Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Novel multi-image view for neuromapping meets the needs of the robotic surgeon

Novel multi-image view for neuromapping meets the needs of the robotic surgeon Background Pelvic intraoperative neuromonitoring during nerve-sparing robot-assisted total mesorectal excision (RTME) is feasible. However, visual separation of the neuromonitoring process from the surgeon console interrupts the workflow and limits the usefulness of available information as the procedure progresses. Since the robotic surgical system provides multi-image views in the surgeon console, the aim of this study was to integrate cystomanometry and internal anal sphincter electromyography signals to aid the robotic surgeon in his/her nerve-sparing technique. Methods We prospectively investigated 5 consecutive patients (1 male, 4 females) who underwent RTME for rectal cancer at our institution in 2017. The robotic surgery was performed using the da Vinci Xi combined with pelvic intraoperative neuromapping with real-time electromyography and cystomanometry signal transmission by multi-image view during RTME. Results The adapted two-dimensional pelvic intraoperative neuromonitoring imaging successfully simulcasted to the surgeon console view in all 5 cases. The technical note is complemented by an intraoperative video. Conclusions This report demonstrates the technical feasibility of an improved neuromonitoring process during nerve-sparing RTME. Robotic neuromapping can be fully visualized from the surgeon console. Keywords Robotic surgical procedures · Rectal cancer · Neuromonitoring · Autonomic pathways Introduction Recently, Grade et al. demonstrated that neuromapping can be used during robot-assisted TME (RTME) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Techniques in Coloproctology Springer Journals

Novel multi-image view for neuromapping meets the needs of the robotic surgeon

Download PDF
4 pages

Loading next page...
 
/lp/springer_journal/novel-multi-image-view-for-neuromapping-meets-the-needs-of-the-robotic-LyAwFj0YKj
Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Surgery; Gastroenterology; Proctology; Abdominal Surgery; Colorectal Surgery
ISSN
1123-6337
eISSN
1128-045X
DOI
10.1007/s10151-018-1804-3
Publisher site
See Article on Publisher Site

Abstract

Background Pelvic intraoperative neuromonitoring during nerve-sparing robot-assisted total mesorectal excision (RTME) is feasible. However, visual separation of the neuromonitoring process from the surgeon console interrupts the workflow and limits the usefulness of available information as the procedure progresses. Since the robotic surgical system provides multi-image views in the surgeon console, the aim of this study was to integrate cystomanometry and internal anal sphincter electromyography signals to aid the robotic surgeon in his/her nerve-sparing technique. Methods We prospectively investigated 5 consecutive patients (1 male, 4 females) who underwent RTME for rectal cancer at our institution in 2017. The robotic surgery was performed using the da Vinci Xi combined with pelvic intraoperative neuromapping with real-time electromyography and cystomanometry signal transmission by multi-image view during RTME. Results The adapted two-dimensional pelvic intraoperative neuromonitoring imaging successfully simulcasted to the surgeon console view in all 5 cases. The technical note is complemented by an intraoperative video. Conclusions This report demonstrates the technical feasibility of an improved neuromonitoring process during nerve-sparing RTME. Robotic neuromapping can be fully visualized from the surgeon console. Keywords Robotic surgical procedures · Rectal cancer · Neuromonitoring · Autonomic pathways Introduction Recently, Grade et al. demonstrated that neuromapping can be used during robot-assisted TME (RTME)

Journal

Techniques in Coloproctology – Springer Journals

Published: Jun 4, 2018

References

  • Topography of the pelvic autonomic nervous system and its potential impact on surgical intervention in the pelvis
    Baader, B; Herrmann, M
  • Internal anal sphincter nerves—a macroanatomical and microscopic description of the extrinsic autonomic nerve supply of the internal anal sphincter
    Stelzner, S; Böttner, M; Kupsch, J; Kneist, W; Quirke, P; West, NP; Witzigmann, H; Wedel, T
  • Total mesorectal excision for rectal cancer with emphasis on pelvic autonomic nerve preservation: expert technical tips for robotic surgery
    Kim, NK; Kim, YW; Cho, MS
  • Electrophysiology-based quality assurance of nerve-sparing in laparoscopic rectal cancer surgery—is it worth the effort?
    Kauff, DW; Wachter, N; Bettzieche, R; Lang, H; Kneist, W
  • Pelvic intraoperative neuromonitoring during robotic-assisted low anterior resection for rectal cancer
    Grade, M; Beham, AW; Schüler, P; Kneist, W; Ghadimi, BM
  • Novel dynamic information integration during da Vinci robotic partial nephrectomy and radical nephrectomy
    Bhayani, SB; Snow, DC
  • Novel application of simultaneous multi-image display during complex robotic abdominal procedures
    Woo, Y; Choi, GH; Min, BS; Hyung, WJ
  • Augmented reality to the rescue of the minimally invasive surgeon. The usefulness of the interposition of stereoscopic images in the Da Vinci™ robotic console
    Volonté, F; Buchs, NC; Pugin, F; Spaltenstein, J; Schiltz, B; Jung, M; Hagen, M; Ratib, O; Morel, P
  • Precision in robotic rectal surgery using the da Vinci Xi system and integrated table motion, a technical note
    Panteleimonitis, S; Harper, M; Hall, S; Figueiredo, N; Qureshi, T; Parvaiz, A
  • Towards the development of two-field robotic surgery
    Atallah, S; DuBose, A; Larach, SW
  • Application of a newly designed microfork probe for robotic‑guided pelvic intraoperative neuromapping
    Schiemer, JF; Juo, YY; Sanaiha, Y; Lin, AY; Kazanjian, K; Lang, H; Kneist, W
  • Effect of robotic-assisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: the ROLARR randomized clinical trial
    Jayne, D; Pigazzi, A; Marshall, H; Croft, J; Corrigan, N; Copeland, J; Quirke, P; West, N; Rautio, T; Thomassen, N; Tilney, H; Gudgeon, M; Bianchi, PP; Edlin, R; Hulme, C; Brown, J
  • A blueprint for robotic navigation: pre-clinical simulation for transanal total mesorectal excision (taTME)
    Atallah, S; Zenoni, S; Kelly, J; Tilahun, Y; Monson, JR