FDA just Approved Single-Site for Lad Chole!!

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Anonymous said:
Finally! A procedure that we all can agree should be done on the robot!!!!!
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Why? This is already a 25 minute case for most guys. Outside of some marketing schtick, what smart surgeon is going to agree to add over an hour of additional time to their day for what is a chip-shot case.

How are you going to sell the additional time? Single incision was designed to eliminate the need for a robot. Now you're adding the extra cost and time to it? Good luck.
 






Wow, don't take it so personal. DaVinci is still a piece of shit waste of money. Sure, your outcomes are sooooooo much better. Get real, the consumer marketing is awesome though. Just admit it, clinical necessity is a big zero. Also, don't tell me to get off this Fuckin board either, skanky Douchebag. Nice touch with the DaVinci patient link. Talk about Idiot!
 






Anonymous said:
Why? This is already a 25 minute case for most guys. Outside of some marketing schtick, what smart surgeon is going to agree to add over an hour of additional time to their day for what is a chip-shot case.

How are you going to sell the additional time? Single incision was designed to eliminate the need for a robot. Now you're adding the extra cost and time to it? Good luck.
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Single incision eliminates the need for a robot? You have zero understanding of single site and zero understanding of the robot. Single incision was designed for better cosmesis- that's it. There's no clinical benefit to doing a procedure through single site versus traditional lap. How does that eliminate the need for a robot?

The robot gives the surgeons 3d vision, wristed instruments and intuitive motion. Lap single site makes traditional lap surgery even harder; that's why very few surgeons offer the approach. The robot will make single site surgery much easier for the masses, and it allow more surgeons to market the approach to patients who are scar sensitive. The robot will give surgeons who want to offer single site, but can't perform single site lap a reproducible means to do so. Not everyone will do it, but I guarantee to you this will crush the lap company's offerings in hospitals that have the da Vinci Si.
 






Anonymous said:
Why? This is already a 25 minute case for most guys. Outside of some marketing schtick, what smart surgeon is going to agree to add over an hour of additional time to their day for what is a chip-shot case.

How are you going to sell the additional time? Single incision was designed to eliminate the need for a robot. Now you're adding the extra cost and time to it? Good luck.
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25 minutes? You must be talking about lap chole...what an idiot! Everyone knows that in order to show a clinical benefit, we only compare robotic procedures to open surgeries. Geez, get with the program.
 












Anonymous said:
25 minutes? You must be talking about lap chole...what an idiot! Everyone knows that in order to show a clinical benefit, we only compare robotic procedures to open surgeries. Geez, get with the program.
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Hey dip-shit, we are talking about a chole, not colon. Not too many guys doing open choles, except maybe where you are. Fucking idiot.
 






Anonymous said:
Single incision eliminates the need for a robot? You have zero understanding of single site and zero understanding of the robot. Single incision was designed for better cosmesis- that's it. There's no clinical benefit to doing a procedure through single site versus traditional lap. How does that eliminate the need for a robot?

The robot gives the surgeons 3d vision, wristed instruments and intuitive motion. Lap single site makes traditional lap surgery even harder; that's why very few surgeons offer the approach. The robot will make single site surgery much easier for the masses, and it allow more surgeons to market the approach to patients who are scar sensitive. The robot will give surgeons who want to offer single site, but can't perform single site lap a reproducible means to do so. Not everyone will do it, but I guarantee to you this will crush the lap company's offerings in hospitals that have the da Vinci Si.
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Single incision is just cosmetic? You robot fags are dumber than you look. Keep telling your B & C general surgeons you can teach them a better way to do a lap chole and then go hang out waiting for the 1 -2 per month that they'll do for you. Great investment in time and money for Intuitive.
You won't have a chance in hell selling your Go-bots for choles. Ethicon and Covidien will have you guys back pushing your 5 hour hysters soon enough.
 












It will be interesting to see where this goes. *Lap Chole is the most common procedure in the US and the laparoscopic technique has been refined for years to produce the best clinical and economic outcomes, single incision or not. *I don't see that there is much of a claim that ISI can make to justify the extra time and expense of robotics in this case, since they generally rely on robot vs. open surgery stats to validate usage. *If anything, it has the potential to expose the cost/benefit shortcomings of robotics in other procedures. *I guess we'll see just how good the DaVinci kool-aid really is.
 






Anonymous said:
Single incision is just cosmetic? You robot fags are dumber than you look. Keep telling your B & C general surgeons you can teach them a better way to do a lap chole and then go hang out waiting for the 1 -2 per month that they'll do for you. Great investment in time and money for Intuitive.
You won't have a chance in hell selling your Go-bots for choles. Ethicon and Covidien will have you guys back pushing your 5 hour hysters soon enough.
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Ok, let's see if you're clinical knowledge is as limited as your vocabulary and weak insult attempts. What is the clinical benefit of a single site approach to choles (robotic or lap, doesn't matter which)? Please show me a clinical trial that shows ONE clinical advantage (less chance for CBD damage, lower complication rate intra or post-op, less chance of port site herniation, etc).

I'll answer for you, there isn't one. The only advantage to the single site approach versus traditional multi-port surgery is cosmetic. With single site, multiple "bullet hole" scars are exchanged for a slightly larger incision that's hidden by the umbilicus. Surgeons can market a "scarless" gall bladder surgery. That's all there is to it. I'm sure that I won't get a response, but I'd love another laugh, so fire away.
 






Anonymous said:
Ok, let's see if you're clinical knowledge is as limited as your vocabulary and weak insult attempts. What is the clinical benefit of a single site approach to choles (robotic or lap, doesn't matter which)? Please show me a clinical trial that shows ONE clinical advantage (less chance for CBD damage, lower complication rate intra or post-op, less chance of port site herniation, etc).

I'll answer for you, there isn't one. The only advantage to the single site approach versus traditional multi-port surgery is cosmetic. With single site, multiple "bullet hole" scars are exchanged for a slightly larger incision that's hidden by the umbilicus. Surgeons can market a "scarless" gall bladder surgery. That's all there is to it. I'm sure that I won't get a response, but I'd love another laugh, so fire away.
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Well said. It's awesome listening to the scared little Lap reps getting on these threads and slamming robotics for being what it is, fantastic!
 






Anonymous said:
Ok, let's see if you're clinical knowledge is as limited as your vocabulary and weak insult attempts. What is the clinical benefit of a single site approach to choles (robotic or lap, doesn't matter which)? Please show me a clinical trial that shows ONE clinical advantage (less chance for CBD damage, lower complication rate intra or post-op, less chance of port site herniation, etc).

I'll answer for you, there isn't one. The only advantage to the single site approach versus traditional multi-port surgery is cosmetic. With single site, multiple "bullet hole" scars are exchanged for a slightly larger incision that's hidden by the umbilicus. Surgeons can market a "scarless" gall bladder surgery. That's all there is to it. I'm sure that I won't get a response, but I'd love another laugh, so fire away.
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You robot guys are funny, always thinking you're God's gift to medical sales and getting all pissed off about your competition firing back. Get over yourselves. You're not changing the world with single site, you're just another rat in the pack. You'll get your cases from your friends, just like they will. Simmer down and enjoy the holidays.
 






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