tag:blogger.com,1999:blog-4968787219619380438.post2550110568382637840..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Robotic Single-Port Cholecystectomy Fails to ConvinceSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-4968787219619380438.post-25713760197562887672013-10-05T14:02:10.062-04:002013-10-05T14:02:10.062-04:00Usefulness of percutaneous needle feasibility in o...Usefulness of percutaneous needle feasibility in one port laparoscopic cholecystectomy<br />Fausto Davila, Daniel Tsin, Gloria Gonzalez, M. Ruth Davila, Jose Lemus and Ulises Davila <br />10.1016/j.ciresp.2013.01.008 PDF<br />Here is in English<br />Unknownhttps://www.blogger.com/profile/01917921446999761366noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-57090365091638468332013-03-03T16:57:20.743-05:002013-03-03T16:57:20.743-05:00Yes, that's a good way to put it. Thanks.Yes, that's a good way to put it. Thanks.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-45505827325297324422013-03-03T07:05:03.137-05:002013-03-03T07:05:03.137-05:00A triumph of technique over judgement!A triumph of technique over judgement!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-39877087177649100992013-01-12T15:24:08.110-05:002013-01-12T15:24:08.110-05:00Since I don't speak or read much Spanish, I...Since I don't speak or read much Spanish, I'll take your word on this.<br /><br />I realize single-port cholecystectomy can be done. The fact that it can be done does not mean it should be done. <br /><br />In the December 2012 issue of Surgery, Dr. Nancry Perrier explains why she has abandoned single-incision trans axillary robotic thyroidectomy. Here's a link (http://www.ncbi.nlm.nih.gov/pubmed?term=perrier%20nd) but there's no abstract.<br /><br />Here is her last paragraph:<br /><br />"After performing nearly 40 RATS procedures, we came to the conclusion that the main benefit of RATS---translocation of the surgical incision to the axilla---did not offset the risks and liability of performing an operation that was not supported by the equipment manufacturer, took twice as many resources to perform as open surgery, and faces complex legal hurdles beyond our control that currently prevent implementation of telerobotic/ distant access surgery across the United States. Justifying the expense in a time when demands outweigh resources obligated us to focus on outcomes. When we did that, we proved that we could perform RATS, but not that we should."Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-3949712368200924292013-01-12T12:36:28.587-05:002013-01-12T12:36:28.587-05:002,431 patients with a diagnosis of acute and none ...2,431 patients with a diagnosis of acute and none acute gallbladder disease underwent single port cholecystectomies using an operative laparoscope (NO ROBOTIC) and percutaneous needles instead of additional laparoscopy ports. ""AGUJAS PERCUTÁNEAS Y SU UTILIDAD EN LA FACTIBILIDAD DE LA COLECISTECTOMÍA LAPAROSCÓPICA CON 1 PUERTO (CL1P)"" Cirugia Espanola.In pressUnknownhttps://www.blogger.com/profile/01917921446999761366noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-79193181561429796122012-06-30T06:02:15.638-04:002012-06-30T06:02:15.638-04:00John, thanks for commenting. I agree that people s...John, thanks for commenting. I agree that people scoffed at the original laparoscopic GB concept. But there are differences between that transition and the transition from 4 port to 1 port such as cost and the minimal to no real advantage for patients.<br /><br />However, I acknowledge that your prediction may come true.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-15579893728190335972012-06-29T21:24:52.941-04:002012-06-29T21:24:52.941-04:00You guys who don't try this and take pot shots...You guys who don't try this and take pot shots really make me laugh. The same statements were made about laparoscopic cholecystectomies 20 years ago. Technologies and instrumentation has evolved and will evolve for robotic surgery as well. This is an early result and should be viewed as such. I predict that single port robotic cholecystectomy will be the rule rater than the exception in the next 5 years.<br />Best of luck,<br />John D. McKenzie, M.D.John D. McKenzie M.D.noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-50585159018224658882011-07-29T18:36:34.593-04:002011-07-29T18:36:34.593-04:00More on robotic surgery http://is.gd/s7ZehkMore on robotic surgery http://is.gd/s7ZehkSkeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-23256718782574050942011-07-24T17:23:42.857-04:002011-07-24T17:23:42.857-04:00Wow, skew data much? (authors of the paper).
Do no...Wow, skew data much? (authors of the paper).<br />Do not see any need for the robot to do gallbladder surgery, except to justify the cost of the robot. There appears to be no significant benefit.<br /><br />Sigh.Kellie (General Surgeon)noreply@blogger.com