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A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table

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Abstract

Background

The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.

Materials and methods

Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.

Results

Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.

Conclusions

The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

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References

  1. Barbash GI, Glied SA (2010) New technology and health care costs: the case of robot-assisted surgery. N Engl J Med 363:701–704

    Article  CAS  Google Scholar 

  2. Mirheydar HS, Parsons JK (2013) Diffusion of robotics into clinical practice in the United States: process, patient safety, learning curves, and the public health. World J Urol 31:455–461

    Article  Google Scholar 

  3. Bouquet de Joliniere J, Librino A, Dubuisson JB, Khomsi F, Ben Ali N, Fadhlaoui A, Ayoubi JM, Feki A (2016) Robotic surgery in gynecology. Front Surg 2(3):26

    Google Scholar 

  4. Kwon DS, Chang GJ (2011) The role of minimally invasive surgery and outcomes in colorectal cancer. Perm J 15:61–66

    Article  Google Scholar 

  5. Magrina JF, Zanagnolo V, Noble BN, Kho RM, Magtibay P (2011) Robotic approach for ovarian cancer: perioperative and survival results and comparison with laparoscopy and laparotomy. Gynecol Oncol 121:100–105

    Article  Google Scholar 

  6. Bae SU, Baek SJ, Hur H, Baik SH, Kim NH, Min BS (2015) Robotic left colon cancer resection: a dual docking technique that maximizes splenic flexure mobilization. Surg Endosc 29:1303–1309

    Article  Google Scholar 

  7. Malley D, Boris R, Kaul S, Eun D, Muhletaler F, Rogers C, Narra V, Menon M (2008) Synchronous bilateral adrenalectomy for adrenocorticotropic-dependent Cushing’s syndrome. JSLS 12:198–201

    PubMed  PubMed Central  Google Scholar 

  8. Eandi JA, Nelson RA, Wilson TG, Josephson DY (2010) Oncologic outcomes for complete robot-assisted laparoscopic management of upper-tract transitional cell carcinoma. J Endourol 24:969–975

    Article  Google Scholar 

  9. Vitobello D, Fattizzi N, Santoro G, Rosati R, Baldazzi G, Bulletti C, Palmara V (2013) Robotic surgery and standard laparoscopy: a surgical hybrid technique for use in colorectal endometriosis. J Obstet Gynaecol Res 39:217–222

    Article  Google Scholar 

  10. Park SY, Jeong W, Ham WS, Kim WT, Rha KH (2009) Initial experience of robotic nephroureterectomy: a hybrid-port technique. BJU Int 104:1718–1721

    Article  Google Scholar 

  11. Pugh J, Parekattil S, Willis D, Stifelman M, Hermal A, Su LM (2013) Perioperative outcomes of robot-assisted nephroureterectomy for upper urinary tract urothelial carcinoma: a multi-institutional series. BJU Int 112:E295–E300

    Article  Google Scholar 

  12. Morelli L, Palmeri M, Guadagni S, Di Franco G, Moglia A, Ferrari V, Cariello C, Buccianti P, Simoncini T, Zirafa C, Melfi F, Di Candio G, Mosca F (2016) Use of a new integrated table motion for the da Vinci Xi in colorectal surgery. Int J Colorectal Dis 31(9):1671–1673

    Article  Google Scholar 

  13. Luca F, Valvo M, Ghezzi TL, Zuccaro M, Cenciarelli S, Trovato C, Sonzogni A, Biffi R (2013) Impact of robotic surgery on sexual and urinary functions after fully robotic nerve-sparing total mesorectal excision for rectal cancer. Ann Surg 257:672–678

    Article  Google Scholar 

  14. Baek SJ, Kim CH, Cho MS, Bae SU, Hur H, Min BS, Baik SH, Lee KY, Kim NK (2015) Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy. Surg Endosc 29:1419–1424

    Article  Google Scholar 

  15. Morelli L, Guadagni S, Di Franco G, Palmeri M, Caprili G, D’Isidoro C, Cobuccio L, Marciano E, Mosca F (2017) Use of the new da Vinci Xi® during robotic rectal resection for cancer: a pilot matched-case comparison with the da Vinci Si®. Int J Med Robot. https://doi.org/10.1002/rcs.1728

    Article  PubMed  Google Scholar 

  16. Giannini A, Russo E, Mannella P, Palla G, Pisaneschi S, Cecchi E, Maremmani M, Morelli L, Perutelli A, Cela V, Melfi F, Simoncini T (2016) First series of total robotic hysterectomy (TRH) using new integrated table motion for the da Vinci Xi: feasibility, safety and efficacy. Surg Endosc. https://doi.org/10.1007/s00464-016-5331-x

    Article  PubMed  Google Scholar 

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Acknowledgements

Study supported by Intuitive Surgical, Inc.

Author information

Authors and Affiliations

  1. General Surgery Unit, Department of Surgery, Translational and new Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy

    Luca Morelli MD, FACS & Matteo Palmeri

  2. EndoCAS (Center for Computer Assisted Surgery), University of Pisa, Pisa, Italy

    Luca Morelli MD, FACS

  3. Division of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, Italy

    Tommaso Simoncini, Vito Cela & Alessandra Perutelli

  4. Division of Urology, Department of Translational Research, University of Pisa, Pisa, Italy

    Cesare Selli

  5. General Surgery, Department of Surgery, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy

    Piero Buccianti

  6. Urology Unit, Department of Endocrinology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy

    Francesco Francesca

  7. General Surgery Unit, Versilia Hospital, Viareggio, Italy

    Massimo Cecchi

  8. Multidisciplinary Robotic Center, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy

    Cristina Zirafa & Franca Melfi

  9. Institute of Clinical Physiology, National Council of Research, Pisa, Italy

    Luca Bastiani

  10. Institute for Medical Science and Technology, University of Dundee, Dundee, Scotland, UK

    Alfred Cuschieri

Authors
  1. Luca Morelli MD, FACS
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  2. Matteo Palmeri
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  3. Tommaso Simoncini
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  4. Vito Cela
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  5. Alessandra Perutelli
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  6. Cesare Selli
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  7. Piero Buccianti
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  8. Francesco Francesca
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  9. Massimo Cecchi
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  10. Cristina Zirafa
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  11. Luca Bastiani
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  12. Alfred Cuschieri
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  13. Franca Melfi
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Contributions

Study conception and design: Prof. ML, Dott. PM, Prof. ST, Dott. CV, Dott. PA, Prof. SC, Dott. BP, Dott. FF, Dott. CM, Dott. ZC, Dott. BL, Prof. CA, and Dott. MF; Acquisition of data: Prof. ML, Prof. ST, Dott. CV, Dott. PA, Prof. SC, Dott. BP, Dott. FF, Dott. CM, Dott. ZC, and Dott. MF; Analysis and interpretation of data: Prof. ML, Dott. PM, Prof. ST, Dott. ZC, Dott. BL, Prof. CA, and Dott. MF; Drafting of manuscript: Prof. ML, Dott. PM, Prof. ST, Dott. BL, and Prof. CA; Critical revision of manuscript: Prof. ML, Prof. ST, Prof. CA, and Dott. MF.

Corresponding author

Correspondence to Luca Morelli MD, FACS.

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Disclosures

Prof. Morelli Luca, Dr. Palmeri Matteo, Prof. Simoncini Tommaso, Dr. Cela Vito, Dr. Perutelli Alessandra, Prof. Selli Cesare, Dr. Buccianti Piero, Dr. Francesca Francesco, Dr. Cecchi Massimo, Dr. Zirafa Cristina, Dr. Bastiani Luca, Prof. Cuschieri Alfred, and Dr. Melfi Franca have no conflicts of interest or financial ties to disclose.

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Morelli, L., Palmeri, M., Simoncini, T. et al. A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table. Surg Endosc 32, 4165–4172 (2018). https://doi.org/10.1007/s00464-018-6161-9

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  • DOI: https://doi.org/10.1007/s00464-018-6161-9

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