The international journal of medical robotics + computer assisted surgery : MRCAS
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Comparative Study
Robotic pancreaticoduodenectomy: comparison of complications and cost to the open approach.
Robotic pancreaticoduodenectomy (RP) has shown some advantages over open pancreaticoduodenectomy (OP) but no data has been published providing a cost comparison. ⋯ Patients undergoing RP have equivalent rates of R0 resection as OP, and benefit from decreased number of complications, surgical site infections, and length of stay in the intensive care unit. Once cost of complications and follow-up are incorporated, no significant difference between procedures exists. Copyright © 2015 John Wiley & Sons, Ltd.
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The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear. ⋯ Robotics was successfully incorporated without jeopardizing patient outcomes and increased the overall use of minimally invasive approaches.
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Chest compression is the primary technique in emergency situations for resuscitating patients who have a cardiac arrest. Even for experienced personnel, it is difficult to perform chest compressions at the correct compression rate and depth. ⋯ The design of the manipulator makes it easy to deploy for performing chest compressions at the correct compression rate and depth, as outlined in the 2010 resuscitation guidelines.
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To reduce the radiation exposure of patients and physicians during needle-based procedures, robotic needle insertion systems have been widely developed. However, during robotic needle insertion, the respiratory motion of the patient can cause serious injury. ⋯ The proposed control scheme allows the robot to compensate for the respiratory motion to ensure patient safety during a needle-based procedure.
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The effects of total intravenous anaesthesia (TIVA) on cerebral oxygenation in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALP) have not been investigated. We examined the changes in jugular venous oxygen saturation (SjvO2 ) and regional cerebral tissue oxygen saturation (rSO2 ) during RALP under TIVA. Whether rSO2 could reflect SjvO2 was also examined. ⋯ These findings suggested that TIVA could be safely used for RALP. It was also demonstrated that rSO2 did not accurately reflect SjvO2 during RALP. Copyright © 2014 John Wiley & Sons, Ltd.