Initial evaluation of robotic technology for microsurgical vasovasostomy.
Identifieur interne : 000472 ( Ncbi/Merge ); précédent : 000471; suivant : 000473Initial evaluation of robotic technology for microsurgical vasovasostomy.
Auteurs : Wayne Kuang [États-Unis] ; Paul R. Shin ; Surena Matin ; Anthony J. ThomasSource :
- The Journal of urology [ 0022-5347 ] ; 2004.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Robotics.
- methods : Vasovasostomy.
- Equipment Design, Feasibility Studies, Humans, In Vitro Techniques, Male, Microsurgery, Suture Techniques.
Abstract
Conventional microscope assisted vasovasostomy (MAVV) is a technically difficult procedure that is most successful in the hands of well-trained microsurgeons. Robotics may help surgeons overcome the microsurgical challenges of tremor, limited dexterity, miniaturized instrumentation and use of fine suture. We determine the feasibility of a robotic assisted vasovasostomy (RAVV) and compare performance measures with those of conventional MAVV.
DOI: 10.1097/01.ju.0000098364.94347.02
PubMed: 14665899
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pubmed:14665899Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Initial evaluation of robotic technology for microsurgical vasovasostomy.</title><author><name sortKey="Kuang, Wayne" sort="Kuang, Wayne" uniqKey="Kuang W" first="Wayne" last="Kuang">Wayne Kuang</name><affiliation wicri:level="1"><nlm:affiliation>Glickman Urological Institute, The Cleveland Clinic Foundation, Ohio 44195, USA. kuangw@ccf.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Glickman Urological Institute, The Cleveland Clinic Foundation, Ohio 44195</wicri:regionArea><wicri:noRegion>Ohio 44195</wicri:noRegion></affiliation></author><author><name sortKey="Shin, Paul R" sort="Shin, Paul R" uniqKey="Shin P" first="Paul R" last="Shin">Paul R. Shin</name></author><author><name sortKey="Matin, Surena" sort="Matin, Surena" uniqKey="Matin S" first="Surena" last="Matin">Surena Matin</name></author><author><name sortKey="Thomas, Anthony J" sort="Thomas, Anthony J" uniqKey="Thomas A" first="Anthony J" last="Thomas">Anthony J. Thomas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:14665899</idno><idno type="pmid">14665899</idno><idno type="doi">10.1097/01.ju.0000098364.94347.02</idno><idno type="wicri:Area/PubMed/Corpus">001B70</idno><idno type="wicri:Area/PubMed/Curation">001B70</idno><idno type="wicri:Area/PubMed/Checkpoint">001826</idno><idno type="wicri:Area/Ncbi/Merge">000472</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Initial evaluation of robotic technology for microsurgical vasovasostomy.</title><author><name sortKey="Kuang, Wayne" sort="Kuang, Wayne" uniqKey="Kuang W" first="Wayne" last="Kuang">Wayne Kuang</name><affiliation wicri:level="1"><nlm:affiliation>Glickman Urological Institute, The Cleveland Clinic Foundation, Ohio 44195, USA. kuangw@ccf.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Glickman Urological Institute, The Cleveland Clinic Foundation, Ohio 44195</wicri:regionArea><wicri:noRegion>Ohio 44195</wicri:noRegion></affiliation></author><author><name sortKey="Shin, Paul R" sort="Shin, Paul R" uniqKey="Shin P" first="Paul R" last="Shin">Paul R. Shin</name></author><author><name sortKey="Matin, Surena" sort="Matin, Surena" uniqKey="Matin S" first="Surena" last="Matin">Surena Matin</name></author><author><name sortKey="Thomas, Anthony J" sort="Thomas, Anthony J" uniqKey="Thomas A" first="Anthony J" last="Thomas">Anthony J. Thomas</name></author></analytic><series><title level="j">The Journal of urology</title><idno type="ISSN">0022-5347</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Equipment Design</term><term>Feasibility Studies</term><term>Humans</term><term>In Vitro Techniques</term><term>Male</term><term>Microsurgery</term><term>Robotics (instrumentation)</term><term>Suture Techniques</term><term>Vasovasostomy (methods)</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vasovasostomy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Equipment Design</term><term>Feasibility Studies</term><term>Humans</term><term>In Vitro Techniques</term><term>Male</term><term>Microsurgery</term><term>Suture Techniques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Conventional microscope assisted vasovasostomy (MAVV) is a technically difficult procedure that is most successful in the hands of well-trained microsurgeons. Robotics may help surgeons overcome the microsurgical challenges of tremor, limited dexterity, miniaturized instrumentation and use of fine suture. We determine the feasibility of a robotic assisted vasovasostomy (RAVV) and compare performance measures with those of conventional MAVV.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">14665899</PMID><DateCreated><Year>2003</Year><Month>12</Month><Day>10</Day></DateCreated><DateCompleted><Year>2004</Year><Month>01</Month><Day>29</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-5347</ISSN><JournalIssue CitedMedium="Print"><Volume>171</Volume><Issue>1</Issue><PubDate><Year>2004</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The Journal of urology</Title><ISOAbbreviation>J. Urol.</ISOAbbreviation></Journal><ArticleTitle>Initial evaluation of robotic technology for microsurgical vasovasostomy.</ArticleTitle><Pagination><MedlinePgn>300-3</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Conventional microscope assisted vasovasostomy (MAVV) is a technically difficult procedure that is most successful in the hands of well-trained microsurgeons. Robotics may help surgeons overcome the microsurgical challenges of tremor, limited dexterity, miniaturized instrumentation and use of fine suture. We determine the feasibility of a robotic assisted vasovasostomy (RAVV) and compare performance measures with those of conventional MAVV.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">One surgeon performed 10 vasovasostomies with a modified 1-layer technique and 9-zero suture on fresh human vas specimens using the robot in 5 RAVV cases and standard microsurgical instrumentation in 5 MAVV cases. Pre-specified performance measures and adverse haptic events (broken sutures, bent needles or loose stitches) were recorded. Patency was evaluated by instilling saline through the anastomoses.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean operating time and number of adverse haptic events were higher for RAVV than for MAVV (84 vs 38 minutes, p = 0.01; 2.4 vs 0.0 events, p = 0.03). The number of needle passes required for the 6 full-thickness stitches was similar in both groups (16.8 vs 15.2 passes, p = 0.55). Although no tremor occurred during RAVV, minimal to moderate amounts occurred during MAVV. Minimal fatigue was noted for both groups. Patency was confirmed in all 10 operations.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Use of RAVV in this human ex vivo vas model was feasible. While RAVV took longer to perform and was associated with adverse haptic events, elimination of tremor and comparable patency rates suggest that it may be a viable surgical alternative for microsurgical vasovasostomy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kuang</LastName><ForeName>Wayne</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Glickman Urological Institute, The Cleveland Clinic Foundation, Ohio 44195, USA. kuangw@ccf.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shin</LastName><ForeName>Paul R</ForeName><Initials>PR</Initials></Author><Author ValidYN="Y"><LastName>Matin</LastName><ForeName>Surena</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Thomas</LastName><ForeName>Anthony J</ForeName><Initials>AJ</Initials><Suffix>Jr</Suffix></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Urol</MedlineTA><NlmUniqueID>0376374</NlmUniqueID><ISSNLinking>0022-5347</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Urol. 2004 Aug;172(2):780; author reply 780-1</RefSource><PMID Version="1">15247793</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005240">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D066298">In Vitro Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008866">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012371">Robotics</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013536">Suture Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014669">Vasovasostomy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2003</Year><Month>12</Month><Day>11</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>1</Month><Day>30</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2003</Year><Month>12</Month><Day>11</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">14665899</ArticleId><ArticleId IdType="doi">10.1097/01.ju.0000098364.94347.02</ArticleId><ArticleId IdType="pii">S0022-5347(05)62719-X</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Matin, Surena" sort="Matin, Surena" uniqKey="Matin S" first="Surena" last="Matin">Surena Matin</name><name sortKey="Shin, Paul R" sort="Shin, Paul R" uniqKey="Shin P" first="Paul R" last="Shin">Paul R. Shin</name><name sortKey="Thomas, Anthony J" sort="Thomas, Anthony J" uniqKey="Thomas A" first="Anthony J" last="Thomas">Anthony J. Thomas</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Kuang, Wayne" sort="Kuang, Wayne" uniqKey="Kuang W" first="Wayne" last="Kuang">Wayne Kuang</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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