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Novel application of simultaneous multi-image display during complex robotic abdominal procedures.

Woo Y, Choi GH, Min BS, Hyung WJ - BMC Surg (2014)

Bottom Line: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation.This function has the potential to increase patient safety and surgical efficiency during an operation.The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul 120-752, Republic of Korea. wjhyung@yuhs.ac.

ABSTRACT

Background: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations. All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center.

Results: The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations.

Conclusion: We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

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Related in: MedlinePlus

Images from a preoperative abdominal CT scan and multi-input view of intraoperative common bile duct exploration. A preoperative CT scan of the patient with cholangiohepatitis shows intrahepatic ductal dilatation and left lobe atrophy (A). Intraoperative robot-assisted common bile duct exploration was facilitated by simultaneous visualization of the images from the choledochoscopy on the surgeon’s console (B).
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Figure 4: Images from a preoperative abdominal CT scan and multi-input view of intraoperative common bile duct exploration. A preoperative CT scan of the patient with cholangiohepatitis shows intrahepatic ductal dilatation and left lobe atrophy (A). Intraoperative robot-assisted common bile duct exploration was facilitated by simultaneous visualization of the images from the choledochoscopy on the surgeon’s console (B).

Mentions: A 56-year-old woman with an 8-year history of hypothyroidism treated with methimazole underwent robotic left hepatectomy with intraoperative common bile duct exploration for multiple left intrahepatic duct stones associated with chronic cholangiohepatitis. A preoperative CT scan demonstrated multiple radioopaque stones in the left hepatic duct with ductal dilatation and parenchymal atrophy of the left lobe of the liver (Figure 4A).


Novel application of simultaneous multi-image display during complex robotic abdominal procedures.

Woo Y, Choi GH, Min BS, Hyung WJ - BMC Surg (2014)

Images from a preoperative abdominal CT scan and multi-input view of intraoperative common bile duct exploration. A preoperative CT scan of the patient with cholangiohepatitis shows intrahepatic ductal dilatation and left lobe atrophy (A). Intraoperative robot-assisted common bile duct exploration was facilitated by simultaneous visualization of the images from the choledochoscopy on the surgeon’s console (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4008309&req=5

Figure 4: Images from a preoperative abdominal CT scan and multi-input view of intraoperative common bile duct exploration. A preoperative CT scan of the patient with cholangiohepatitis shows intrahepatic ductal dilatation and left lobe atrophy (A). Intraoperative robot-assisted common bile duct exploration was facilitated by simultaneous visualization of the images from the choledochoscopy on the surgeon’s console (B).
Mentions: A 56-year-old woman with an 8-year history of hypothyroidism treated with methimazole underwent robotic left hepatectomy with intraoperative common bile duct exploration for multiple left intrahepatic duct stones associated with chronic cholangiohepatitis. A preoperative CT scan demonstrated multiple radioopaque stones in the left hepatic duct with ductal dilatation and parenchymal atrophy of the left lobe of the liver (Figure 4A).

Bottom Line: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation.This function has the potential to increase patient safety and surgical efficiency during an operation.The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul 120-752, Republic of Korea. wjhyung@yuhs.ac.

ABSTRACT

Background: The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations. All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center.

Results: The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations.

Conclusion: We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

Show MeSH
Related in: MedlinePlus