Buscar en
Actas Urológicas Españolas (English Edition)
Toda la web
Inicio Actas Urológicas Españolas (English Edition) Initial experience with the new da Vinci single-port robot-assisted platform
Journal Information
Vol. 41. Issue 5.
Pages 333-337 (June 2017)
Share
Share
Download PDF
More article options
ePub
Visits
3
Vol. 41. Issue 5.
Pages 333-337 (June 2017)
New Techiques and Technologies
DOI: 10.1016/j.acuroe.2017.04.006
Initial experience with the new da Vinci single-port robot-assisted platform
Experiencia inicial con la nueva plataforma de puerto único da Vinci robótico
Visits
...
R. Ballestero Diego
Corresponding author
rbdballestero@yahoo.es

Corresponding author.
, S. Zubillaga Guerrero, D. Truan Cacho, C. Carrion Ballardo, G. Velilla Diez, P. Calleja Hermosa, J.L. Gutierrez Banos
Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (2)
Table 1. Demographic variables.
Table 2. Perioperative surgical variables.
Show moreShow less
Abstract
Objective

To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform.

Material and methods

We performed 5 single-port robot-assisted surgeries (R-LESS) between May and October 2014. We performed 3 ureteral reimplant surgeries, one ureteropyeloplasty in an inverted kidney and 1 partial nephrectomy. The perioperative and postoperative results were collected, as well as a report of the complications according to the Clavien classification system.

Results

Of the 5 procedures, 4 were performed completely by LESS, while 1 procedure was reconverted to multiport robot-assisted surgery. There were no intraoperative complications. We observed perioperative complications in 4 patients, all of which were grade 1 or 2. The mean surgical time was 262min (range, 230–300).

Discussion

In our initial experience with the da Vinci device, R-LESS surgery was feasible and safe. There are still a number of limitations in its use, which require new and improved R-LESS platforms.

Keywords:
Robot-assisted
Single-port
Surgery
Resumen
Objetivo

Describir nuestra experiencia en los primeros casos de cirugías urológicas realizadas mediante el puerto único robótico da Vinci.

Material y métodos

Se realizaron 5 cirugías robóticas por puerto único (R-LESS) entre mayo y octubre de 2014. Se realizaron 3 reimplantes ureterales, una ureteropieloplastia en un riñón invertido y una nefrectomía parcial. Se recogieron los resultados peri- y postoperatorios así como un informe de las complicaciones según la clasificación de Clavien.

Resultados

De los 5 procedimientos, 4 se realizaron completamente por LESS, mientras que uno se reconvirtió a cirugía robótica multipuerto. No hubo complicaciones intraoperatorias. Se observaron complicaciones perioperatorias en 4 pacientes, siendo todas de grado 1 o 2. El tiempo operatorio medio fue de 262min (rango 230-300).

Discusión

En nuestra experiencia inicial con el dispositivo da Vinci, la cirugía R-LESS es factible y segura. Persisten algunas limitaciones en su uso, que requieren de nuevas plataformas R-LESS mejoradas.

Palabras clave:
Robótica
Puerto único
Cirugía

Article

These are the options to access the full texts of the publication Actas Urológicas Españolas (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Actas Urológicas Españolas (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos