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Evaluation of telesurgical (robotic) NISSEN fundoplication

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Abstract

Background

The laparoscopic surgical approach has proven its benefit for the patient. There are however several short-comings, which have triggered considerable research for improvement. One improvement may be the introduction of telesurgery by the interposition of a computer interface between surgeon and patient. Material and Methods: A prospective randomized study was conducted in an advanced laparoscopic procedure. Nissen fundoplication. The control group underwent the conventional laparoscopic approach, while the investigational group underwent the telesurgical approach.

Results

Feasibility was 100%. The procedure was more time consuming in the Telesurgical group, at all stages of the operation. Mortality was nil and morbidity was comparable in both groups.

Conclusion

The telesurgical approach is feasible in advanced laparoscopic procedures like Nissen fundoplication. At the present time there is however no obvious added benefit from this new technique.

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References

  1. Berguer R, Rab GT, Abu-Ghaida H, Alarcon A, Chung J (1997) A comparison of surgeons’ posture during laparoscopic and open surgical procedures. Surg Endosc 11: 139–142

    Article  PubMed  CAS  Google Scholar 

  2. Cadière GB, Himpens J, Bruyns J (1995) How to avoid esophageal perforation while performing laparoscopic dissection of the hiatus. Surg Endosc 9: 450–452

    Article  PubMed  Google Scholar 

  3. Cadière GB, Himpens J, Vertruyen M, Bruyns J, Fourtanier G (1999) Nissen fundoplication done by remotely controlled robotic technique. Ann Chir 53: 137–141

    PubMed  Google Scholar 

  4. Cadière GB, Houben JJ, Bruyns J, Himpens J, Panzer JM, Gelin M (1994) Laparoscopic Nissen fundoplication: technique and preliminary results. Br J. Surg 81: 400–403

    Article  PubMed  Google Scholar 

  5. Dion YM, Gaillard F (1997) Visual integration of data and basic motor skills under laparoscopy: influence of 2-D and 3-D video-camera systems. Surg Endosc 11: 995–1000

    Article  PubMed  CAS  Google Scholar 

  6. Dubois F, Berthelot G, Levard H (1990) Cholecystectomy with celioscopy: 330 cases. Chirurgie 116: 248–250

    PubMed  CAS  Google Scholar 

  7. Garcia-Ruiz A, Gagner M, Miller JH, Steiner CP, Hahn JF (1998) Manual vs robotically assisted laparoscopic surgery in the performance of basic manipulation and suturing tasks. Arch Surg 133: 957–961

    Article  PubMed  CAS  Google Scholar 

  8. Garcia-Ruiz A, Smedira NG, Loop FD, Hahn JF, Miller JH, Steiner CP, Gagner M (1997) Robotic surgical instruments for dexterity enhancement in thoracoscopic coronary artery bypass graft. J Laparoendosc Adv Surg Tech A 7: 277–283

    Article  PubMed  CAS  Google Scholar 

  9. Himpens J, Leman G, Cadière GB (1998) Telesurgical laparoscopic cholecystectomy. Surg Endosc 12: 1091

    Article  PubMed  CAS  Google Scholar 

  10. Kolmorgen K (1989) Some technical and instrumental references for gynecologic laparoscopy. Zentralbl Gynakol 111: 609–612

    PubMed  CAS  Google Scholar 

  11. Margossian H, Garcia-Ruiz A, Falcone T, Goldberg JM, Attaran M, Miller JH, Gagner M (1998) Robotically assisted laparoscopic microsurgical uterine horn anastomosis. Fertil. Steril 70: 530–534

    Article  PubMed  CAS  Google Scholar 

  12. Margossian H, Garcia-Ruiz A, Falcone T, Goldberg JM, Attaran M, Miller JH, Gagner M (1998) Robotically assisted laparoscopic tubal anastomosis in a porcine model: a pilot study. J Laparoendosc Adv Surg Tech A 8: 69–73

    Article  PubMed  CAS  Google Scholar 

  13. McDougall EM, Soble JJ, Wolf Jr JS, Nakada SY, Elashry OM, Clayman RV (1996) Comparison of three-dimensional and two-dimensional laparoscopic video systems. J Endourol 10: 371–374

    Article  PubMed  CAS  Google Scholar 

  14. Medina M (1997) Image rotation and reversal: major obstacles in learning intracorporeal suturing and knot-typing. J Soc Laparoendosc Surg 1: 331–336

    CAS  Google Scholar 

  15. Melvin WS, Johnson JA, Ellison EC (1996) Laparoscopic skills enhancement. Am J Surg 172: 377–379

    Article  PubMed  CAS  Google Scholar 

  16. Schurr MO, Melzer A, Dautzenberg P, Neisus B, Trapp R, Buess G (1993) Development of steerable instruments for minimal invasive surgery in modular conception. Acta Chir Belg 93: 73–77

    PubMed  CAS  Google Scholar 

  17. Urban V, Wappler M, Weisener T, Schonmayr R (1999) A tactile feedback hexapod operating robot for endoscopic procedures. Neurol Res 21: 28–30

    PubMed  CAS  Google Scholar 

  18. Voorhorst FA, Overbeeke CJ, Smets GJ (1997) Spatial perception during laparoscopy: implementing action-perception coupling. Stud Health Technol Inform 39: 379–386

    PubMed  CAS  Google Scholar 

  19. Wappler M (1995) Medical manipulators, a realistic concept? Min Inv Ther 4: 261–266

    Article  Google Scholar 

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Authors and Affiliations

  1. Gastro Intestinal Surgery Department, CHU Saint-Pierre, 322, Rue Haute 1000, Brussels, Belgium

    G. B. Cadière, J. Himpens, M. Vertruyen, J. Bruyns, O. Germay, G. Leman & R. Izizaw

Authors
  1. G. B. Cadière
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  2. J. Himpens
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  3. M. Vertruyen
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  4. J. Bruyns
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  5. O. Germay
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  6. G. Leman
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  7. R. Izizaw
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Additional information

Online publication: 5 July 2001

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Cadière, G.B., Himpens, J., Vertruyen, M. et al. Evaluation of telesurgical (robotic) NISSEN fundoplication. Surg Endosc 15, 918–923 (2001). https://doi.org/10.1007/s004640000217

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  • DOI: https://doi.org/10.1007/s004640000217

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