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Robotic Surgery clinical trials

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NCT ID: NCT05517551 Not yet recruiting - Robotic Surgery Clinical Trials

Comparison of Low and Normal Flow Anesthesia in Robotic Assisted Radical Prostatectomy

Start date: August 2022
Phase:
Study type: Observational

Robot-assisted laparoscopic radical prostatectomy has gained increasing popularity compared to open radical prostatectomy with its advantages such as low blood loss, reduced blood transfusion rate, low complication rate, and shortened hospital stay. Since robot-assisted laparoscopic radical prostatectomy should be performed in the limited retroperitoneal area, insufflation of the abdomen with carbon dioxide (CO2) (pneumoperitoneum) and steep Trendelenburg position are required to provide better surgical vision. Low-flow anesthesia warms and moistens the inhaled gases, creating a more physiological breathing atmosphere during anesthesia. In addition, it provides cost advantage by reducing inhalation agent consumption and reduces atmospheric pollution. Studies show that long-term minimal flow anesthesia is safe and advantageous for non-laparoscopic surgery. The aim of this study is to compare low-flow (1L/min) with normal flow (3lt/min) desflurane anesthesia in terms of hemodynamic and respiratory parameters, inhalation agent consumption and soda lime consumption for robotic assisted laparoscopic radical prostatectomy surgery. The secondary aim of the study is to compare the effects of low-flow and normal-flow anesthesia in the steep trendelenburg position (45°) used for robotically assisted laparoscopic radical prostatectomy.

NCT ID: NCT05510960 Completed - Robotic Surgery Clinical Trials

Video Gaming Improves Robotic Surgery Simulator Success

Start date: September 1, 2021
Phase:
Study type: Observational

Investigators aimed to investigate the effects of video game habits, duration of experience, and training in different surgical clinics on the success of robotic surgery simulators. In this prospective, observational, comparative, and multi-clinic study, all participants played the Temple Run and Piano Tiles 2™ mobile games for one month after responding to a questionnaire including their sociodemographic characteristics, surgical experience, and past and current video game experience. At the end of the study period, participants experienced four different robotic surgery simulator tasks (Camera Targeting 1, Energy Switching 1, Ring & Rail 2, Vertical Defect Suturing) in the da Vinci® Skills Simulator™. Additionally, sociodemographic data were statistically analyzed with mobile game scores, and 13 different performance scores were obtained from the simulator.

NCT ID: NCT05468944 Not yet recruiting - Rectal Neoplasms Clinical Trials

Robotic Transanal Specimen Extraction Surgery Versus Robotic Transabdominal Incision Specimen Extraction Surgery for Patients With Rectal Cancer: A Multicenter Randomized Controlled Trial

Start date: January 2023
Phase: N/A
Study type: Interventional

This prospective, multicenter, randomized, open-label study aims to evaluate the perioperative safety and feasibility of specimen extraction through anus regarding robotic radical excision of rectal cancer.

NCT ID: NCT05194280 Completed - Robotic Surgery Clinical Trials

Comparison of Robot-assisted Donornephrectomy vs Hand-assisted Laparoscopic Donornephrectomy

Start date: March 1, 2017
Phase:
Study type: Observational

The aim of this retrospective study was to analyze donor and recipient outcomes after robotic-assisted donor nephrectomy and hand-assisted laparoscopic donornephrectomy.

NCT ID: NCT05151835 Recruiting - Robotic Surgery Clinical Trials

Novel Robotic Surgical System for Minimally Invasive Surgery

K2robo
Start date: August 24, 2022
Phase: N/A
Study type: Interventional

This is a prospective single center cohort study on effect of a novel robotic surgical system for performance of minimally invasive surgery in multiple specialties. The targeted procedures include Urological, upper and lower GI robotic surgeries and the expected sample size will be 20 patients. The clinical outcomes for assessment include background demographics, operative time, perioperative complications as well as completion rate of procedure, hospital stay and recovery.

NCT ID: NCT04844671 Recruiting - Cancer Clinical Trials

Patients' Expectations About Effects of Robotic Surgery for Cancer

Start date: April 20, 2021
Phase:
Study type: Observational [Patient Registry]

Robotic surgery for common surgical procedures is on the rise despite limited evidence to support its clinical benefit. We intend to to map and characterize the prevalence of the patients'expectation that robotic surgery might be superior to open or laparoscopic procedures and to identify the sociodemographic, clinical and organisational factors associated with this expectation.

NCT ID: NCT04265417 Completed - Rectal Neoplasms Clinical Trials

Clinical Outcomes and Prognostic Factors of Robotic Assisted Rectal Cancer Resection Alone vs. Robotic Rectal Cancer Resection With Natural Orifice Specimen Extraction

Start date: January 6, 2015
Phase:
Study type: Observational

Robotic rectal cancer resection with natural orifice extraction is a recently developed minimally invasive surgery for patients with rectal cancer. However, it's safety and feasibility remain undiscussed and controversial. This study reported the clinical outcomes and prognostic factors of robotic assisted rectal cancer resection alone vs. robotic rectal cancer resection with natural orifice extraction to discuss aforementioned question.

NCT ID: NCT03673410 Not yet recruiting - Bariatric Surgery Clinical Trials

Robotic Versus Laparoscopic Techniques for Revisional Bariatric Surgery

Start date: January 1, 2019
Phase: N/A
Study type: Interventional

Obesity has become a significant health problem in Canada. When conservative efforts to lose weight fail, bariatric surgical procedures are often considered. Today, the most common bariatric procedures in North America are Laparoscopic Roux-en-Y gastric bypass (LRYGB) and Laparoscopic Sleeve Gastrectomy (LSG). For many reasons, an initial bariatric procedure may require surgical revision. Some reasons include weight regain, failed weight loss or other acute and chronic complications not related to weight loss. In these cases, it may be indicated that a procedure be reversed inor converted to another type of bariatric procedure. Regardless of the planned intervention, revisional surgery is always more difficult than the initial procedure mainly due to surgical scarring and altered anatomy. Though revisional bariatric surgery has been shown to be safe, our hope is to improve the safety profile by utilizing robotic surgery. Robotic surgery can facilitate more complex procedures by providing superior imaging and freedom of movement during the procedure. The aim of our study is to evaluate prospectively the outcomes of robotic compared to laparoscopic revisional bariatric surgery in terms of perioperative outcomes such as complication rates, operative time and readmissions as well as weight loss/comorbidity resolution (diabetes, hypertension, sleep apnea) where applicable.

NCT ID: NCT03524300 Recruiting - Stomach Neoplasm Clinical Trials

Clinical Efficacy Between Robotic and Laparoscopic Total Gastrectomy in Patients With Clinical Stage I Gastric Cancer

Start date: June 1, 2018
Phase: N/A
Study type: Interventional

The purpose of this study is to explore the clinical efficacy between robotic and laparoscopic total gastrectomy in patients with clinical Stage I gastric cancer

NCT ID: NCT03313700 Completed - Stomach Neoplasm Clinical Trials

Clinical Outcomes of Robotic Versus Laparoscopic Distal Gastrectomy for Gastric Cancer

RDG
Start date: September 25, 2017
Phase: N/A
Study type: Interventional

The purpose of this study is to explore the clinical outcomes of the robotic distal gastrectomy for patients with gastric adenocarcinoma(cT1-4a, N-/+, M0).