Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system.
We performed a variety of complete total endoscopic general surgical procedures, including colon resection, distal gastrectomy, and splenectomy, successfully with the assistance of the da Vinci computer-enhanced surgical system. The robotic system allowed us to manipulate the endoscopic instruments as effectively as during open surgery. It enhanced visualization of both the operative field and precision of the necessary techniques, as well as being less stressful for the endoscopic operating team. This technological innovation can therefore help surgeons overcome many of the difficulties associated with the endoscopic approach and thus has the potential to enable more precise, safer, and more minimally invasive surgery in the future.
Hashizume
M
M
Department of Disaster and Emergency Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. mhashi@dem.med.kyushu-u.ac.jp
Shimada
M
M
Tomikawa
M
M
Ikeda
Y
Y
Takahashi
I
I
Abe
R
R
Koga
F
F
Gotoh
N
N
Konishi
K
K
Maehara
S
S
Sugimachi
K
K
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D002763:Cholecystectomy / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000379:methods; D005767:Gastrointestinal Diseases / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D007902:Length of Stay; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery; D008875:Middle Aged; D010348:Patient Care Team; D012371:Robotics; D013156:Splenectomy / Q000379:methods; D025321:Surgery, Computer-Assisted; D013536:Suture Techniques; D013906:Thoracoscopy / Q000379:methods