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TheSAGES Manual ofRobotic Surgery
SarahSamreen OmarYusefKudsi DmitryOleynikov Ankit D.Patel
SecondEdition
123
The SAGES Manual of Robotic Surgery
Sarah Samreen • Omar Yusef Kudsi Dmitry Oleynikov • Ankit D. Patel
Editors
The SAGES Manual of Robotic Surgery
Second Edition
Editors
Sarah Samreen Surgery The University of Texas Medical Branch Galveston, TX, USA
Dmitry Oleynikov Monmouth Medical Center Rutgers Robert Wood Johnson Medical School Long Branch, NJ, USA
Omar Yusef Kudsi Department of Surgery, Brigham and Women’s Hospital Harvard Medical School Boston, MA, USA
Ankit D. Patel Surgery Emory University Atlanta, GA, USA
ISBN 978-3-031-86926-6 ISBN 978-3-031-86927-3 (eBook)
https://doi.org/10.1007/978-3-031-86927-3
© SAGES 2018, 2025
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and trans­mission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica­tion does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

Disclaimer for Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Manual

The contents of this manual are intended exclusively for educational and informa­tional purposes only, and nothing contained within constitutes medical advice. Neither this manual nor its contents have been subject to formal peer review. The information provided herein does not represent, nor should it be interpreted as, the ofcial position, view, or endorsement of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) or its governing body. This manual is not intended for use in diagnosing or treating any health problem, condition, or disease. Individuals seeking personal medical advice should consult an appropriate licensed professional.
Neither SAGES, nor its ofcers, directors, employees, members, nor any of the contributors to this manual make any representation or warranty, express or implied, regarding the accuracy, completeness, tness for any intended purpose, or suitabil­ity of the information contained herein for any specic use or function. Neither access to, nor use of, this manual creates or implies any physician-patient relation­ship, and reliance on any information provided, contained, or implied herein is solely at the user’s own risk.
v

Contents

Part I Robotic System Details
1 The Background of Robotic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Danyal Fer and Jamil Stetler
Part II Current and Upcoming Robotic Platforms
2 Current and Upcoming Robotic Platforms: Intuitive da Vinci . . . . . . . 15
Clark Gerhart
3 Asensus Surgical: Senhance Surgical System . . . . . . . . . . . . . . . . . . . . . 19
Amit Trivedi and Sarah Wong
4 The Hugo RASTM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Yoav Mintz and Ronit Brodie
5 Versius Surgical Robot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Subhash Khanna and Areendam Barua
6 Virtual Incision: MIRA Surgical System . . . . . . . . . . . . . . . . . . . . . . . . 63
Dmitry Oleynikov and Shane Farritor
7 Starting and Developing a Robotic Program . . . . . . . . . . . . . . . . . . . . . 69
C. Franco-Mesa and Sarah Samreen
8 Robotic Training and Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Katherine Fay and Ankit D. Patel
9 Digital Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Jonathan Gootee and Nova Szoka
10 Navigating Resources for Aspiring and Experienced
Robotic Surgeons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Yasamin Taghikhan and Ankit Sarin
Part III Masters Program
11 Overview of SAGES Masters Program . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Daniel B. Jones, Brian P. Jacob, and Linda Schultz
vii
viii
Contents
12 Robotic Paraesophageal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . 129
Karan R. Chhabra and Charudutt N. Paranjape
13 Management of Achalasia: A Disease Hard to Swallow . . . . . . . . . . . . 139
Molly Belisle, Sana Khan, Nicholas Calvo, Alex Lynch, and Abubaker A. Ali
14 Robotic Esophagectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Evangelos Tagkalos and Peter P. Grimminger
15 Robot-Assisted Partial and Total Gastrectomy . . . . . . . . . . . . . . . . . . . 175
Raj G. Vaghjiani
16 Robotic Sleeve Gastrectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Maria S. Altieri
17 Robotic Roux-en-Y Gastric Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Hany Takla
18 DS/SADI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Paul Anthony Karam, Sarah Samreen, Andrew Lin, and Maher El Chaar
19 Revisional Foregut and Bariatric Surgery . . . . . . . . . . . . . . . . . . . . . . . 227
Michelle Nessen and Carlos A. Galvani
20 Robotic Transabdominal Preperitoneal (TAPP)
Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Samuel Guba and Richard Lu
21 Robotic Transabdominal Preperitoneal (r-TAPP)
and Intraperitoneal Onlay Mesh (r-IPOM) Hernia
Repairs for Ventral Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Rachel Reed, Savannah Smith, Eli Mlaver, and S. Scott Davis Jr.
22 Complex Robotic Abdominal Wall Reconstruction . . . . . . . . . . . . . . . . 279
Cigdem Benlice, Bilgi Baca, and Omar Yusef Kudsi
23 Robotic Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299
Samuel Cass, Jennifer Moffett, and Sarah Samreen
24 Liver Resection and Biliary Reconstruction . . . . . . . . . . . . . . . . . . . . . . 307
Yee Lee Cheah and Caroline J. Simon
25 Robotic-Assisted Pancreaticoduodenectomy (Whipple) . . . . . . . . . . . . 327
Ahmad Abou Abbass and Mohamad Othman El Helou
26 Right Hemicolectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
Ibrahim H. Ozata and Emre Balık
Contents
27 Left Hemicolectomy and Total Colectomy . . . . . . . . . . . . . . . . . . . . . . . 365
Kamil Erozkan and Emre Gorgun
28 Low Anterior Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 387
Cigdem Benlice and Bilgi Baca
Part IV Miscellaneous
29 Robotic Lateral Transabdominal Adrenalectomy . . . . . . . . . . . . . . . . . 407
Felipe B. Maegawa, Justin Malek, and Snehal G. Patel
30 Thyroid and Parathyroid Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415
Micaela Piccoli, Alice Francescato, and Barbara Mullineris
31 Robotic Pulmonary Lobectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427
Andrei I. Gritsiuta, Abbas E. Abbas, and Roman V. Petrov
32 Robotic-Assisted Cardiac Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461
Amalia A. Jonsson and Michael E. Halkos
33 Mediastinal Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 471
Brittney Williams and Manu Sancheti
34 Liver Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493
Yee Lee Cheah, Gi Hong Choi, YoungRok Choi, and Kwang Woong Lee
ix
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523

Contributors

Abbas E.Abbas Department of Thoracic Oncology, Warren Alpert School of
Medicine at Brown University, Providence, RI, USA
Ahmad Abou Abbass Directory of Hepatobiliary Surgery, Mission Hospital,
Mission Viejo, CA, USA
AbubakerA.Ali Wayne State University, Detroit, MI, USA MariaS.Altieri Department of Surgery, Hospital of the University of Pennsylvania,
Philadelphia, PA, USA
Bilgi Baca Department of General Surgery, Acibadem Mehmet Ali Aydinlar
University School of Medicine, Istanbul, Turkey
EmreBalık Maltepe Mahallesi, Zeytinburnu, Istanbul, Turkey AreendamBarua Minimal Access and Robotic Surgical Oncology, Swagat Super
Speciality Surgical Institute and NH, Guwahati, Assam, India
MollyBelisle Wayne State University, Detroit, MI, USA CigdemBenlice Department of General Surgery, Acibadem Mehmet Ali Aydinlar
University School of Medicine, Istanbul, Turkey
Ronit Brodie Department of General Surgery, Hadassah Hebrew University
Medical Center, Jerusalem, Israel
NicholasCalvo Wayne State University, Detroit, MI, USA SamuelCass, MD Department of Surgery, University of Texas Medical Branch,
Galveston, TX, USA
YeeLeeCheah JC Walter Jr Transplant Center, Sherrie and Alan Conover Center
for Liver Disease and Transplantation, Houston Methodist Hospital, Houston, TX, USA Department of Surgery, Houston Methodist Hospital, Houston, TX, USA
xi
xii
Contributors
Karan R. Chhabra Departments of Surgery and Population Health, NYU
Grossman School of Medicine, New York, NY, USA Division of Bariatric and General Surgery, Bellevue Hospital Center, New York, NY, USA
Gi Hong Choi Division of Hepato-biliary and Pancreatic Surgery, Yonsei
University College of Medicine, Seoul, South Korea
YoungRokChoi Division of HBP Surgery, Department of Surgery, Seoul National
University College of Medicine, Seoul, South Korea Maher El Chaar Bariatric Surgery Department, St Luke’s University Health
Network, Bethlehem, PA, USA MohamadOthmanEl Helou Department of Surgery, Yale New Haven Hospital,
Yale School of Medicine, New Haven, CT, USA Department of Surgery, Henry Ford Providence Hospital, Southeld, MI, USA
KamilErozkan Department of Colorectal Surgery, Digestive Disease and Surgery
Institute, Cleveland Clinic, Cleveland, OH, USA
Shane Farritor David B. and Nancy K. Lederer Professor of Engineering,
Lincoln, NH, USA
Katherine Fay Department of General Surgery, Grady Memorial Hospital,
Atlanta, GA, USA Department of General & Gastrointestinal Surgery, Emory University School of Medicine, Atlanta, GA, USA
DanyalFer Department of General & Gastrointestinal Surgery, Emory University
School of Medicine, Atlanta, GA, USA Department of General Surgery, David Grant Medical Center, United States Air Force, Faireld, CA, USA
AliceFrancescato Department of General, Emergency Surgery and New technol-
ogies, Baggiovara General Hospital, AOU Modena, Modena, Italy
C.Franco-Mesa, MD Division of General Surgery, University of Texas Medical
Branch, Galveston, TX, USA
Carlos A. Galvani Department of Minimally Invasive and Bariatric Surgery,
Louisiana State University, Baton Rouge, LA, USA
Clark Gerhart General and Bariatric Surgeon, Associate Medical Ofcer,
Intuitive., Sunnyvale, CA, USA
Jonathan Gootee Department of Surgery, West Virginia University,
Morgantown, WV, USA
EmreGorgun Department of Colorectal Surgery, Digestive Disease and Surgery
Institute, Cleveland Clinic, Cleveland, OH, USA
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