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31 Results Found

  • Article
  • Open Access
27 Citations
6,827 Views
24 Pages

Optimization-Based Constrained Trajectory Generation for Robot-Assisted Stitching in Endonasal Surgery

  • Jacinto Colan,
  • Jun Nakanishi,
  • Tadayoshi Aoyama and
  • Yasuhisa Hasegawa

1 February 2021

The reduced workspace in endonasal endoscopic surgery (EES) hinders the execution of complex surgical tasks such as suturing. Typically, surgeons need to manipulate non-dexterous long surgical instruments with an endoscopic view that makes it difficu...

  • Article
  • Open Access
8 Citations
5,233 Views
12 Pages

New Surgical Technique for Robotic Myomectomy: Continuous Locking Suture on Myoma (LSOM) Technique

  • Sa Ra Lee,
  • Eun Sil Lee,
  • Hye Rim Eum,
  • Young-Jae Lee,
  • Shin-Wha Lee,
  • Jeong Yeol Park,
  • Dae-Shik Suh,
  • Dae-Yeon Kim,
  • Sung Hoon Kim and
  • Yong-Man Kim
  • + 1 author

8 February 2021

Robot-assisted laparoscopic myomectomy (RALM) has broadened the indications even in complex myomas. However, the high cost of RALM remains the main disadvantage. Therefore, a surgical technique that can reduce the cost of RALM and still has the advan...

  • Article
  • Open Access
411 Views
15 Pages

Impact of On-Demand Selective Suturing on Renal Function Preservation During Clampless Robotic-Assisted Partial Nephrectomy: Insights from a Large Multicentric Italian Cohort

  • Angelo Porreca,
  • Davide De Marchi,
  • Filippo Marino,
  • Marco Giampaoli,
  • Daniele D’Agostino,
  • Francesca Simonetti,
  • Antonio Amodeo,
  • Paolo Corsi,
  • Francesco Claps and
  • Alessandro Crestani
  • + 4 authors

24 October 2025

Objectives: To evaluate perioperative outcomes, renal function preservation, and short-term oncologic results of off-clamp, sutureless, or selectively sutured robotic-assisted partial nephrectomy (RAPN) in patients with renal tumors treated at multip...

  • Article
  • Open Access
4 Citations
2,330 Views
8 Pages

A Peritoneal Purse-String Suture Prevents Symptomatic Lymphoceles in Retzius-Sparing Robot-Assisted Radical Prostatectomy

  • Niklas Harland,
  • Mohammed Alfarra,
  • Eva Erne,
  • Moritz Maas,
  • Bastian Amend,
  • Jens Bedke and
  • Arnulf Stenzl

19 January 2023

Background: The retzius-sparing approach for robotic-assisted radical prostatectomy (RARP) has been increasingly adopted. Symptomatic lymphoceles are a widespread complication of RARP with pelvic lymph node dissection. Here, we present a new techniqu...

  • Article
  • Open Access
6 Citations
2,716 Views
12 Pages

“Single Knot–Single Running Suture” Vesicourethral Anastomosis with Posterior Musculofascial Reconstruction during Robot-Assisted Radical Prostatectomy: A Step-by-Step Guide of Surgical Technique

  • Rocco Simone Flammia,
  • Eugenio Bologna,
  • Umberto Anceschi,
  • Antonio Tufano,
  • Leslie Claire Licari,
  • Luca Antonelli,
  • Flavia Proietti,
  • Federico Alviani,
  • Michele Gallucci and
  • Giuseppe Simone
  • + 1 author

29 June 2023

Background: Our aim is to describe Gallucci’s (VV-G) technique for vesicourethral anastomosis and posterior musculofascial reconstruction (PMFR) during robot-assisted radical prostatectomy (RARP) and to assess early urinary continence recovery...

  • Article
  • Open Access
23 Citations
6,069 Views
20 Pages

A Force-Feedback Methodology for Teleoperated Suturing Task in Robotic-Assisted Minimally Invasive Surgery

  • Armin Ehrampoosh,
  • Bijan Shirinzadeh,
  • Joshua Pinskier,
  • Julian Smith,
  • Randall Moshinsky and
  • Yongmin Zhong

14 October 2022

With robotic-assisted minimally invasive surgery (RAMIS), patients and surgeons benefit from a reduced incision size and dexterous instruments. However, current robotic surgery platforms lack haptic feedback, which is an essential element of safe ope...

  • Article
  • Open Access
2 Citations
1,252 Views
9 Pages

Evaluation of the New Robotic Platform “HINOTORI™” in Urologic Robot-Assisted Surgery: From a Comparison with da Vinci® Surgical System in Sacrocolpopexy

  • Tetsuya Fukumoto,
  • Takatora Sawada,
  • Keigo Nishida,
  • Tomoya Onishi,
  • Ryuta Watanabe,
  • Kenichi Nishimura,
  • Noriyoshi Miura,
  • Yuki Miyauchi,
  • Tadahiko Kikugawa and
  • Takashi Saika

24 April 2025

Background/Objectives: HINOTORI™ is a robotic-assisted surgical platform developed in Japan. It has been applied in urologic procedures such as robot-assisted radical prostatectomy (RARP) and partial nephrectomy (RAPN). This study aimed to eval...

  • Article
  • Open Access
3 Citations
7,308 Views
17 Pages

5 June 2022

With the continuous development of minimally invasive and precise surgical techniques, laparoscopic myomectomy has become a mainstream surgical method due to its aesthetic outcomes and rapid postoperative recovery. However, during laparoscopic myomec...

  • Review
  • Open Access
2 Citations
1,812 Views
11 Pages

8 February 2025

Renal masses are uncommon during pregnancy; they represent the most frequently encountered urological cancer in pregnant patients and require careful surgical planning. The introduction of robotic surgical systems aims to address these challenges by...

  • Article
  • Open Access
13 Citations
3,824 Views
17 Pages

Studying Brain Activation during Skill Acquisition via Robot-Assisted Surgery Training

  • Kurtulus Izzetoglu,
  • Mehmet Emin Aksoy,
  • Atahan Agrali,
  • Dilek Kitapcioglu,
  • Mete Gungor and
  • Aysun Simsek

Robot-assisted surgery systems are a recent breakthrough in minimally invasive surgeries, offering numerous benefits to both patients and surgeons including, but not limited to, greater visualization of the operation site, greater precision during op...

  • Article
  • Open Access
238 Views
11 Pages

How to Minimize Hyper-Continence After Intracorporeal Robotic Neobladder Configuration in Women? The Three-Layer Posterior Reconstruction During Florence Robotic IntraCorporeal Neobladder (FloRIN)

  • Fabrizio Di Maida,
  • Luca Lambertini,
  • Antonio Andrea Grosso,
  • Vincenzo Salamone,
  • Daniele Paganelli,
  • Laura Di Stefano,
  • Francesca Conte,
  • Filippo Lipparini,
  • Matteo Salvi and
  • Rino Oriti
  • + 2 authors

26 November 2025

Background: Orthotopic neobladder in women presents functional challenges, notably hyper-continence requiring intermittent self-catheterization. Here, we describe a three-layer urethro-ileal anastomosis incorporating a peritoneal flap and evaluate it...

  • Article
  • Open Access
197 Views
14 Pages

Combined Laparoscopic–Robotic Partial Nephrectomy: A Comparative Analysis of Technical Efficiency and Safety

  • Irfan Safak Barlas,
  • Mehmet Yilmaz,
  • Halil Cagri Aybal,
  • Mehmet Duvarci,
  • Selcuk Guven and
  • Lutfi Tunc

8 December 2025

Background/Objectives: We aimed to evaluate the feasibility and safety of a combined approach to partial nephrectomy, which involves laparoscopic dissection for kidney as well as renal hilum mobilization, followed by robotic assistance for tumor rese...

  • Article
  • Open Access
987 Views
20 Pages

Deep Learning Strategies for Semantic Segmentation in Robot-Assisted Radical Prostatectomy

  • Elena Sibilano,
  • Claudia Delprete,
  • Pietro Maria Marvulli,
  • Antonio Brunetti,
  • Francescomaria Marino,
  • Giuseppe Lucarelli,
  • Michele Battaglia and
  • Vitoantonio Bevilacqua

2 October 2025

Robot-assisted radical prostatectomy (RARP) has become the most prevalent treatment for patients with organ-confined prostate cancer. Despite superior outcomes, suboptimal vesicourethral anastomosis (VUA) may lead to serious complications, including...

  • Article
  • Open Access
4 Citations
2,396 Views
24 Pages

On the Control and Validation of the PARA-SILSROB Surgical Parallel Robot

  • Doina Pisla,
  • Calin Popa,
  • Alexandru Pusca,
  • Andra Ciocan,
  • Bogdan Gherman,
  • Emil Mois,
  • Andrei-Daniel Cailean,
  • Calin Vaida,
  • Corina Radu and
  • Damien Chablat
  • + 1 author

5 September 2024

This paper presents the development of the hardware and software architecture of a sixdegrees of freedom (DOF) parallel robot (PARA-SILSROB) by illustrating all the stages undertaken to achieve the experimental model of the robot. Based on the experi...

  • Article
  • Open Access
29 Citations
6,577 Views
13 Pages

Vision-Based Suture Tensile Force Estimation in Robotic Surgery

  • Won-Jo Jung,
  • Kyung-Soo Kwak and
  • Soo-Chul Lim

26 December 2020

Compared to laparoscopy, robotics-assisted minimally invasive surgery has the problem of an absence of force feedback, which is important to prevent a breakage of the suture. To overcome this problem, surgeons infer the suture force from their propri...

  • Systematic Review
  • Open Access
46 Citations
4,783 Views
15 Pages

Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review

  • Savio Domenico Pandolfo,
  • Zhenjie Wu,
  • Riccardo Campi,
  • Riccardo Bertolo,
  • Daniele Amparore,
  • Andrea Mari,
  • Paolo Verze,
  • Celeste Manfredi,
  • Antonio Franco and
  • Francesco Ditonno
  • + 12 authors

6 February 2024

Background: Robot-assisted partial nephrectomy (RAPN) is increasingly being employed in the management of renal cell carcinoma (RCC) and it is expanding in the field of complex renal tumors. The aim of this systematic review was to consolidate and as...

  • Article
  • Open Access
26 Citations
5,141 Views
24 Pages

Endoscopic Image-Based Skill Assessment in Robot-Assisted Minimally Invasive Surgery

  • Gábor Lajkó,
  • Renáta Nagyné Elek and
  • Tamás Haidegger

10 August 2021

Objective skill assessment-based personal performance feedback is a vital part of surgical training. Either kinematic—acquired through surgical robotic systems, mounted sensors on tooltips or wearable sensors—or visual input data can be employed to p...

  • Article
  • Open Access
7 Citations
2,875 Views
10 Pages

Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution

  • Gina Nam,
  • Sa-Ra Lee,
  • A-mi Roh,
  • Ju-Hee Kim,
  • Sungwook Choi,
  • Sung-Hoon Kim and
  • Hee-Dong Chae

28 September 2021

Robot-assisted laparoscopic sacrocolpopexy (RSC) has gained popularity as a method for easier intracorporeal suturing than conventional laparoscopic sacrocolpopexy. However, few studies have compared multiport RSC (MP-RSC) and single-incision RSC (SI...

  • Article
  • Open Access
4 Citations
2,078 Views
16 Pages

Early Learning Curve in Robotic-Assisted Total Knee Arthroplasty: A Single-Center Experience

  • David Putzer,
  • Lennart Schroeder,
  • Georgi Wassilew,
  • Michael Liebensteiner,
  • Michael Nogler and
  • Martin Thaler

28 November 2024

Background/Objectives: This study evaluated the learning curve for robotic-assisted total knee arthroplasty (RA TKA) performed by three experienced surgeons, focusing on procedure duration, surgeon satisfaction, and confidence. Methods: A prospective...

  • Article
  • Open Access
3 Citations
2,015 Views
13 Pages

Monocular 3D Tooltip Tracking in Robotic Surgery—Building a Multi-Stage Pipeline

  • Sanjeev Narasimhan,
  • Mehmet Kerem Turkcan,
  • Mattia Ballo,
  • Sarah Choksi,
  • Filippo Filicori and
  • Zoran Kostic

Tracking the precise movement of surgical tools is essential for enabling automated analysis, providing feedback, and enhancing safety in robotic-assisted surgery. Accurate 3D tracking of surgical tooltips is challenging to implement when using monoc...

  • Systematic Review
  • Open Access
2,946 Views
14 Pages

Incidence and Prevention of Vaginal Cuff Dehiscence After Laparoscopic and Robotic Hysterectomy in Benign Conditions: An Updated Systematic Review and Meta-Analysis

  • Pier Carlo Zorzato,
  • Riccardo Vizza,
  • Simone Garzon,
  • Mariachiara Bosco,
  • Anna Festi,
  • Alberta Ricci,
  • Irene Porcari,
  • Giacomo Corrado,
  • Rosa Maria Laterza and
  • Stefano Uccella

1 April 2025

Background and Objectives: Vaginal cuff dehiscence (VCD) represents a rare but relevant complication that occurs following minimally invasive hysterectomy. With the rising frequency of this procedure, it is crucial to continuously evaluate VCD incide...

  • Article
  • Open Access
18 Citations
6,883 Views
22 Pages

Motion and Trajectory Constraints Control Modeling for Flexible Surgical Robotic Systems

  • Olatunji Mumini Omisore,
  • Shipeng Han,
  • Yousef Al-Handarish,
  • Wenjing Du,
  • Wenke Duan,
  • Toluwanimi Oluwadara Akinyemi and
  • Lei Wang

7 April 2020

Success of the da Vinci surgical robot in the last decade has motivated the development of flexible access robots to assist clinical experts during single-port interventions of core intrabody organs. Prototypes of flexible robots have been proposed t...

  • Article
  • Open Access
11 Citations
3,798 Views
10 Pages

Single-Site Sutureless Partial Nephrectomy for Small Exophytic Renal Tumors

  • Ching-Chia Li,
  • Tsu-Ming Chien,
  • Shu-Pin Huang,
  • Hsin-Chih Yeh,
  • Hsiang-Ying Lee,
  • Hung-Lung Ke,
  • Sheng-Chen Wen,
  • Wei-Che Chang,
  • Yung-Shun Juan and
  • Yii-Her Chou
  • + 1 author

13 November 2020

Partial nephrectomy (PN) is the standard procedure for most patients with localized renal cancer. Laparoscopy has become the preferred surgical approach to target this cancer, but the steep learning curve with laparoscopic PN (LPN) remains a concern....

  • Article
  • Open Access
8 Citations
3,367 Views
13 Pages

26 May 2020

Robotic forceps with a rigid-link joint mechanism is orthodox for current robotic-assisted surgery systems. However, external force estimation without force sensors during operations is difficult for such electrically driven forceps. This work introd...

  • Article
  • Open Access
3 Citations
2,525 Views
13 Pages

Research on Surgical Gesture Recognition in Open Surgery Based on Fusion of R3D and Multi-Head Attention Mechanism

  • Yutao Men,
  • Jian Luo,
  • Zixian Zhao,
  • Hang Wu,
  • Guang Zhang,
  • Feng Luo and
  • Ming Yu

7 September 2024

Surgical gesture recognition is an important research direction in the field of computer-assisted intervention. Currently, research on surgical gesture recognition primarily focuses on robotic surgery, with a lack of studies in traditional surgery, p...

  • Review
  • Open Access
1 Citations
8,161 Views
35 Pages

Modern Perspectives on Inguinal Hernia Repair: A Narrative Review on Surgical Techniques, Mesh Selection and Fixation Strategies

  • Anca Tigora,
  • Petru Adrian Radu,
  • Dragos Nicolae Garofil,
  • Mircea Nicolae Bratucu,
  • Mihai Zurzu,
  • Vlad Paic,
  • Raluca Gabriela Ioan,
  • Valeriu Surlin,
  • Dragos Margaritescu and
  • Silviu Constantin Badoiu
  • + 3 authors

9 July 2025

Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide, with over 20 million cases annually. The evolution of hernia surgery has transitioned from tension-based techniques to tension-free approaches, significantly...

  • Review
  • Open Access
582 Views
17 Pages

22 November 2025

Background: Microsurgical breast reconstruction is advancing rapidly with the integration of innovative technologies that enhance surgical precision, safety, and outcomes. This narrative review highlights recent developments across four key phases: f...

  • Case Report
  • Open Access
588 Views
12 Pages

Management of Gastric Fistulas After Gastric Sleeve Using E-VAC Therapy

  • Bogdan Mihnea Ciuntu,
  • Alexandra-Simona Zamfir,
  • Mădălina Maxim,
  • Carmen Lăcrămioara Zamfir,
  • Roxana Elena Ciuntu,
  • Mihai Lucian Zabara,
  • Irina Mihaela Abdulan,
  • Mihaela Corlade-Andrei,
  • Daniel Vasile Timofte and
  • Gheorghe G. Balan

6 November 2025

Background and Clinical Significance: Sleeve gastrectomy is an effective and widely performed bariatric procedure that provides long-term, sustained weight loss, but it carries risks of early and late complications. Among these, gastric fistula is a...

  • Case Report
  • Open Access
3 Citations
2,502 Views
11 Pages

Endoscopic Vacuum-Assisted Closure (E-VAC) in Septic Shock from Perforated Duodenal Ulcers with Abscess Formations

  • Bogdan Mihnea Ciuntu,
  • Adelina Tanevski,
  • David Ovidiu Buescu,
  • Valerii Lutenco,
  • Raul Mihailov,
  • Madalina Stefana Ciuntu,
  • Mihai Marius Zuzu,
  • Dan Vintila,
  • Mihai Zabara and
  • Ana Trofin
  • + 4 authors

15 January 2024

This case report underscores the importance of utilizing E-VAC (endoscopic vacuum-assisted closure) in the treatment of a perforated duodenal ulcer complicated by the formation of a subphrenic abscess and septic shock. It showcases how E-VAC can effe...

  • Article
  • Open Access
12 Citations
5,968 Views
12 Pages

Combined Transoral Robotic Tongue Base Surgery and Palate Surgery in Obstructive Sleep Apnea Syndrome: Modified Uvulopalatopharyngoplasty versus Barbed Reposition Pharyngoplasty

  • Yung-An Tsou,
  • Chun-Chieh Hsu,
  • Liang-Chun Shih,
  • Tze-Chieh Lin,
  • Chien-Jen Chiu,
  • Vincent Hui-Chi Tien,
  • Ming-Hsui Tsai and
  • Wen-Dien Chang

18 July 2021

Background: Successful surgery outcomes are limited to moderate to severe obstructive sleep apnea (OSA) syndrome. Multilevel collapse at retropalatal and retroglossal areas is often found during the drug-induced sleep endoscopy (DISE). Therefore, mul...

  • Article
  • Open Access
1,297 Views
17 Pages

Off-Clamp Robotic-Assisted Partial Nephrectomy: Retrospective Comparative Analysis from a Large Italian Multicentric Series

  • Angelo Porreca,
  • Filippo Marino,
  • Davide De Marchi,
  • Marco Giampaoli,
  • Francesca Simonetti,
  • Antonio Amodeo,
  • Paolo Corsi,
  • Francesco Claps,
  • Daniele Romagnoli and
  • Alessandro Crestani
  • + 1 author

13 August 2025

Objective: To evaluate the perioperative outcomes, functional impact, and oncologic efficacy of off-clamp robotic-assisted partial nephrectomy (RAPN) in patients with renal masses across multiple high-volume centers. Materials and Methods: We conduct...