Splenic flexure takedown Xi or Si

This video demonstrates our mini gastric bypass technique using the da Vinci™ robotic surgical system. This intervention may be suggested in all morbidly obese patients without any major gastroesophageal reflux. One of the interests of this film lies in that the patient has a huge liver requiring delicate dissection and division of the superior gastric pouch. The biliary loop typically measures 200cm, and we systematically close Petersen’s defect in order to prevent internal hernias. The use of the surgical robot allows to perform an easier hand-assisted gastrojejunostomy. None of the preparatory maneuvers rely on the surgical robot as it is currently not equipped with mechanical staplers.

This video describes the procedure of partial nephrectomy performed with the DaVinci robot. The renal pedicle is first isolated and temporarily controlled with vascular clamps. The partial nephrectomy is then performed in a bloodless field.

Minimally invasive techniques have revolutionized operative surgery. In gastrointestinal surgery, the robotic system is applied to a wide range of procedures. Cholecystectomy, Nissen fundoplication and Heller myotomy are among the most frequently performed procedures. Most studies reported that robotic gastrointestinal surgery is feasible and safe, provides improved dexterity, better visualization, reduced fatigue and high levels of precision when compared to conventional laparoscopic surgery, but costs are high. This video shows a robotic-assisted cholecystectomy performed in teleconference with India. It is a very interesting video that makes us reflect how many could be the possible future applications of computer-assisted robotic surgery.

Laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient satisfaction are widely accepted. In this lecture, Dr. Brunaud presents the indications of robotic assistance for transperitoneal adrenalectomy.

In this key lecture, Dr. Giulianotti outlines the indications for robotic biliary reconstruction, especially in case of a small common bile duct. He presents his experience with the robotic approach providing advantages and benefits.

This video presents in detail the robotic dissection of the oesophagus via a trans-thoracic approach. A mediastinal lymphadenectomy is also performed. Combined with a laparoscopic gastric mobilisation, a total minimally invasive approach to oesophagectomy is possible.

In this lecture, Dr. Katz presents the evolution of robotic surgery and its application in morbidly obese patients. Dr. Katz’s technique is also outlined.

This is a totally robotic Nissen fundoplication performed by an experienced laparosopic surgeon. It is detailed, commencing with robot set-up, which is done with the help of the scrubbed assistants. All the same steps of laparoscopic Nissen fundoplication are reproduced easily with robotic instruments.

This video demonstrates the surgical steps for a left ureteropelvic junction (UPJ) reconstruction performed by means of the new da Vinci® robotic single site platform.
This surgery can be achieved by a 2cm single incision made in the umbilicus.
The system provides 2 robotic instruments crossing into the trocar in order to have an adequate triangulation. In this set-up, the left robotic instrument is placed into the surgical field on the right side while the right robotic instrument is on the left side of the surgical field. The software of the da Vinci™ system allows for the control of the right robotic arm to the left master into the robotic console in order to have the instrument placed in the right part of the surgical field controlled by the right master. This allows for a direct and natural control of the instruments, hence solving the problem of the crossing of the instruments.
This is a great advantage when compared to standard laparoscopic single site surgery.

In this key lecture, Dr. Parra-Davila focuses on robotic transanal TME (taTME).