Robot‐assisted Fallopian tube transection and anastomosis using the new REVO‐I robotic surgical system: feasibility in a chronic porcine model

Objectives To evaluate the feasibility and safety of the new REVO‐I robotic platform by performing Fallopian tube transection and anastomosis in live porcine models. Subjects and Methods A prospective chronic animal study was carried out in four crossbred female pigs. The primary outcome was assessm...

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Veröffentlicht in:BJU international 2016-10, Vol.118 (4), p.604-609
Hauptverfasser: Abdel Raheem, Ali, Troya, Irela Soto, Kim, Dae Keun, Kim, Se hoon, Won, Park Dong, Joon, Park Sung, Hyun, Gim Soo, Rha, Koon Ho
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container_end_page 609
container_issue 4
container_start_page 604
container_title BJU international
container_volume 118
creator Abdel Raheem, Ali
Troya, Irela Soto
Kim, Dae Keun
Kim, Se hoon
Won, Park Dong
Joon, Park Sung
Hyun, Gim Soo
Rha, Koon Ho
description Objectives To evaluate the feasibility and safety of the new REVO‐I robotic platform by performing Fallopian tube transection and anastomosis in live porcine models. Subjects and Methods A prospective chronic animal study was carried out in four crossbred female pigs. The primary outcome was assessment of the pigs’ 2‐week survival. The secondary outcomes were measurements of intra‐operative variables and the complications or difficulties arising when using the REVO‐I. Results Fallopian tube anastomosis was successfully performed in four porcine models. The mean (range) operating time was 66 (46–104 min), docking time 22.25 (14–53) min and console time 18 (13–20) min. The REVO‐I robotic system functioned appropriately, with no technical problems or difficulties noted during the procedures. Both the surgeon and the bedside assistants reported ease of use and better performance with subsequent procedures. All pigs were alive 2 weeks after surgery, with no peri‐operative complications related to the use of the robot. Conclusions This preclinical chronic porcine study showed that the REVO‐I robotic surgical system is a feasible and safe robotic instrument that can be used by surgeons to perform skillful robotic procedures in porcine models. Our next objective will be to demonstrate its safety in humans.
doi_str_mv 10.1111/bju.13517
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Subjects and Methods A prospective chronic animal study was carried out in four crossbred female pigs. The primary outcome was assessment of the pigs’ 2‐week survival. The secondary outcomes were measurements of intra‐operative variables and the complications or difficulties arising when using the REVO‐I. Results Fallopian tube anastomosis was successfully performed in four porcine models. The mean (range) operating time was 66 (46–104 min), docking time 22.25 (14–53) min and console time 18 (13–20) min. The REVO‐I robotic system functioned appropriately, with no technical problems or difficulties noted during the procedures. Both the surgeon and the bedside assistants reported ease of use and better performance with subsequent procedures. All pigs were alive 2 weeks after surgery, with no peri‐operative complications related to the use of the robot. Conclusions This preclinical chronic porcine study showed that the REVO‐I robotic surgical system is a feasible and safe robotic instrument that can be used by surgeons to perform skillful robotic procedures in porcine models. Our next objective will be to demonstrate its safety in humans.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/bju.13517</identifier><identifier>PMID: 27123543</identifier><identifier>CODEN: BJINFO</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anastomosis, Surgical - methods ; Animals ; Fallopian tubes ; Fallopian Tubes - surgery ; Feasibility Studies ; Female ; Hogs ; Models, Animal ; porcine model ; REVO‐I ; robotic ; Robotic Surgical Procedures - instrumentation ; Robotics ; Swine</subject><ispartof>BJU international, 2016-10, Vol.118 (4), p.604-609</ispartof><rights>2016 The Authors BJU International © 2016 BJU International Published by John Wiley &amp; Sons Ltd</rights><rights>2016 The Authors BJU International © 2016 BJU International Published by John Wiley &amp; Sons Ltd.</rights><rights>BJUI © 2016 BJU International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4567-2bb5dba836cce5b07f2023fba0d8b0446d1203fe54e3c3df9ed95ef1c604ab183</citedby><cites>FETCH-LOGICAL-c4567-2bb5dba836cce5b07f2023fba0d8b0446d1203fe54e3c3df9ed95ef1c604ab183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbju.13517$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbju.13517$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27123543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdel Raheem, Ali</creatorcontrib><creatorcontrib>Troya, Irela Soto</creatorcontrib><creatorcontrib>Kim, Dae Keun</creatorcontrib><creatorcontrib>Kim, Se hoon</creatorcontrib><creatorcontrib>Won, Park Dong</creatorcontrib><creatorcontrib>Joon, Park Sung</creatorcontrib><creatorcontrib>Hyun, Gim Soo</creatorcontrib><creatorcontrib>Rha, Koon Ho</creatorcontrib><title>Robot‐assisted Fallopian tube transection and anastomosis using the new REVO‐I robotic surgical system: feasibility in a chronic porcine model</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Objectives To evaluate the feasibility and safety of the new REVO‐I robotic platform by performing Fallopian tube transection and anastomosis in live porcine models. Subjects and Methods A prospective chronic animal study was carried out in four crossbred female pigs. The primary outcome was assessment of the pigs’ 2‐week survival. The secondary outcomes were measurements of intra‐operative variables and the complications or difficulties arising when using the REVO‐I. Results Fallopian tube anastomosis was successfully performed in four porcine models. The mean (range) operating time was 66 (46–104 min), docking time 22.25 (14–53) min and console time 18 (13–20) min. The REVO‐I robotic system functioned appropriately, with no technical problems or difficulties noted during the procedures. Both the surgeon and the bedside assistants reported ease of use and better performance with subsequent procedures. All pigs were alive 2 weeks after surgery, with no peri‐operative complications related to the use of the robot. Conclusions This preclinical chronic porcine study showed that the REVO‐I robotic surgical system is a feasible and safe robotic instrument that can be used by surgeons to perform skillful robotic procedures in porcine models. 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subjects Anastomosis, Surgical - methods
Animals
Fallopian tubes
Fallopian Tubes - surgery
Feasibility Studies
Female
Hogs
Models, Animal
porcine model
REVO‐I
robotic
Robotic Surgical Procedures - instrumentation
Robotics
Swine
title Robot‐assisted Fallopian tube transection and anastomosis using the new REVO‐I robotic surgical system: feasibility in a chronic porcine model
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