Smith SG, Torkington J, Brown TJ, Taffinder NJ, Darzi A (2002) Motion analysis. Smith DC, Farrell TM, McNatt SS, Metreveli RE (2001) Assessing laparoscopic manipulative skills. Ruurda JP, Wisselink W, Cuesta MA, Verhagen HJM, Breeders IAMJ (2004) Robot-assisted versus standard videoscopic aortic replacement: a comparative study in pigs. Prasad SM, Maniar HS, Soper HJ, Damiano RJ, Klingensmith ME (2002) The effect of robotic assistance on learning curves for basic laparoscopic skills.
#Vascular surgery knot tying manual#
Nio D, Bemelman WA, den Boer KT, Dunker MS, Gouma DJ, Gulik TM (2002) Efficiency of manual versus robotical (Zeus) assisted laparoscopic surgery in the performance of standardized tasks. Nio D, Balm R, Maartense S, Guijt M, Bemelman WA (2004) The efficacy of robot-assisted versus conventional laparoscopic vascular anastomoses in an experimental model.
Melvin WS, Needleman BJ, Krause KR, Schneider C, Ellison EC (2002) Computer-enhanced vs standard laparoscopic antireflux surgery. Marusch F, Gastinger I, Schneider C, Scheidbach H, Konradt J, Bruch HP, Kohler L, Barlehner E, Kockerling F, Laparoscopic Colorectal Surgery Study Group (LCSSG) (2001) Experience as a factor influencing the indications for laparoscopic colorectal surgery and the results. Kolvenbach R, Schwierz E, Wasilljew S, Miloud A, Puerschel A, Pinter L (2004) Total laparoscopically and robotically assisted aortic aneurysm surgery: a critical evaluation. Kline RG, D’Angelo AJ, Chen MH, Halpern VJ, Cohen JR (1998) Laparoscopically assisted abdominal aortic aneurysm repair: first 20 cases. Hanna GB, Drew T, Clinch P, Hunter B, Cuschieri A (1998) Computer-controlled endoscopic performance assessment system. Ann Thorac Surg 70: 398–428ĭion YM, Gracia CR, Estakhri M Demalsy JC, Douville Y, Piccinini E, Stancanelli V (1998) Totally laparoscopic aortobifemoral bypass: a review of 10 cases. (2000) A comparison of robot-assisted versus manually constructed endoscopic coronary anastomosis. J Lap Endosc Adv Surg Tech 9: 389–395ĭion YM, Boyd WD, Desai ND, Kiaii B, Rayman R, Menkis AH, McKenzie FN, Novick RJ. J Vasc Surg 32: 224–233ĭen Boer KT, Straatsburg IH, Schellinger AV, de Wit LTh, Dankelman J, Gouma DJ (1999) Quantitative analysis of the functionality and efficiency of three surgical dissection techniques: a time-motion analysis. World J Surg 25: 1467–1477Ĭastronuovo JJ Jr, James KV, Resnikoff M, McLean ER, Edoga JK (2000) Laparoscopic-assisted abdominal aortic aneurysmectomy. J Vasc Surg 28: 136–142Ĭadiere GB, Himpens J, Germay O, Izizaw R, Degueldre M, Vandromme J, Capelluto E, Bruyns J (2001) Feasibility of robotic laparoscopic surgery: 146 cases. Ann Thorac Surg 72: 1263–1268īarbera L, Mumme A, Metin S, Zumtobel, V, Kemen, M (1998) Operative results and outcome of 24 totally laparoscopic vascular procedures for aortoiliac occlusive disease.
#Vascular surgery knot tying trial#
J Vasc Surg 37: 744–749īarbera L, Damiano RJ Jr, Tabaie HA, Mack MJ, Edgerton JR, Mullangi C, Graper WP, Prasad SM (2001) Initial prospective multicenter clinical trial of robotically assisted coronary artery bypass grafting. The robotic system was not helpful in shortening the learning curve.Īlimi YS, Di Molfetta L, Hartung O, Dhanis A, Barthelemy P, Aissi K, Giorgi R, Juhan C (2003) Laparoscopy-assisted abdominal aortic aneurysm endoaneurysmorrhaphy: early and midterm results. ConclusionsĮxperience is the most important factor in the performance of laparoscopic vascular anastomoses. The learning curves of both surgeons were not improved by the robotic system. Suturing and knot-tying were faster with laparoscopic experience both with and without the robotic system, and fewer stitch actions and knot actions were performed. Neither laparoscopic method influenced the quality score or leakage rate, but with laparoscopic experience, significantly fewer failures were made. MethodsĪ laparoscopically experienced surgeon and a laparoscopically inexperienced surgeon made alternating laparoscopic vascular anastomoses and robot-assisted laparoscopic vascular anastomoses using a Zeus–Aesop surgical robotic system with various prosthetic conduits and suture materials in a laparoscopic training box. The effect of laparoscopic experience and robotic assistance on the learning curve of vascular anastomoses was studied. Robotic systems are assumed to facilitate these skills and shorten the learning curve.
Considerable training is necessary to master laparoscopic suturing and knot-tying.