title: First clinical experience in urologic surgery with a novel robotic lightweight laparoscope holder.
abstract: OBJECTIVE
  To report the feasibility and the safety of a surgeon-controlled robotic endoscope holder in laparoscopic surgery.
  
  
  METHODS
  From March 2010 to September 2010, 20 patients were enrolled prospectively to undergo a laparoscopic procedure using an innovative robotic endoscope holder. Two surgeons performed six adrenalectomies, four sacrocolpopexies, five pyeloplasties, four radical prostatectomies, and one radical nephrectomy. Demographic data, overall setup time, operative time, number of assistants needed were reviewed. Surgeon satisfaction regarding the ergonomics was assessed using a 10-point scale. Postoperative clinical outcomes were reviewed at day 1 and 1 month postoperatively.
  
  
  RESULTS
  The per-protocol analysis was performed on 17 patients for whom the robot was effectively used for surgery. Median age was 63 years; 10 (59%) patients were female. Median body mass index was 26.8. Surgical procedures were completed with the robot in 12 (71%) cases. Median number of surgical assistant was 0. Overall setup time with the robot was 19 minutes; operative time was 130 minutes during which the robot was used 71% of the time. Mean hospital stay was 6.94 ± 2.3 days. Median score regarding the easiness of use was 7. Median pain level was 1.5/10 at day 1 and 0 at 1 month postoperatively. Open conversion was needed in one (6%) case, and four minor complications occurred in two (12%) patients.
  
  
  CONCLUSIONS
  This use of this novel robotic laparoscope holder is safe, feasible, and provides good comfort to the surgeon.
authors: Urology Department, Grenoble University Hospital, Grenoble, France. JALong@chu-grenoble.fr
authors: Jean-Alexandre
authors: JA
authors: Long
authors: Jacques
authors: J
authors: Tostain
authors: Cecilia
authors: C
authors: Lanchon
authors: Sandrine
authors: S
authors: Voros
authors: Maud
authors: M
authors: Medici
authors: Jean-Luc
authors: JL
authors: Descotes
authors: Jocelyne
authors: J
authors: Troccaz
authors: Philippe
authors: P
authors: Cinquin
authors: Jean-Jacques
authors: JJ
authors: Rambeaud
authors: Alexandre
authors: A
authors: Moreau-Gaudry
mesh_terms: D000315:Adrenalectomy / Q000295:instrumentation; D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000295:instrumentation; D011468:Prostatectomy / Q000295:instrumentation; D012189:Retrospective Studies; D012371:Robotics / Q000295:instrumentation*; D013520:Urologic Surgical Procedures / Q000379:methods*