Minimally Invasive Techniques in Surgery

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (20 December 2021) | Viewed by 3254

Special Issue Editors


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Guest Editor
Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy
Interests: urologic oncology; laser therapy; minimally invasive surgery; translational research in urology; functional urology
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy
Interests: urologic oncology; minimally invasive surgery; laser therapy; translational research in urology; functional urology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Since its introduction into clinical practice, minimally invasive surgery (laparoscopy and robotics) has achieved increasing success, such that a robotic approach is currently used in over 50% of patients undergoing surgery for urological disease and is also very useful and effective in abdominal and gynecological surgery. The success of robot-assisted surgery is due to its specific advantages, such as magnification of the operative field due to three-dimensional vision, greater accuracy of the instruments with seven degrees of motion, primary surgeon camera control, and tremor filtration. These features permit the reproduction of the same surgical step of open surgery with the benefits of a minimally invasive technique, overcoming the limitations of laparoscopy. For these reasons, robot-assisted surgery has become the gold standard approach for the treatment of many urological diseases, and it is also being increasingly applied in other surgical specialties. In particular, robotic techniques have so far achieved the greatest results when applied in the treatment of prostate cancer, ensuring exciting results in terms of peri-operative, oncological, and functional outcomes. A robotic approach has also been demonstrated to be useful when used for radical cystectomy and partial nephrectomy. Similarly, the accuracy of robotic suture can improve the functional outcome of pyeloplasty with respect to laparoscopy. Although the laparoscopic approach is the standard procedure for adrenalectomy, many trials have shown exciting results when adrenalectomy was performed using a robotic technique. Due to its increasing and widespread use, indications for the application of a robotic and laparoscopic approach have been further extended to treatment of pancreatic, gastric, and colon tumors, complicated diverticular disease, retroperitoneal lymph nodes, renal transplantation, as well as in combined surgery. Therefore, the following topics will be covered in this Special Issue:

  • Evolution of minimally invasive surgery in urology, gynecology, general surgery, and other surgical specialties;
  • Innovative minimally invasive techniques;
  • New applications of robotic approach in surgery;
  • Combined robotic surgery

Prof. Dr. Ettore Mearini
Dr. Giovanni Cochetti
Guest Editors

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Keywords

  • laparoscopy;
  • robotic assisted surgery;
  • minimally invasive techniques;
  • innovative surgical techniques;
  • urological disease;
  • oncological surgery;
  • gynecological disease;
  • perioperative outcome;
  • oncological outcome;
  • functional outcome

Published Papers (1 paper)

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Research

10 pages, 630 KiB  
Article
New Evolution of Robotic Radical Prostatectomy: A Single Center Experience with PERUSIA Technique
by Giovanni Cochetti, Michele Del Zingaro, Sara Ciarletti, Alessio Paladini, Graziano Felici, Davide Stivalini, Valerio Cellini and Ettore Mearini
Appl. Sci. 2021, 11(4), 1513; https://doi.org/10.3390/app11041513 - 8 Feb 2021
Cited by 19 | Viewed by 2955
Abstract
Radical prostatectomy (RP) is the standard surgical treatment of organ-confined prostate cancer in patients with a life expectancy of at least 10 years. In a recent prospective study, we described the PERUSIA (Posterior, Extraperitoneal, Robotic, Under Santorini, Intrafascial, Anterograde) technique, which is an [...] Read more.
Radical prostatectomy (RP) is the standard surgical treatment of organ-confined prostate cancer in patients with a life expectancy of at least 10 years. In a recent prospective study, we described the PERUSIA (Posterior, Extraperitoneal, Robotic, Under Santorini, Intrafascial, Anterograde) technique, which is an extraperitoneal full nerve sparing robotic RP, showing its feasibility and safety. The aim of this retrospective study was to evaluate the peri-operative, oncologic, and functional outcomes of the PERUSIA technique. We retrospectively analyzed the data of 454 robotic-assisted radical prostatectomies (RARP) performed using the PERUSIA technique from January 2012 to October 2019. We evaluated perioperative outcomes (operative time, estimated blood loss, catheterization time, complication rate, length of stay), oncological (positive surgical margins and biochemical recurrence), and functional outcomes in terms of urinary continence and sexual potency. The overall complication rate was 16%, positive surgical margins were 8.1%, and biochemical recurrence occurred in 8.6% at median follow-up of 47 months. Urinary continence was achieved in 69% of cases the day after the removal of the catheter, in 92% at 3 months, and in 97% at 12 months after surgery. The average rate of sexual potency was 72% and 82% respectively 3 and 12 months after surgery. Our findings show that the PERUSIA technique is a safe extraperitoneal approach to perform a full nerve sparing technique providing exciting functional outcomes. Full article
(This article belongs to the Special Issue Minimally Invasive Techniques in Surgery)
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