9 years experience of robot-assisted surgery in Nuoro (Sardinia).
EAES Academy. Esposito G. 07/05/22; 363114; P159
Dr. Giuseppe Esposito
Contributions
Contributions
Abstract
Da Vinci surgical system has been introduced in General Surgery Unit Operation Theater since 2013.
Its utilization has grown up progressively up to nowadays, giving a strong contribute for gastrointestinal (GI) cancers treatment but also for GI's benign and funtional diseases.
Most of these interventions have been carried out for rettocolic cancer. Gastric cancer is gaining in importance of indication for robotic resection. The Abdominal wall repair, either for complex, post-incisional or recurrent hernia, could be a future area of interest for robotic surgery and also be used for residents and fellows education. Hepatobiliary and pancreatic surgery had a limited indication and utilization in our unit.
Since 2013 to 2021: 324 interventions have been realized as following.
Colorectal resecions: 102 right hemicolectomies, 6 left hemicolectomies, 39 Miles resections, 83 anterior rectal resections (68 with ileostomy)
Gastric resections: 33 subtotal gastrectomies, 4 atypical gastroresections for GIST, 3 total gastrectomies.
Abdominal wall repair: 12 groin hernia repair, 1 groin + ombelical hernia repair. 1 bilateral groin hernia + Spiegel hernia repair, 4 Rives repair, 2 IPOM plus repair, 3 abdominall wall repair for disaster post-incisional hernia.
For what concerns liver surgery: 1 liver resection for benign disease and 1 for cancer, 4 metastasectomies were executed.1 pancreaticoduodenectomy in 2014 have been esecuted. 2 duodenal resections were also performed.
Biliary tract pathologies had a small experimental indication: 1 colecistectomy and linfoadenectomiy with partial resection for cholecistic cancer, 1 robot-assisted cholecistectomy due to its complex anatomy.
2 splenectomies for hematological malignancies were executed.
Complex diaphragm repair for functional diseases: 1 median arcuate ligament resection for Dunbar syndrome, 1 diaphragmatic plastic plus Toupet gastroplasty could be included in this category.
Oesophageal robotic surgery has been rarely performed: 2 cases for benign functional disease were treated.
2 lung resections were also performed.
1 staging procedure has been made for pancreatic cancer (carcinosis was found intraoperatively)
Combined interventions for complex oncological resectionsis is a relevant application of robotic surgery. 7 of them were executed: with gynecologists (hemicolectomy+ oophorectomy for rectal cancer) with both urologists and gynecologists (for infiltrating rectal cancer), with urologist (for infiltrating rectal cancer).
Last but not least, the robotic surgery is used in this centre also for metastatic disease and for contemporary pathologies: colic cancer with liver metastasis (3cases), 1 colic cancer + colecistectomy reported.
Its utilization has grown up progressively up to nowadays, giving a strong contribute for gastrointestinal (GI) cancers treatment but also for GI's benign and funtional diseases.
Most of these interventions have been carried out for rettocolic cancer. Gastric cancer is gaining in importance of indication for robotic resection. The Abdominal wall repair, either for complex, post-incisional or recurrent hernia, could be a future area of interest for robotic surgery and also be used for residents and fellows education. Hepatobiliary and pancreatic surgery had a limited indication and utilization in our unit.
Since 2013 to 2021: 324 interventions have been realized as following.
Colorectal resecions: 102 right hemicolectomies, 6 left hemicolectomies, 39 Miles resections, 83 anterior rectal resections (68 with ileostomy)
Gastric resections: 33 subtotal gastrectomies, 4 atypical gastroresections for GIST, 3 total gastrectomies.
Abdominal wall repair: 12 groin hernia repair, 1 groin + ombelical hernia repair. 1 bilateral groin hernia + Spiegel hernia repair, 4 Rives repair, 2 IPOM plus repair, 3 abdominall wall repair for disaster post-incisional hernia.
For what concerns liver surgery: 1 liver resection for benign disease and 1 for cancer, 4 metastasectomies were executed.1 pancreaticoduodenectomy in 2014 have been esecuted. 2 duodenal resections were also performed.
Biliary tract pathologies had a small experimental indication: 1 colecistectomy and linfoadenectomiy with partial resection for cholecistic cancer, 1 robot-assisted cholecistectomy due to its complex anatomy.
2 splenectomies for hematological malignancies were executed.
Complex diaphragm repair for functional diseases: 1 median arcuate ligament resection for Dunbar syndrome, 1 diaphragmatic plastic plus Toupet gastroplasty could be included in this category.
Oesophageal robotic surgery has been rarely performed: 2 cases for benign functional disease were treated.
2 lung resections were also performed.
1 staging procedure has been made for pancreatic cancer (carcinosis was found intraoperatively)
Combined interventions for complex oncological resectionsis is a relevant application of robotic surgery. 7 of them were executed: with gynecologists (hemicolectomy+ oophorectomy for rectal cancer) with both urologists and gynecologists (for infiltrating rectal cancer), with urologist (for infiltrating rectal cancer).
Last but not least, the robotic surgery is used in this centre also for metastatic disease and for contemporary pathologies: colic cancer with liver metastasis (3cases), 1 colic cancer + colecistectomy reported.
Da Vinci surgical system has been introduced in General Surgery Unit Operation Theater since 2013.
Its utilization has grown up progressively up to nowadays, giving a strong contribute for gastrointestinal (GI) cancers treatment but also for GI's benign and funtional diseases.
Most of these interventions have been carried out for rettocolic cancer. Gastric cancer is gaining in importance of indication for robotic resection. The Abdominal wall repair, either for complex, post-incisional or recurrent hernia, could be a future area of interest for robotic surgery and also be used for residents and fellows education. Hepatobiliary and pancreatic surgery had a limited indication and utilization in our unit.
Since 2013 to 2021: 324 interventions have been realized as following.
Colorectal resecions: 102 right hemicolectomies, 6 left hemicolectomies, 39 Miles resections, 83 anterior rectal resections (68 with ileostomy)
Gastric resections: 33 subtotal gastrectomies, 4 atypical gastroresections for GIST, 3 total gastrectomies.
Abdominal wall repair: 12 groin hernia repair, 1 groin + ombelical hernia repair. 1 bilateral groin hernia + Spiegel hernia repair, 4 Rives repair, 2 IPOM plus repair, 3 abdominall wall repair for disaster post-incisional hernia.
For what concerns liver surgery: 1 liver resection for benign disease and 1 for cancer, 4 metastasectomies were executed.1 pancreaticoduodenectomy in 2014 have been esecuted. 2 duodenal resections were also performed.
Biliary tract pathologies had a small experimental indication: 1 colecistectomy and linfoadenectomiy with partial resection for cholecistic cancer, 1 robot-assisted cholecistectomy due to its complex anatomy.
2 splenectomies for hematological malignancies were executed.
Complex diaphragm repair for functional diseases: 1 median arcuate ligament resection for Dunbar syndrome, 1 diaphragmatic plastic plus Toupet gastroplasty could be included in this category.
Oesophageal robotic surgery has been rarely performed: 2 cases for benign functional disease were treated.
2 lung resections were also performed.
1 staging procedure has been made for pancreatic cancer (carcinosis was found intraoperatively)
Combined interventions for complex oncological resectionsis is a relevant application of robotic surgery. 7 of them were executed: with gynecologists (hemicolectomy+ oophorectomy for rectal cancer) with both urologists and gynecologists (for infiltrating rectal cancer), with urologist (for infiltrating rectal cancer).
Last but not least, the robotic surgery is used in this centre also for metastatic disease and for contemporary pathologies: colic cancer with liver metastasis (3cases), 1 colic cancer + colecistectomy reported.
Its utilization has grown up progressively up to nowadays, giving a strong contribute for gastrointestinal (GI) cancers treatment but also for GI's benign and funtional diseases.
Most of these interventions have been carried out for rettocolic cancer. Gastric cancer is gaining in importance of indication for robotic resection. The Abdominal wall repair, either for complex, post-incisional or recurrent hernia, could be a future area of interest for robotic surgery and also be used for residents and fellows education. Hepatobiliary and pancreatic surgery had a limited indication and utilization in our unit.
Since 2013 to 2021: 324 interventions have been realized as following.
Colorectal resecions: 102 right hemicolectomies, 6 left hemicolectomies, 39 Miles resections, 83 anterior rectal resections (68 with ileostomy)
Gastric resections: 33 subtotal gastrectomies, 4 atypical gastroresections for GIST, 3 total gastrectomies.
Abdominal wall repair: 12 groin hernia repair, 1 groin + ombelical hernia repair. 1 bilateral groin hernia + Spiegel hernia repair, 4 Rives repair, 2 IPOM plus repair, 3 abdominall wall repair for disaster post-incisional hernia.
For what concerns liver surgery: 1 liver resection for benign disease and 1 for cancer, 4 metastasectomies were executed.1 pancreaticoduodenectomy in 2014 have been esecuted. 2 duodenal resections were also performed.
Biliary tract pathologies had a small experimental indication: 1 colecistectomy and linfoadenectomiy with partial resection for cholecistic cancer, 1 robot-assisted cholecistectomy due to its complex anatomy.
2 splenectomies for hematological malignancies were executed.
Complex diaphragm repair for functional diseases: 1 median arcuate ligament resection for Dunbar syndrome, 1 diaphragmatic plastic plus Toupet gastroplasty could be included in this category.
Oesophageal robotic surgery has been rarely performed: 2 cases for benign functional disease were treated.
2 lung resections were also performed.
1 staging procedure has been made for pancreatic cancer (carcinosis was found intraoperatively)
Combined interventions for complex oncological resectionsis is a relevant application of robotic surgery. 7 of them were executed: with gynecologists (hemicolectomy+ oophorectomy for rectal cancer) with both urologists and gynecologists (for infiltrating rectal cancer), with urologist (for infiltrating rectal cancer).
Last but not least, the robotic surgery is used in this centre also for metastatic disease and for contemporary pathologies: colic cancer with liver metastasis (3cases), 1 colic cancer + colecistectomy reported.
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