Vesicourethral anastomosis using a novel telesurgical system with haptic sensation, the Telelap Alf-X: a pilot study.
Identifieur interne : 000C90 ( Main/Exploration ); précédent : 000C89; suivant : 000C91Vesicourethral anastomosis using a novel telesurgical system with haptic sensation, the Telelap Alf-X: a pilot study.
Auteurs : Stefano Gidaro [Italie] ; Emanuela Altobelli [Italie] ; Cristina Falavolti [Italie] ; Alfredo Maria Bove [Italie] ; Emilio Morales Ruiz [Italie] ; Michael Stark [Allemagne] ; Giuliano Ravasio [Italie] ; Sara Simona Lazzaretti ; Buscarini Maurizio [Italie]Source :
- Surgical technology international [ 1090-3941 ] ; 2014.
Abstract
Vesicourethral anastomosis is a necessary part of radical prostatectomy and presents technical challenges when performed endoscopically. This study demonstrates the feasibility of the van Velthoven anastomosis method in swine model using a novel telesurgical system with haptic sensation: the Telelap Alf-X. Twenty vesicourethral anastomoses were performed using the system in female swine with two working ports and a camera. With two 2.0 Vicryl, a single knot vesicourethral anastomosis was performed as described by van Velthoven with Telelap Alf-X. The time of each operation was recorded, water tightness and tension were examined at the end of the procedure by irrigation through a 12 Fr catheter. The 1:1 haptic sensation, improved ergonomy, the open architecture of the robotic system, and articulated handles contributed to the easiness of performance and short learning curve, as the time of the procedure decreased by 50% after the first 5 cases. All the anastomoses were functional and proved to be successful and watertight. No leakage occurred. The novel features of the Telelap Alf-X contribute to its ease of use and make the telesurgical performance of vesicourethral anastomosis similar to open surgery, without the disadvantages of the latter.
PubMed: 24706079
Affiliations:
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Trezzano Rosa</wicri:regionArea></affiliation></author><author><name sortKey="Stark, Michael" sort="Stark, Michael" uniqKey="Stark M" first="Michael" last="Stark">Michael Stark</name><affiliation wicri:level="1"><nlm:affiliation>New European Surgical Academy Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>New European Surgical Academy Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Ravasio, Giuliano" sort="Ravasio, Giuliano" uniqKey="Ravasio G" first="Giuliano" last="Ravasio">Giuliano Ravasio</name><affiliation wicri:level="1"><nlm:affiliation>Department of Veterinary Science and Public Health Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Veterinary Science and Public Health Milan</wicri:regionArea></affiliation></author><author><name sortKey="Lazzaretti, Sara Simona" sort="Lazzaretti, Sara Simona" uniqKey="Lazzaretti S" first="Sara Simona" last="Lazzaretti">Sara Simona Lazzaretti</name></author><author><name sortKey="Maurizio, Buscarini" sort="Maurizio, Buscarini" uniqKey="Maurizio B" first="Buscarini" last="Maurizio">Buscarini Maurizio</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology Campus Biomedico, University of Rome Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Urology Campus Biomedico, University of Rome Rome</wicri:regionArea><wicri:noRegion>University of Rome Rome</wicri:noRegion></affiliation></author></analytic><series><title level="j">Surgical technology international</title><idno type="ISSN">1090-3941</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vesicourethral anastomosis is a necessary part of radical prostatectomy and presents technical challenges when performed endoscopically. This study demonstrates the feasibility of the van Velthoven anastomosis method in swine model using a novel telesurgical system with haptic sensation: the Telelap Alf-X. Twenty vesicourethral anastomoses were performed using the system in female swine with two working ports and a camera. With two 2.0 Vicryl, a single knot vesicourethral anastomosis was performed as described by van Velthoven with Telelap Alf-X. The time of each operation was recorded, water tightness and tension were examined at the end of the procedure by irrigation through a 12 Fr catheter. The 1:1 haptic sensation, improved ergonomy, the open architecture of the robotic system, and articulated handles contributed to the easiness of performance and short learning curve, as the time of the procedure decreased by 50% after the first 5 cases. All the anastomoses were functional and proved to be successful and watertight. No leakage occurred. The novel features of the Telelap Alf-X contribute to its ease of use and make the telesurgical performance of vesicourethral anastomosis similar to open surgery, without the disadvantages of the latter.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Italie</li></country></list><tree><noCountry><name sortKey="Lazzaretti, Sara Simona" sort="Lazzaretti, Sara Simona" uniqKey="Lazzaretti S" first="Sara Simona" last="Lazzaretti">Sara Simona Lazzaretti</name></noCountry><country name="Italie"><noRegion><name sortKey="Gidaro, Stefano" sort="Gidaro, Stefano" uniqKey="Gidaro S" first="Stefano" last="Gidaro">Stefano Gidaro</name></noRegion><name sortKey="Altobelli, Emanuela" sort="Altobelli, Emanuela" uniqKey="Altobelli E" first="Emanuela" last="Altobelli">Emanuela Altobelli</name><name sortKey="Bove, Alfredo Maria" sort="Bove, Alfredo Maria" uniqKey="Bove A" first="Alfredo Maria" last="Bove">Alfredo Maria Bove</name><name sortKey="Falavolti, Cristina" sort="Falavolti, Cristina" uniqKey="Falavolti C" first="Cristina" last="Falavolti">Cristina Falavolti</name><name sortKey="Maurizio, Buscarini" sort="Maurizio, Buscarini" uniqKey="Maurizio B" first="Buscarini" last="Maurizio">Buscarini Maurizio</name><name sortKey="Ravasio, Giuliano" sort="Ravasio, Giuliano" uniqKey="Ravasio G" first="Giuliano" last="Ravasio">Giuliano Ravasio</name><name sortKey="Ruiz, Emilio Morales" sort="Ruiz, Emilio Morales" uniqKey="Ruiz E" first="Emilio Morales" last="Ruiz">Emilio Morales Ruiz</name></country><country name="Allemagne"><noRegion><name sortKey="Stark, Michael" sort="Stark, Michael" uniqKey="Stark M" first="Michael" last="Stark">Michael Stark</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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