Computer-enhanced robotic telesurgery: Initial experience in foregut surgery

W. S. Melvin, B. J. Needleman, K. R. Krause, C. Schneider, R. K. Wolf, R. E. Michler, E. C. Ellison

Research output: Contribution to journalArticlepeer-review

142 Scopus citations


Background: A new type of computer-enhanced telemanipulator device for "robotic" laparoscopic surgery was recently approved. We prospectively evaluated the initial patients undergoing procedures with this new device at our institution. Methods: Patient demographics, operative indications, port placement, operative time, robot time, complications, and hospital stay were recorded. Follow-up evaluation was appropriate for the individual procedure. Results: Initially, 35 cases were managed. There were 22 anti-reflux procedures, 9 Heller myotomies, 1 pyloroplasty, 1 distal pancreatectomy with splenectomy, 1 esophagectomy with intrathoracic anastomosis, and 1 diagnostic laparoscopy. The operative times ranged from 88 to 458 min. The robot use times were between 16 and 185 min. There were no device-related complications. Conclusions: Computer-enhanced robotic telesurgery is a safe and effective treatment method for a variety of diseases of the proximal gastrointestinal tract. Further study is needed to determine the benefits of this approach as compared with current technology.

Original languageEnglish (US)
Pages (from-to)1790-1792
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number12
StatePublished - Dec 1 2002
Externally publishedYes


  • Minimally invasive foregut surgery
  • Robotic surgery
  • Telemanipulator

ASJC Scopus subject areas

  • Surgery


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