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  1. Artikel ; Online: Dual console operating in robotic surgery - a show off or a real necessity?

    Piozzi, Guglielmo Niccolò / Khan, Jim S

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Band 25, Heft 7, Seite(n) 1327–1329

    Mesh-Begriff(e) Humans ; Robotic Surgical Procedures
    Sprache Englisch
    Erscheinungsdatum 2023-07-25
    Erscheinungsland England
    Dokumenttyp Editorial
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16670
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review.

    Duhoky, Rauand / Claxton, Harry / Piozzi, Guglielmo Niccolò / Khan, Jim S

    Children (Basel, Switzerland)

    2024  Band 11, Heft 3

    Abstract: Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for ... ...

    Abstract Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reductions in port sizes and single-port surgery offer promising prospects. This study aimed to present a systematic overview and analysis of the existing literature around the use of robotic platforms in the treatment of paediatric gastrointestinal diseases.
    Materials and methods: In accordance with the PRISMA Statement, a systematic review on paediatric robotic gastrointestinal surgery was conducted on Pubmed, Cochrane, and Scopus. A critical appraisal of the study was performed using the Newcastle Ottawa Scale.
    Results: Fifteen studies were included, of which seven were on Hirschsprung's disease and eight on other indications. Included studies were heterogeneous in their populations, age, and sex, but all reported low incidences of intraoperative complications and conversions in their robotic cohorts. Only one study reported on a comparator cohort, with a longer operative time in the robotic cohort (180 vs. 152 and 156 min,
    Conclusions: Robotic surgery may play a role in the treatment of paediatric gastrointestinal diseases. There is limited data available on modern robotic platforms and almost no comparative data between any robotic platforms and conventional minimally invasive approaches. Further technological developments and research are needed to enhance our understanding of the potential that robotics may hold for the field of paediatric surgery.
    Sprache Englisch
    Erscheinungsdatum 2024-02-22
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children11030273
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Robotic beyond total mesorectal excision (TME) for locally advanced or recurrent rectal cancer: a systematic review protocol.

    Panagiotopoulou, Ioanna Georgiou / Przedlacka, Anna / Piozzi, Guglielmo Niccolò / Mills, Graham A / Harper, Mick / Khan, Jim S

    BMJ open

    2024  Band 14, Heft 1, Seite(n) e080043

    Abstract: Introduction: The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and ... ...

    Abstract Introduction: The surgical treatment for locally advanced or recurrent rectal cancer requires oncological clearance with a pelvic exenteration or a beyond total mesorectal excision (TME). The aim of this systematic review is to explore the safety and feasibility of robotic surgery in locally advanced and recurrent rectal cancer by evaluating perioperative outcomes, oncological clearance rates, and survival and recurrence rates postrobotic beyond TME surgery.
    Methods: The systematic review will include studies published until the end of December 2023. The MEDLINE, EMBASE and Scopus databases will be searched. The screening process, study selection, data extraction, quality assessment and analysis will be performed by two independent reviewers. Discrepancies will be resolved by consensus with a third independent reviewer. The risk of bias will be assessed with validated scores. The primary outcomes will be oncological clearance, overall and disease-free survival, and local and systemic recurrence rates post robotic or robot-assisted beyond TME surgery for locally advanced or recurrent rectal cancer. Secondary outcomes will include perioperative outcomes.
    Ethics and dissemination: No ethical approval is required for this systematic review as no individual patient cases are studied requiring access to individual medical records. The results of the systematic review will be disseminated with conference presentations and peer-reviewed paper publications.
    Prospero registration of the study: CRD42023408098.
    Mesh-Begriff(e) Humans ; Robotics ; Robotic Surgical Procedures ; Treatment Outcome ; Laparoscopy/methods ; Systematic Reviews as Topic ; Rectal Neoplasms/surgery
    Sprache Englisch
    Erscheinungsdatum 2024-01-25
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-080043
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Laparoscopic versus Open Emergency Surgery for Right Colon Cancers.

    Hussain, Mohammad Iqbal / Piozzi, Guglielmo Niccolò / Sakib, Najmu / Duhoky, Rauand / Carannante, Filippo / Khan, Jim S

    Diagnostics (Basel, Switzerland)

    2024  Band 14, Heft 4

    Abstract: Background: A laparoscopic approach to right colectomies for emergency right colon cancers is under investigation. This study compares perioperative and oncological long-term outcomes of right colon cancers undergoing laparoscopic or open emergency ... ...

    Abstract Background: A laparoscopic approach to right colectomies for emergency right colon cancers is under investigation. This study compares perioperative and oncological long-term outcomes of right colon cancers undergoing laparoscopic or open emergency resections and identifies risk factors for survival.
    Methods: Patients were identified from a prospectively maintained institutional database between 2009 and 2019. Demographics, clinicopathological features, recurrence, and survival were investigated. Cox regression analysis was performed for risk factor analysis.
    Results: A total of 202 right colectomies (114 open and 88 laparoscopic) were included. ASA III-IV was higher in the open group. The conversion rate was 14.8%. Laparoscopic surgery was significantly longer (156 vs. 203 min,
    Conclusions: A laparoscopic approach to right colon cancers in an emergency setting is safe in terms of perioperative and long-term oncological outcomes. Randomized control trials are required to further investigate these results.
    Sprache Englisch
    Erscheinungsdatum 2024-02-13
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics14040407
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Robotic Lateral Pelvic Lymph Node Dissection in Rectal Cancer: A Feasibility Study from a European Centre.

    Chang, Tou Pin / Ali, Oroog / Tsimogiannis, Kostas / Sica, Giuseppe S / Khan, Jim S

    Journal of clinical medicine

    2023  Band 13, Heft 1

    Abstract: Introduction: The role of robotic lateral pelvic lymph node dissection (LPLND) for lateral pelvic nodal disease (LPND) in rectal cancer has yet to be investigated in the Western hemisphere. This study aims to investigate the safety and feasibility of ... ...

    Abstract Introduction: The role of robotic lateral pelvic lymph node dissection (LPLND) for lateral pelvic nodal disease (LPND) in rectal cancer has yet to be investigated in the Western hemisphere. This study aims to investigate the safety and feasibility of robotic LPLND by utilising a well-established totally robotic TME protocol.
    Methods: We conducted a retrospective study on 17 consecutive patients who underwent robotic LPLND for LPND ± TME for rectal cancer between 2015 and 2021. A single docking totally robotic approach from the left hip with full splenic mobilisation was performed using the X/Xi da Vinci platform. All patients underwent a tri-compartmental robotic en bloc excision of LPND with preservation of the obturator nerve and pelvic nerve plexus, leaving a well-skeletonised internal iliac vessel and its branches.
    Results: The median operative time was 280 min, which was 40 min longer than our standard robotic TME. The median BMI was 26, and there were no conversions. The median inpatient stay was 7 days with no Clavien-Dindo > 3 complications. One patient (6%) developed local recurrence and metastatic disease within 5 months. The proportion of histologically confirmed LPND was 41%, of which 94% were well to moderately differentiated adenocarcinoma. Median pre-operative lateral pelvic node size was significantly higher in positive nodes (14 mm vs. 8 mm (
    Discussion: Robotic LPLND is safe and feasible with good peri-operative and short-term outcomes, with the ergonomic advantages of a robotic TME docking protocol readily transferrable in LPLND.
    Sprache Englisch
    Erscheinungsdatum 2023-12-23
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13010090
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Robotic Abdominoperineal Excision with Lateral Pelvic Lymph Node Dissection.

    Siddiqi, Najaf N / Stefan, Samuel S / Khan, Jim S

    Diseases of the colon and rectum

    2021  Band 64, Heft 3, Seite(n) e58–e59

    Mesh-Begriff(e) Aged ; Female ; Humans ; Indocyanine Green/administration & dosage ; Ligation/methods ; Lymph Node Excision/methods ; Lymph Nodes/surgery ; Mesenteric Artery, Inferior/surgery ; Pelvis/pathology ; Proctectomy/methods ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures/instrumentation ; Surgical Wound Infection ; Treatment Outcome
    Chemische Substanzen Indocyanine Green (IX6J1063HV)
    Sprache Englisch
    Erscheinungsdatum 2021-01-07
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Webcast
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000001943
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: Robotic Low Anterior Resection.

    Mykoniatis, Ioannis / Siddiqi, Najaf N / Khan, Jim S

    Diseases of the colon and rectum

    2021  Band 64, Heft 2, Seite(n) e32–e33

    Mesh-Begriff(e) Humans ; Intraoperative Complications/prevention & control ; Laparoscopy/methods ; Postoperative Complications/prevention & control ; Proctectomy/methods ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures/methods
    Sprache Englisch
    Erscheinungsdatum 2021-02-25
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Video-Audio Media
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000001893
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Robotic transanal minimally invasive surgery (r-TAMIS): perioperative and short-term outcomes for local excision of rectal cancers.

    Piozzi, Guglielmo Niccolò / Przedlacka, Ania / Duhoky, Rauand / Ali, Oroog / Ghanem, Yasser / Beable, Richard / Higginson, Antony / Khan, Jim S

    Surgical endoscopy

    2024  

    Abstract: Background: Transanal minimally invasive surgery (TAMIS) is an advanced technique for excision of early rectal cancers. Robotic TAMIS (r-TAMIS) has been introduced as technical improvement and potential alternative to total mesorectal excision (TME) in ... ...

    Abstract Background: Transanal minimally invasive surgery (TAMIS) is an advanced technique for excision of early rectal cancers. Robotic TAMIS (r-TAMIS) has been introduced as technical improvement and potential alternative to total mesorectal excision (TME) in early rectal cancers and in frail patients. This study reports the perioperative and short-term oncological outcomes of r-TAMIS for local excision of early-stage rectal cancers.
    Methods: Retrospective analysis of a prospectively collected r-TAMIS database (July 2021-July 2023). Demographics, clinicopathological features, short-term outcomes, recurrences, and survival were investigated.
    Results: Twenty patients were included. Median age and body mass index were 69.5 (62.0-77.7) years and 31.0 (21.0-36.5) kg/m
    Conclusions: r-TAMIS, with strict postoperative surveillance, is a safe and feasible approach for local excision of early rectal cancer and may have a role in surgically unfit and elderly patients who refuse or cannot undergo TME surgery. Future prospective multicentre large-scale studies are needed to report the long-term oncological outcomes.
    Sprache Englisch
    Erscheinungsdatum 2024-05-06
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-024-10829-4
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: The Use of Enhanced Technologies in Robotic Surgery and Its Impact on Outcomes in Rectal Cancer: A Systematic Review.

    Tejedor, Patricia / Sagias, Filippos / Khan, Jim S

    Surgical innovation

    2020  Band 27, Heft 4, Seite(n) 384–391

    Abstract: The main advantage of the robotic approach is the surgical precision that the technology offers. It is particularly useful in rectal cancer as this is a technically challenging procedure. The technological advantage of the robot leads to better ... ...

    Abstract The main advantage of the robotic approach is the surgical precision that the technology offers. It is particularly useful in rectal cancer as this is a technically challenging procedure. The technological advantage of the robot leads to better postoperative outcomes. Apart from the 3D vision and endowrist instrumentation in comparison to laparoscopy, the options of using fluorescence imaging, endowrist stapler, and table motion have revolutionised the way of performing an anterior resection. Thus, the true benefit of these advances will be the quality of the surgery, which leads to better postoperative outcomes. This article focuses on the current status of applications of new modalities and technology development in robotic rectal surgery. A systematic literature search was performed using PubMed, MEDLINE, and cochrane database. The studies included were considered based on the following (1) articles written in English, (2) full text is available, (3) whether the topic is related to the use of novel technologies during robotic rectal surgery, and (4) sample: adult patients and malignant rectal disease. The primary end point was to analyse the current use of technological advances in robotic rectal surgery. Only a few studies are currently available on the use of these different technologies in robotic colorectal surgery. Many of these reports describe promising results, although with short-term outcomes. The use of technologies in robotic colorectal surgery is safe and feasible and can be used together to improve short-term outcomes. Intraoperative fluorescence angiography has demonstrated to reduce the rate of anastomotic leak, whereas the robotic stapler and the table motion simplify anatomic resection.
    Mesh-Begriff(e) Adult ; Anastomotic Leak ; Humans ; Laparoscopy ; Rectal Neoplasms/surgery ; Rectum ; Robotic Surgical Procedures ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2020-06-02
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Systematic Review
    ZDB-ID 2182571-3
    ISSN 1553-3514 ; 1553-3506
    ISSN (online) 1553-3514
    ISSN 1553-3506
    DOI 10.1177/1553350620928277
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: The role of transanal total mesorectal excision.

    Rutgers, Marieke L W / Bemelman, Willem A / Khan, Jim S / Hompes, Roel

    Surgical oncology

    2021  Band 43, Seite(n) 101695

    Abstract: At inception, transanal total mesorectal excision (TaTME) was hypothesized to be a solution for several problems encountered in pelvic surgery, particularly for distal rectal cancer. The transanal part of the procedure is less hampered by patient related ...

    Abstract At inception, transanal total mesorectal excision (TaTME) was hypothesized to be a solution for several problems encountered in pelvic surgery, particularly for distal rectal cancer. The transanal part of the procedure is less hampered by patient related factors such as visceral obesity and a narrow bony pelvis and can thus overcome access and visualization problems encountered with a pure abdominal approach. Clearly, as for any new technique, a learning curve needs to be negotiated, ideally without unacceptable harm to patients. In experienced hands, TaTME might overcome challenges found in anatomically challenging rectal cancer patients as well as for other indications. The role of TaTME is not to replace, but rather complement its abdominal counterpart.
    Mesh-Begriff(e) Humans ; Laparoscopy/methods ; Proctectomy/methods ; Rectal Neoplasms/surgery ; Rectum/surgery ; Transanal Endoscopic Surgery/methods
    Sprache Englisch
    Erscheinungsdatum 2021-12-12
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 1107810-8
    ISSN 1879-3320 ; 0960-7404
    ISSN (online) 1879-3320
    ISSN 0960-7404
    DOI 10.1016/j.suronc.2021.101695
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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