Robotic-assisted vasovasostomy : A two-layer technique in an animal model
Identifieur interne : 000E92 ( PascalFrancis/Corpus ); précédent : 000E91; suivant : 000E93Robotic-assisted vasovasostomy : A two-layer technique in an animal model
Auteurs : Wayne Kuang ; Paul R. Shin ; Mehmet Oder ; Anthony J. Jr ThomasSource :
- Urology : (Ridgewood, NJ) [ 0090-4295 ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Objectives. To assess the feasibility of a multilayered robotic-assisted vasovasostomy (RAW) in a rabbit model. Microscope-assisted vasovasostomy (MAW) is a technically challenging procedure. Robotics may be a surgical adjunct that helps overcome the microsurgical challenges, which include fine suture, delicate instruments, and tremor. A recent survey revealed that most urologists use a multilayered technique for vasovasostomies. Methods. A surgeon performed eight vasovasostomies with 10-0 suture and a two-layer technique using an in vivo rabbit model-four were MAW using conventional microsurgical instrumentation and four were RAW using the da Vinci robot. Performance measures and adverse haptic events were recorded. Patency was evaluated by passing a 2-0 Prolene suture through the anastomoses. Results. The mean operating time for the total procedure and for the mucosal layer only was longer for RAW than for MAW (75 versus 42 minutes, P = 0.03 and 38 versus 23 minutes, P = 0.03, respectively). The needle passes required for the mucosal layer and the number of mucosal and muscularis sutures were similar in both groups (9.5 versus 8.8 passes, P = 0.34; 4 versus 4, P >0.99; and 7 versus 6.3, P = 0.2, respectively). Unlike MAW, no tremor was appreciated during RAW. No adverse haptic events were observed in either group. All anastomoses were patent, and all rabbits were free of any crush injury. Conclusions. A multilayered RAW can be performed in an in vivo rabbit model. Although it was associated with increased operative times, the absence of adverse haptic events and comparable patency rates continue to suggest a role for robotics in microsurgery.
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Format Inist (serveur)
| NO : | PASCAL 05-0212286 INIST |
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| ET : | Robotic-assisted vasovasostomy : A two-layer technique in an animal model |
| AU : | KUANG (Wayne); SHIN (Paul R.); ODER (Mehmet); THOMAS (Anthony J. JR) |
| AF : | Department of Urology, The Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis; George Washington University Hospital/Washington, DC/Etats-Unis; Department of Urology, SSK Vakif Gureba Research Hospital/Istanbul/Turquie |
| DT : | Publication en série; Niveau analytique |
| SO : | Urology : (Ridgewood, NJ); ISSN 0090-4295; Coden URGYAZ; Etats-Unis; Da. 2005; Vol. 65; No. 4; Pp. 811-814; Bibl. 12 ref. |
| LA : | Anglais |
| EA : | Objectives. To assess the feasibility of a multilayered robotic-assisted vasovasostomy (RAW) in a rabbit model. Microscope-assisted vasovasostomy (MAW) is a technically challenging procedure. Robotics may be a surgical adjunct that helps overcome the microsurgical challenges, which include fine suture, delicate instruments, and tremor. A recent survey revealed that most urologists use a multilayered technique for vasovasostomies. Methods. A surgeon performed eight vasovasostomies with 10-0 suture and a two-layer technique using an in vivo rabbit model-four were MAW using conventional microsurgical instrumentation and four were RAW using the da Vinci robot. Performance measures and adverse haptic events were recorded. Patency was evaluated by passing a 2-0 Prolene suture through the anastomoses. Results. The mean operating time for the total procedure and for the mucosal layer only was longer for RAW than for MAW (75 versus 42 minutes, P = 0.03 and 38 versus 23 minutes, P = 0.03, respectively). The needle passes required for the mucosal layer and the number of mucosal and muscularis sutures were similar in both groups (9.5 versus 8.8 passes, P = 0.34; 4 versus 4, P >0.99; and 7 versus 6.3, P = 0.2, respectively). Unlike MAW, no tremor was appreciated during RAW. No adverse haptic events were observed in either group. All anastomoses were patent, and all rabbits were free of any crush injury. Conclusions. A multilayered RAW can be performed in an in vivo rabbit model. Although it was associated with increased operative times, the absence of adverse haptic events and comparable patency rates continue to suggest a role for robotics in microsurgery. |
| CC : | 002B14 |
| FD : | Robotique; Vasovasostomie; Couche; Technique; Modèle animal; Urologie; Néphrologie |
| ED : | Robotics; Vasovasostomy; Layer; Technique; Animal model; Urology; Nephrology |
| SD : | Robótica; Vasovasostomía; Capa; Técnica; Modelo animal; Urología; Nefrología |
| LO : | INIST-15471.354000129512410370 |
| ID : | 05-0212286 |
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Pascal:05-0212286Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Robotic-assisted vasovasostomy : A two-layer technique in an animal model</title><author><name sortKey="Kuang, Wayne" sort="Kuang, Wayne" uniqKey="Kuang W" first="Wayne" last="Kuang">Wayne Kuang</name><affiliation><inist:fA14 i1="01"><s1>Department of Urology, The Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3></inist:fA14></affiliation><affiliation><inist:fA14 i1="02"><s1>George Washington University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Department of Urology, SSK Vakif Gureba Research Hospital</s1><s2>Istanbul</s2><s3>TUR</s3></inist:fA14></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="Oder, Mehmet" sort="Oder, Mehmet" uniqKey="Oder M" first="Mehmet" last="Oder">Mehmet Oder</name></author><author><name sortKey="Thomas, Anthony J Jr" sort="Thomas, Anthony J Jr" uniqKey="Thomas A" first="Anthony J. Jr" last="Thomas">Anthony J. Jr Thomas</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">05-0212286</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 05-0212286 INIST</idno><idno type="RBID">Pascal:05-0212286</idno><idno type="wicri:Area/PascalFrancis/Corpus">000E92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Robotic-assisted vasovasostomy : A two-layer technique in an animal model</title><author><name sortKey="Kuang, Wayne" sort="Kuang, Wayne" uniqKey="Kuang W" first="Wayne" last="Kuang">Wayne Kuang</name><affiliation><inist:fA14 i1="01"><s1>Department of Urology, The Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3></inist:fA14></affiliation><affiliation><inist:fA14 i1="02"><s1>George Washington University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Department of Urology, SSK Vakif Gureba Research Hospital</s1><s2>Istanbul</s2><s3>TUR</s3></inist:fA14></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="Oder, Mehmet" sort="Oder, Mehmet" uniqKey="Oder M" first="Mehmet" last="Oder">Mehmet Oder</name></author><author><name sortKey="Thomas, Anthony J Jr" sort="Thomas, Anthony J Jr" uniqKey="Thomas A" first="Anthony J. Jr" last="Thomas">Anthony J. Jr Thomas</name></author></analytic><series><title level="j" type="main">Urology : (Ridgewood, NJ)</title><title level="j" type="abbreviated">Urology : (Ridgewood NJ)</title><idno type="ISSN">0090-4295</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Urology : (Ridgewood, NJ)</title><title level="j" type="abbreviated">Urology : (Ridgewood NJ)</title><idno type="ISSN">0090-4295</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animal model</term><term>Layer</term><term>Nephrology</term><term>Robotics</term><term>Technique</term><term>Urology</term><term>Vasovasostomy</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Robotique</term><term>Vasovasostomie</term><term>Couche</term><term>Technique</term><term>Modèle animal</term><term>Urologie</term><term>Néphrologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives. To assess the feasibility of a multilayered robotic-assisted vasovasostomy (RAW) in a rabbit model. Microscope-assisted vasovasostomy (MAW) is a technically challenging procedure. Robotics may be a surgical adjunct that helps overcome the microsurgical challenges, which include fine suture, delicate instruments, and tremor. A recent survey revealed that most urologists use a multilayered technique for vasovasostomies. Methods. A surgeon performed eight vasovasostomies with 10-0 suture and a two-layer technique using an in vivo rabbit model-four were MAW using conventional microsurgical instrumentation and four were RAW using the da Vinci robot. Performance measures and adverse haptic events were recorded. Patency was evaluated by passing a 2-0 Prolene suture through the anastomoses. Results. The mean operating time for the total procedure and for the mucosal layer only was longer for RAW than for MAW (75 versus 42 minutes, P = 0.03 and 38 versus 23 minutes, P = 0.03, respectively). The needle passes required for the mucosal layer and the number of mucosal and muscularis sutures were similar in both groups (9.5 versus 8.8 passes, P = 0.34; 4 versus 4, P >0.99; and 7 versus 6.3, P = 0.2, respectively). Unlike MAW, no tremor was appreciated during RAW. No adverse haptic events were observed in either group. All anastomoses were patent, and all rabbits were free of any crush injury. Conclusions. A multilayered RAW can be performed in an in vivo rabbit model. Although it was associated with increased operative times, the absence of adverse haptic events and comparable patency rates continue to suggest a role for robotics in microsurgery.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0090-4295</s0></fA01><fA02 i1="01"><s0>URGYAZ</s0></fA02><fA03 i2="1"><s0>Urology : (Ridgewood NJ)</s0></fA03><fA05><s2>65</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Robotic-assisted vasovasostomy : A two-layer technique in an animal model</s1></fA08><fA11 i1="01" i2="1"><s1>KUANG (Wayne)</s1></fA11><fA11 i1="02" i2="1"><s1>SHIN (Paul R.)</s1></fA11><fA11 i1="03" i2="1"><s1>ODER (Mehmet)</s1></fA11><fA11 i1="04" i2="1"><s1>THOMAS (Anthony J. JR)</s1></fA11><fA14 i1="01"><s1>Department of Urology, The Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3></fA14><fA14 i1="02"><s1>George Washington University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3></fA14><fA14 i1="03"><s1>Department of Urology, SSK Vakif Gureba Research Hospital</s1><s2>Istanbul</s2><s3>TUR</s3></fA14><fA20><s1>811-814</s1></fA20><fA21><s1>2005</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>15471</s2><s5>354000129512410370</s5></fA43><fA44><s0>0000</s0><s1>© 2005 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>12 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>05-0212286</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Urology : (Ridgewood, NJ)</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Objectives. To assess the feasibility of a multilayered robotic-assisted vasovasostomy (RAW) in a rabbit model. Microscope-assisted vasovasostomy (MAW) is a technically challenging procedure. Robotics may be a surgical adjunct that helps overcome the microsurgical challenges, which include fine suture, delicate instruments, and tremor. A recent survey revealed that most urologists use a multilayered technique for vasovasostomies. Methods. A surgeon performed eight vasovasostomies with 10-0 suture and a two-layer technique using an in vivo rabbit model-four were MAW using conventional microsurgical instrumentation and four were RAW using the da Vinci robot. Performance measures and adverse haptic events were recorded. Patency was evaluated by passing a 2-0 Prolene suture through the anastomoses. Results. The mean operating time for the total procedure and for the mucosal layer only was longer for RAW than for MAW (75 versus 42 minutes, P = 0.03 and 38 versus 23 minutes, P = 0.03, respectively). The needle passes required for the mucosal layer and the number of mucosal and muscularis sutures were similar in both groups (9.5 versus 8.8 passes, P = 0.34; 4 versus 4, P >0.99; and 7 versus 6.3, P = 0.2, respectively). Unlike MAW, no tremor was appreciated during RAW. No adverse haptic events were observed in either group. All anastomoses were patent, and all rabbits were free of any crush injury. Conclusions. A multilayered RAW can be performed in an in vivo rabbit model. Although it was associated with increased operative times, the absence of adverse haptic events and comparable patency rates continue to suggest a role for robotics in microsurgery.</s0></fC01><fC02 i1="01" i2="X"><s0>002B14</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Robotique</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Robotics</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Robótica</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Vasovasostomie</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Vasovasostomy</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Vasovasostomía</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Couche</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Layer</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Capa</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Technique</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Technique</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Técnica</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Modèle animal</s0><s5>08</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Animal model</s0><s5>08</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Modelo animal</s0><s5>08</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Urologie</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Urology</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Urología</s0><s5>09</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Néphrologie</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Nephrology</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Nefrología</s0><s4>CD</s4><s5>96</s5></fC03><fN21><s1>150</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 05-0212286 INIST</NO><ET>Robotic-assisted vasovasostomy : A two-layer technique in an animal model</ET><AU>KUANG (Wayne); SHIN (Paul R.); ODER (Mehmet); THOMAS (Anthony J. JR)</AU><AF>Department of Urology, The Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis; George Washington University Hospital/Washington, DC/Etats-Unis; Department of Urology, SSK Vakif Gureba Research Hospital/Istanbul/Turquie</AF><DT>Publication en série; Niveau analytique</DT><SO>Urology : (Ridgewood, NJ); ISSN 0090-4295; Coden URGYAZ; Etats-Unis; Da. 2005; Vol. 65; No. 4; Pp. 811-814; Bibl. 12 ref.</SO><LA>Anglais</LA><EA>Objectives. To assess the feasibility of a multilayered robotic-assisted vasovasostomy (RAW) in a rabbit model. Microscope-assisted vasovasostomy (MAW) is a technically challenging procedure. Robotics may be a surgical adjunct that helps overcome the microsurgical challenges, which include fine suture, delicate instruments, and tremor. A recent survey revealed that most urologists use a multilayered technique for vasovasostomies. Methods. A surgeon performed eight vasovasostomies with 10-0 suture and a two-layer technique using an in vivo rabbit model-four were MAW using conventional microsurgical instrumentation and four were RAW using the da Vinci robot. Performance measures and adverse haptic events were recorded. Patency was evaluated by passing a 2-0 Prolene suture through the anastomoses. Results. The mean operating time for the total procedure and for the mucosal layer only was longer for RAW than for MAW (75 versus 42 minutes, P = 0.03 and 38 versus 23 minutes, P = 0.03, respectively). The needle passes required for the mucosal layer and the number of mucosal and muscularis sutures were similar in both groups (9.5 versus 8.8 passes, P = 0.34; 4 versus 4, P >0.99; and 7 versus 6.3, P = 0.2, respectively). Unlike MAW, no tremor was appreciated during RAW. No adverse haptic events were observed in either group. All anastomoses were patent, and all rabbits were free of any crush injury. Conclusions. A multilayered RAW can be performed in an in vivo rabbit model. Although it was associated with increased operative times, the absence of adverse haptic events and comparable patency rates continue to suggest a role for robotics in microsurgery.</EA><CC>002B14</CC><FD>Robotique; Vasovasostomie; Couche; Technique; Modèle animal; Urologie; Néphrologie</FD><ED>Robotics; Vasovasostomy; Layer; Technique; Animal model; Urology; Nephrology</ED><SD>Robótica; Vasovasostomía; Capa; Técnica; Modelo animal; Urología; Nefrología</SD><LO>INIST-15471.354000129512410370</LO><ID>05-0212286</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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