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View article: Haemorrhage following transoral robotic surgery in head and neck cancer
Haemorrhage following transoral robotic surgery in head and neck cancer Open
As the utilisation of transoral robotic surgery (TORS) continues to rise, there is a growing need to evaluate the risks of perioperative complications. Post-TORS haemorrhage represents the most severe complication associated with TORS, how…
View article: Digital transformation of robotic surgery train the trainer ‘TTT’ courses: training the trainer in technique and technology (the 4Ts course)
Digital transformation of robotic surgery train the trainer ‘TTT’ courses: training the trainer in technique and technology (the 4Ts course) Open
As the role of robot-assisted surgery continues to expand there has been as an associated proliferation of novel technologies to aid training. Necessitating the development of standardised and validated training programmes that incorporate…
View article: Diffusion weighted <scp>MRI</scp> and neutrophil lymphocyte ratio non‐invasively predict infection in pancreatic necrosis: a pilot study
Diffusion weighted <span>MRI</span> and neutrophil lymphocyte ratio non‐invasively predict infection in pancreatic necrosis: a pilot study Open
Background Infected pancreatic necrosis (IPN) is a major determinant of mortality in acute pancreatitis (AP). Non‐invasive diagnosis of IPN could guide the intervention in AP. We aimed to investigate the role of non‐invasive methods like d…
View article: Prospective development study of the Versius Surgical System for use in transoral robotic surgery: an IDEAL stage 1/2a first in human and initial case series experience
Prospective development study of the Versius Surgical System for use in transoral robotic surgery: an IDEAL stage 1/2a first in human and initial case series experience Open
Purpose Transoral robotic surgery is well established in the treatment paradigm of oropharyngeal pathology. The Versius Surgical System (CMR Surgical) is a robotic platform in clinical use in multiple specialities but is currently untested…
View article: New robotic platform for transoral robotic surgery: an IDEAL stage 0 study
New robotic platform for transoral robotic surgery: an IDEAL stage 0 study Open
Objectives This study aims to assess the feasibility to perform transoral robotic surgery (TORS) with a new robotic platform, the Versius Surgical System (CMR Surgical, UK) in a preclinical cadaveric setting in accordance to stage 0 of the…
View article: Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome
Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome Open
Purpose Orbital surgery benefits from well-designed instrumentation that offers gentle tissue manipulation, high manoeuvrability and control. Nevertheless, in confined spaces, tissue manipulation must be accomplished with exceptionally hig…
View article: Robotic Assisted Orbital Surgery for resection of advanced periocular tumours– a case series report on the feasibility, safety and outcome
Robotic Assisted Orbital Surgery for resection of advanced periocular tumours– a case series report on the feasibility, safety and outcome Open
Purpose Orbital surgery benefits from well-designed instrumentation that offers gentle tissue manipulation, high manoeuvrability and control. Nevertheless, in confined spaces, tissue manipulation must be accomplished with exceptionally hig…
View article: Neck Dissection Timing in Transoral Robotic or Laser Microsurgery in Oropharyngeal Cancer: A Systematic Review
Neck Dissection Timing in Transoral Robotic or Laser Microsurgery in Oropharyngeal Cancer: A Systematic Review Open
Objective This review assesses the effect on intra‐ and postoperative patient outcomes of the timing of neck dissection in relation to transoral surgery. Outcome measures include postoperative bleeding, intra‐ and postoperative fistula for…
View article: Outcomes of head and neck cancer management from two cancer centres in Southern and Northern Europe during the first wave of COVID-19
Outcomes of head and neck cancer management from two cancer centres in Southern and Northern Europe during the first wave of COVID-19 Open
Objective: To describe the approach and outcomes from two cancer centres in Southern and Northern Europe during the first wave of coronavirus disease 2019 (COVID-19) of patients with head and neck cancer (HNC). Methods: Data collection was…
View article: Timing of Tracheostomy for Prolonged Respiratory Wean in Critically Ill Coronavirus Disease 2019 Patients: A Machine Learning Approach
Timing of Tracheostomy for Prolonged Respiratory Wean in Critically Ill Coronavirus Disease 2019 Patients: A Machine Learning Approach Open
Objectives: To propose the optimal timing to consider tracheostomy insertion for weaning of mechanically ventilated patients recovering from coronavirus disease 2019 pneumonia. We investigated the relationship between duration of mechanica…
View article: Laparoscopic cholecystectomy in patients with portal cavernoma without portal vein decompression
Laparoscopic cholecystectomy in patients with portal cavernoma without portal vein decompression Open
Introduction: Laparoscopic cholecystectomy (LC) in patients with extrahepatic portal vein obstruction causing portal cavernoma (PC) is considered high risk because of portosystemic collateral veins in the hepatocystic triangle. The literat…
View article: Airway, voice and swallow outcomes following endotracheal intubation and mechanical ventilation for COVID-19 pneumonitis: preliminary results of a prospective cohort study
Airway, voice and swallow outcomes following endotracheal intubation and mechanical ventilation for COVID-19 pneumonitis: preliminary results of a prospective cohort study Open
Introduction: The coronavirus pandemic has resulted in unprecedented rates of patients requiring intubation and ventilation over a short period of time. The authors present 3-month data on airway, voice and swallow outcomes for this cohort…
View article: Multidisciplinary Tracheostomy Quality Improvement in the COVID-19 Pandemic: Building a Global Learning Community
Multidisciplinary Tracheostomy Quality Improvement in the COVID-19 Pandemic: Building a Global Learning Community Open
Objectives: To report experience with a global multidisciplinary tracheostomy e-learning initiative. Methods: An international multidisciplinary panel of experts convened to build a virtual learning community for tracheostomy care, compris…
View article: Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax
Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax Open
Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitti…
View article: Percutaneous tracheostomy in COVID-19 pneumonitis patients requiring prolonged mechanical ventilation: Initial experience in 51 patients and preliminary outcomes.
Percutaneous tracheostomy in COVID-19 pneumonitis patients requiring prolonged mechanical ventilation: Initial experience in 51 patients and preliminary outcomes. Open
Key Points• In 51 patients with COVID-19, the median day of tracheostomy after intubation was 17. 72.5% occurred on or after day 14.The average PEEP was 8 and Fi02 0.35. •Median follow-up was 11 days (range (2-36)), out of which the sedati…
View article: Percutaneous tracheostomy in COVID-19 pneumonitis patients requiring prolonged mechanical ventilation: Initial experience in 51 patients and preliminary outcomes.
Percutaneous tracheostomy in COVID-19 pneumonitis patients requiring prolonged mechanical ventilation: Initial experience in 51 patients and preliminary outcomes. Open
Key Points• In 51 patients with COVID-19, the median day of tracheostomy after intubation was 17. 72.5% occurred on or after day 14.The average PEEP was 8 and Fi02 0.35. •Median follow-up was 11 days (range (2-36)), out of which the sedati…
View article: Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic
Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic Open
Purpose The COVID-19 pandemic is placing unprecedented demand upon critical care services for invasive mechanical ventilation. There is current uncertainty regarding the role of tracheostomy for weaning ventilated patients with COVID-19 pn…
View article: Inflammatory pseudotumors of the liver: Importance of a multimodal approach with the insistance of needle biopsy
Inflammatory pseudotumors of the liver: Importance of a multimodal approach with the insistance of needle biopsy Open
CONTEXT: Inflammatory pseudotumor (IPT) of the liver is a rare, tumor-like lesion that is considered to be biologically benign but often mimics malignancy. AIMS: The aim of the study was construe clinicopathological features, imaging findi…
View article: An unusual cause of gastrointestinal bleed in patients with liver cirrhosis
An unusual cause of gastrointestinal bleed in patients with liver cirrhosis Open
Acute upper gastrointestinal (UGI) bleeding in cirrhosis has been classically linked to variceal rupture, although peptic ulcer and portal hypertensive gastropathy-related bleed are not uncommon. Gastrointestinal stromal tumour (GIST) is t…
View article: Robotic Head and Neck Surgery: History, Technical Evolution and the Future
Robotic Head and Neck Surgery: History, Technical Evolution and the Future Open
The first application of robotic technology in surgery was described in 1985 when a robot was used to define the trajectory for a stereotactic brain biopsy. Following its successful application in a variety of surgical operations, the da V…