Robotic sleeve gastrectomy for morbid obesity

Objective: To determine the weight loss, and complications as well as to exemplify the use of vessel sealer and the triple stapler establish the safety and efficacy of vessel sealer for robotic surgery and triple stapler in robotic sleeve gastrectomy

Study Design: Observational case series

Place and Duration of Study: Private Koru Hospital, Ankara, Turkey, from December 2015 till January 2016

Methodology: Twenty robotic sleeve gastrectomy was performed. Demographics, body mass index, comorbidities, docking time, surgical time, leaks, bleeding, stapler number, strictures, mortality, conversion, weight loss, and hospital length of stay were included for data collection

Results: The mean age and body mass index were 40.73 +/- 11.2 years and 44.75 +/- 8.38 Kg/m[2], respectively. Postoperative trocar site [assistance port] bleeding occurred in one patient. There were no conversions, stricture, leakage or mortality. The mean number of staplers used was 6.27 +/- 0.46 and excess body weight loss [EWL%] at three months was 24.91 +/- 2.84 kg

Conclusion: Robotic surgery for obesity surgery was safe during our initial experience and use of vessel sealer and triple stapler was effective, safe and facilitates procedure in obese patients

New maneuver in robotic single-port cholecystectomy

The need to integrate aspects of functional, psychosocial and cosmetic impairment into medical care is increasingly accepted among the physicians and the patients. For these reasons, single-port robotic surgery emerges as the most advanced approach using the technology. In this study, authors used a new robotic dissector with monopolar electrocautery feature in order to determine the device's safety and efficacy. Between January 2015 and February 2016, 10 out of 11 consecutive cholecystectomies were included in the study. There was no significant differences in port placement and docking time between two groups [p=0.382, p=0.789]. The time spent by surgeon was significantly shorter in group 2 [p=0.005]. Using robotic dissector with monopolar cautery significantly shortened the console time. This new instrument [Maryland monopolar dissector] provides more feasible and faster dissection of the Calot's triangle, supporting further the advantages of robotic single-site cholecystectomy

Primary leiomyosarcoma of the thyroid / 대한외과학회지

A 56-year-old male with primary leiomyosarcoma of the thyroid is presented. The paucity of diagnostic maneuvers, including tumor markers, fine needle aspiration, and frozen section biopsy, are stressed, in addition to the fulminate course of the disease.