract: The right lower lobectomy is considered one of the easier resection operations performed by an open technique. The posterior approach for the video-assisted thoracoscopic surgery (VATS) version of this is similar, as instruments and staplers pass up the ... ...

    Abstract The right lower lobectomy is considered one of the easier resection operations performed by an open technique. The posterior approach for the video-assisted thoracoscopic surgery (VATS) version of this is similar, as instruments and staplers pass up the fissure. When moving to the robotic platform with the camera and instruments entering from caudal ports, the equal view of the lobe, fissure and both hila allow for a more balanced operation. This article aims to discuss the technology of robotic-assisted surgery and the optimal surgical techniques to enable precise and safe resection of the lower lobe.
    Language English
    Publishing date 2019-04-06
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs.2019.03.04
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Design and preliminary validation of a high-fidelity vascular simulator for robot-assisted manipulation.

    Gamberini, Giulia / Maglio, Sabina / Mariani, Andrea / Mazzotta, Alessandro Dario / Forgione, Antonello / Marescaux, Jacques / Melfi, Franca / Tognarelli, Selene / Menciassi, Arianna

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 4779

    Abstract: The number of robot-assisted minimally invasive surgeries is increasing annually, together with the need for dedicated and effective training. Surgeons need to learn how to address the novel control modalities of surgical instruments and the loss of ... ...

    Abstract The number of robot-assisted minimally invasive surgeries is increasing annually, together with the need for dedicated and effective training. Surgeons need to learn how to address the novel control modalities of surgical instruments and the loss of haptic feedback, which is a common feature of most surgical robots. High-fidelity physical simulation has proved to be a valid training tool, and it might help in fulfilling these learning needs. In this regard, a high-fidelity sensorized simulator of vascular structures was designed, fabricated and preliminarily validated. The main objective of the simulator is to train novices in robotic surgery to correctly perform vascular resection procedures without applying excessive strain to tissues. The vessel simulator was integrated with soft strain sensors to quantify and objectively assess manipulation skills and to provide real-time feedback to the trainee during a training session. Additionally, a portable and user-friendly training task board was produced to replicate anatomical constraints. The simulator was characterized in terms of its mechanical properties, demonstrating its realism with respect to human tissues. Its face, content and construct validity, together with its usability, were assessed by implementing a training scenario with 13 clinicians, and the results were generally positive.
    MeSH term(s) Humans ; Robotics ; Computer Simulation ; Physical Examination ; Learning ; Feedback ; Clinical Competence
    Language English
    Publishing date 2024-02-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-55351-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Prognostic Thresholds of Mitotic Count and Ki-67 Labeling Index for Recurrence and Survival in Lung Atypical Carcinoids.

    Soldath, Patrick / Bianchi, Daniel / Manfredini, Beatrice / Kjaer, Andreas / Langer, Seppo W / Knigge, Ulrich / Melfi, Franca / Filosso, Pier Luigi / Petersen, René Horsleben

    Cancers

    2024  Volume 16, Issue 3

    Abstract: Atypical carcinoid (AC) is a rare neuroendocrine neoplasm of the lung, which exhibits a varying malignant potential. In this study, we aimed to identify the prognostic thresholds of the mitotic count and Ki-67 labeling index for recurrence and survival ... ...

    Abstract Atypical carcinoid (AC) is a rare neuroendocrine neoplasm of the lung, which exhibits a varying malignant potential. In this study, we aimed to identify the prognostic thresholds of the mitotic count and Ki-67 labeling index for recurrence and survival in AC. We retrospectively reviewed 78 patients who had been radically resected for AC and calculated said thresholds using time-dependent receiver operating characteristic curves and the Youden index. We then dichotomized the patients into groups of above or below these thresholds and estimated the cumulative incidences of the groups using the Aalen-Johansen estimator. We compared the groups using univariable and multivariable Fine-Gray subdistribution hazard models. Our findings show that more patients recurred and died from this disease if their mitotic count exceeded three and four mitoses per 2 mm
    Language English
    Publishing date 2024-01-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16030502
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The role of patient-reported outcome and experience measures in cardio-thoracic surgery.

    Pompili, Cecilia / Scheenstra, Bart / Zirafa, Carmelina / Melfi, Franca / De Rosis, Sabina / Vainieri, Milena / Lau, Kelvin / Sardari Nia, Peyman

    Interdisciplinary cardiovascular and thoracic surgery

    2024  Volume 38, Issue 3

    Language English
    Publishing date 2024-03-13
    Publishing country England
    Document type Journal Article
    ISSN 2753-670X
    ISSN (online) 2753-670X
    DOI 10.1093/icvts/ivae025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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