Int J Med Robot - Nerve sparing technique in robotic-assisted radical hysterectomy: results.

Tópicos

{ time(1939) patient(1703) rate(768) }
{ cancer(2502) breast(956) screen(824) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ studi(2440) review(1878) systemat(933) }
{ use(1733) differ(960) four(931) }
{ risk(3053) factor(974) diseas(938) }
{ data(2317) use(1299) case(1017) }
{ sampl(1606) size(1419) use(1276) }
{ use(2086) technolog(871) perceiv(783) }
{ survey(1388) particip(1329) question(1065) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(2675) segment(2577) method(1081) }
{ framework(1458) process(801) describ(734) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ ehr(2073) health(1662) electron(1139) }
{ use(976) code(926) identifi(902) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: This work assessed the role of robotic-assisted lapararoscopic radical hysterectomy in the treatment of early invasive cervical cancer with special regard to nerve sparing technique.METHODS: Between October 2009 and June 2011, a total of 14 non-consecutive patients underwent early cervical cancer surgery at the authors' institution. Patients with FIGO stage IA2 or IB1 with a tumor size less than or equal to 2 cm underwent radical hysterectomy type B1 and patients with FIGO stage IB1 with a tumor mass bigger than 2 cm underwent a radical hysterectomy using a C1 type technique.RESULTS: Three type B1 and 11 type C1 radical hysterectomies with robotic-assisted laparoscopy were performed using Da Vinci?. The median operation time was 260 min (range 150-300 min). The median follow-up after surgery was 13.7 months (range 1-23 months). During this time, three patients reported anorectal dysfunction while none reported sexual or bladder dysfunction. All patients remain without evidence of disease except one with high risk factors for recurrence. They all are alive.CONCLUSIONS: Laparoscopic robotic-assisted radical hysterectomy with nerve sparing technique is an attractive surgical approach for early invasive cervical cancer. Robotic technology allows a stereoscopic visualization of blood vessels and autonomic nerve supplies (sympathetic and parasympathetic branches) to the bladder and rectum making nerve sparing a safe and feasible procedure.

Resumo Limpo

ckground work assess role roboticassist lapararoscop radic hysterectomi treatment earli invas cervic cancer special regard nerv spare techniquemethod octob june total nonconsecut patient underw earli cervic cancer surgeri author institut patient figo stage ia ib tumor size less equal cm underw radic hysterectomi type b patient figo stage ib tumor mass bigger cm underw radic hysterectomi use c type techniqueresult three type b type c radic hysterectomi roboticassist laparoscopi perform use da vinci median oper time min rang min median followup surgeri month rang month time three patient report anorect dysfunct none report sexual bladder dysfunct patient remain without evid diseas except one high risk factor recurr aliveconclus laparoscop roboticassist radic hysterectomi nerv spare techniqu attract surgic approach earli invas cervic cancer robot technolog allow stereoscop visual blood vessel autonom nerv suppli sympathet parasympathet branch bladder rectum make nerv spare safe feasibl procedur

Resumos Similares

Int J Med Robot - Robotic surgery for staging of serous papillary and clear cell carcinoma of the endometrium. ( 0,902737778193542 )
Int J Med Robot - Robotic-assisted laparoscopic abdominoperineal resection for anal cancer: feasibility and technical considerations. ( 0,830561029218827 )
Int J Med Robot - Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. ( 0,809986854969313 )
Int J Med Robot - Robot-assisted adrenalectomy: a technical option for the surgeon? ( 0,784579675740284 )
Int J Med Robot - Robotic-assisted laparoscopic radical cystectomy in the octogenarian. ( 0,775342958497822 )
Int J Med Robot - Robotic palliation for unresectable pancreatic cancer and distal cholangiocarcinoma. ( 0,765872055985029 )
Int J Med Robot - Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer: a pilot surgery. ( 0,749777585997855 )
J Clin Monit Comput - Intraoperative ICG plasma disappearance rate helps to predict absence of early postoperative complications after orthotopic liver transplantation. ( 0,746555735604075 )
Int J Med Robot - Learning curve and early clinical outcomes for a robotic surgery novice performing robotic single site cholecystectomy. ( 0,746002957962211 )
Int J Med Robot - Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: a single-surgeon experience. ( 0,733026193357597 )
Int J Med Robot - Totally robotic right colectomy: a preliminary case series and an overview of the literature. ( 0,726224804803743 )
Comput Math Methods Med - An estrogen model: the relationship between body mass index, menopausal status, estrogen replacement therapy, and breast cancer risk. ( 0,726022228241911 )
Int J Med Robot - Robot-assisted laparoscopic management of cardia carcinoma according to Siewert recommendations. ( 0,720684219530211 )
Int J Med Robot - Robotic Anderson-Hynes dismembered pyeloplasty: initial experience. ( 0,720485223791866 )
Int J Med Robot - Open versus robot-assisted sphincter-saving operations in rectal cancer patients: techniques and comparison of outcomes between groups of 100 matched patients. ( 0,71616198019267 )
Int J Med Robot - Robotic-assisted pancreatic resection: a report of 47 cases. ( 0,714382180189229 )
Int J Med Robot - Comparison of the initial surgical experience with robotic and laparoscopic myomectomy. ( 0,691997023371375 )
Int J Med Robot - Analysis of the learning curve for robotic hysterectomy for benign gynaecological disease. ( 0,685260513476445 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,671105970155266 )
J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,670348267183974 )
Telemed J E Health - Detection of asymptomatic paroxysmal atrial fibrillation with the trans-telephonic electrocardiograph system. ( 0,669893204979232 )
Comput. Aided Surg. - Minimally invasive posterior cervical microforaminotomy in the lower cervical spine and C-T junction assisted by O-arm-based navigation. ( 0,664294456846979 )
Int J Med Robot - Robotic nerve-sparing radical parametrectomy: feasibility and technique. ( 0,658140692611176 )
Comput Methods Programs Biomed - Ultrasound based application for intraglandular mapping of breast cancer. ( 0,657022776039041 )
Comput. Biol. Med. - Risk classification of cancer survival using ANN with gene expression data from multiple laboratories. ( 0,650314647024963 )
BMC Med Inform Decis Mak - A model building exercise of mortality risk for Taiwanese women with breast cancer. ( 0,649302581650858 )
Int J Med Robot - Open vs robot-assisted laparoscopic gastric resection with D2 lymph node dissection for adenocarcinoma: a case-control study. ( 0,645122411567219 )
Int J Med Robot - Robotic versus laparoscopic rectal resection: is there any real difference? A comparative single center study. ( 0,644046792335954 )
J. Med. Internet Res. - Online doctor reviews: do they track surgeon volume, a proxy for quality of care? ( 0,639737858229499 )
Comput Math Methods Med - Risk-adaptive volumetric modulated arc therapy using biological objective functions for subvolume boosting in radiotherapy. ( 0,638335114159448 )
Telemed J E Health - Robotic telepresence versus standardly supervised stroke alert team assessments. ( 0,631578602294509 )
J Am Med Inform Assoc - Validating drug repurposing signals using electronic health records: a case study of metformin associated with reduced cancer mortality. ( 0,630073577055475 )
Med Decis Making - Patient time costs associated with sensor-augmented insulin pump therapy for type 1 diabetes: results from the STAR 3 randomized trial. ( 0,627516095573108 )
Int J Med Robot - Robotic adrenalectomy: technical aspects, early results and learning curve. ( 0,625388912860144 )
BMC Med Inform Decis Mak - Essential pre-treatment imaging examinations in patients with endoscopically-diagnosed early gastric cancer. ( 0,625232188942668 )
Int J Med Robot - Robotic cholecystectomy and resident education: the UC Davis experience. ( 0,624671885384561 )
Int J Med Robot - Robotic-assisted surgical removal of pelvic schwannoma: a novel approach to a rare variant. ( 0,623136291115505 )
Int J Med Robot - Robot-assisted single-incision total colectomy: a case report. ( 0,622974886110824 )
Int J Med Robot - Initial experience of robot-assisted thoracoscopic surgery in China. ( 0,619849208866786 )
Med Decis Making - Decision Regret following Treatment for Localized Breast Cancer: Is Regret Stable Over Time? ( 0,61958819587367 )
Int J Med Robot - Robot-assisted laparoscopic abdominoperineal resection for low rectal cancer. ( 0,619160507613707 )
Int J Med Robot - Training to maintain surgical skills during periods of robotic surgery inactivity. ( 0,619128165488011 )
Med Decis Making - Cancer information seeking in the digital age: effects of Angelina Jolie's prophylactic mastectomy announcement. ( 0,618972309896462 )
Int J Med Robot - Robot-assisted partial and total splenectomy. ( 0,61572524586748 )
Int J Med Robot - Cerebral oxygenation measured by near-infrared spectroscopy and jugular vein oxygen saturation during robotic-assisted laparoscopic radical prostatectomy under total intravenous anaesthesia. ( 0,609006687186242 )
Int J Med Robot - Docking of the da Vinci Si Surgical System? with single-site technology. ( 0,606638956185921 )
BMC Med Inform Decis Mak - Factors influencing the surgery intentions and choices of women with early breast cancer: the predictive utility of an extended theory of planned behaviour. ( 0,602598349721497 )
J Med Syst - Prediction of breast cancer using artificial neural networks. ( 0,599759124336445 )
Int J Med Robot - Robot-assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short-term surgical outcomes. ( 0,597388142949525 )
Comput. Aided Surg. - Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis. ( 0,594726267355845 )
J Clin Monit Comput - Noninvasive assessment of peripheral microcirculation by near-infrared spectroscopy: a comparative study in healthy smoking and nonsmoking volunteers. ( 0,592271893258056 )
J. Med. Internet Res. - Daily collection of self-reporting sleep disturbance data via a smartphone app in breast cancer patients receiving chemotherapy: a feasibility study. ( 0,590388371240847 )
J Med Syst - Breast alert: an on-line tool for predicting the lifetime risk of women breast cancer. ( 0,590291991443589 )
Int J Med Robot - Robotic giant hiatal hernia repair: 3year prospective evaluation and review of the literature. ( 0,589798425450514 )
J Am Med Inform Assoc - Use of electronic health record data to evaluate overuse of cervical cancer screening. ( 0,589664675020044 )
Int J Med Robot - Development of a robotic system with six-degrees-of-freedom robotic tool manipulators for single-port surgery. ( 0,589570982782559 )
Int J Med Robot - Percutaneous antegrade scaphoid screw placement: a feasibility and accuracy analysis of a novel electromagnetic navigation technique versus a standard fluoroscopic method. ( 0,589060610900879 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,58526419237064 )
Int J Med Robot - Robotic revisional bariatric surgery: a comparative study with laparoscopic and open surgery. ( 0,58425701919659 )
J Clin Monit Comput - Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study. ( 0,584092005520729 )
Comput Math Methods Med - Modeling the spatial distribution of chronic tumor hypoxia: implications for experimental and clinical studies. ( 0,583746695407473 )
J Med Syst - The effect of artificial neural network model combined with six tumor markers in auxiliary diagnosis of lung cancer. ( 0,583447217748584 )
Int J Med Robot - Da Vinci robot-assisted system for thymectomy: experience of 55 patients in China. ( 0,583076950820973 )
Int J Med Robot - Accuracy of screw placement and radiation dose in navigated dorsal instrumentation of the cervical spine: a prospective cohort study. ( 0,580188681340754 )
J Telemed Telecare - Telemonitoring in chronic obstructive airway disease and adult patients with cystic fibrosis. ( 0,57682047794057 )
Int J Med Inform - Effects of electronic medical record in a Chinese hospital: a time series study. ( 0,575233852240545 )
J Clin Monit Comput - Intraoperative neurophysiological monitoring during spine surgery with total intravenous anesthesia or balanced anesthesia with 3% desflurane. ( 0,575091924126545 )
Int J Comput Assist Radiol Surg - Design considerations for a novel MRI compatible manipulator for prostate cryoablation. ( 0,574620910899276 )
Comput Math Methods Med - Computer implementation of a new therapeutic model for GBM tumor. ( 0,573970564497561 )
J Clin Monit Comput - Ultrasound-guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches? ( 0,572782405450489 )
Int J Med Robot - Robot assisted surgery in gynaecologic oncology - starting a program and initial learning curve from a UK tertiary referral centre: the Guildford perspective. ( 0,57214822022222 )
Comput Math Methods Med - Computer aided detection of breast density and mass, and visualization of other breast anatomical regions on mammograms using graph cuts. ( 0,570502712217799 )
Comput Methods Programs Biomed - Critical laboratory result reporting system in cancer patients. ( 0,569309727527613 )
Int J Med Robot - Single-site robotic cholecystectomy: efficiency and cost analysis. ( 0,567747595737024 )
J Med Syst - Thermography based breast cancer detection using texture features and Support Vector Machine. ( 0,567478223308401 )
J Telemed Telecare - Using telemonitoring to construct knowledge about homebound patient populations: vital-signs alert rates. ( 0,566706560408675 )
Int J Med Robot - Robotic presacral neurectomy - technique and results. ( 0,56525894725984 )
Comput Methods Programs Biomed - Automated estimation of disease recurrence in head and neck cancer using routine healthcare data. ( 0,564091314718199 )
Int J Med Robot - En bloc resection of epiglottic tumors with transoral robotic approach - preliminary results. ( 0,563469022761114 )
J Telemed Telecare - A hybrid approach to telepathology in Cambodia. ( 0,563083162276014 )
Int J Med Robot - Initial laboratory experience with a novel ultrasound probe for standard and single-port robotic kidney surgery: increasing console surgeon autonomy and minimizing instrument clashing. ( 0,562817093666297 )
Comput. Aided Surg. - Clinical outcome after hypofractionated stereotactic radiotherapy (HSRT) for benign skull base tumors. ( 0,562513146455973 )
Comput. Biol. Med. - Recurring patterns of atrial fibrillation in surface ECG predict restoration of sinus rhythm by catheter ablation. ( 0,560799276249546 )
J. Med. Internet Res. - Web-based cognitive training: patient adherence and intensity of treatment in an outpatient memory clinic. ( 0,559636346959042 )
J. Med. Internet Res. - Clinical outcome and cost-effectiveness of a synchronous telehealth service for seniors and nonseniors with cardiovascular diseases: quasi-experimental study. ( 0,559584906555564 )
J Clin Monit Comput - Baroreflex sensitivity variations in response to propofol anesthesia: comparison between normotensive and hypertensive patients. ( 0,558973204341103 )
Med Biol Eng Comput - Measurement of bioelectric and acoustic profile of breast tissue using hybrid magnetoacoustic method for cancer detection. ( 0,558490140742687 )
J Telemed Telecare - Evaluation of a telemedical care programme for patients with Parkinson's disease. ( 0,557996182350277 )
Telemed J E Health - Streamlining HIV testing in the emergency department-leveraging kiosks to provide true universal screening: a usability study. ( 0,554954189313226 )
Int J Med Robot - Robotic resection of duodenal adenoma. ( 0,55377334058463 )
Int J Med Robot - Robotic hepatobiliary and pancreatic surgery: lessons learned and predictors for conversion. ( 0,553098369732084 )
Int J Med Robot - Evaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot study. ( 0,552908294710221 )
Comput Methods Programs Biomed - Influenza vaccination and reduction in risk of ischemic heart disease among chronic obstructive pulmonary elderly. ( 0,552518603175801 )
Int J Med Robot - Image guidance shortens the learning curve for K-wire placement - an experimental study. ( 0,552171147813776 )
Int J Med Robot - Robotic-assisted enucleation of a large lower esophageal leiomyoma and review of literature. ( 0,552111030668693 )
Int J Med Robot - Evolution of robotic nephrectomy for living donation: from hand-assisted to totally robotic technique. ( 0,551746254741378 )
Int J Comput Assist Radiol Surg - Measures of angular spread and entropy for the detection of architectural distortion in prior mammograms. ( 0,551318156283053 )
Comput Methods Programs Biomed - A coarse-to-fine approach for segmenting melanocytic skin lesions in standard camera images. ( 0,551187391230672 )
Int J Med Robot - Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. ( 0,550572122536667 )
Comput. Biol. Med. - Segmentation of histopathology HER2/neu images with fuzzy decision tree and Takagi-Sugeno reasoning. ( 0,549674139778876 )