It really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.
It really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.
It really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.
It really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.
It really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.
host_summaryDr. Clatworthy was the first pediatric surgeon in Ohio, trained by Dr. Gross at Boston Children's, and became first surgeon-in-chief at Columbus Children's Hospital.↗
▶Ep 19 · 7:56
clinicalThe green telepresence system from Stanford Research Institute was originally designed as an open surgical platform, not for minimally invasive surgery.↗
▶Ep 19 · 8:05
quoteThis was an open surgical platform. This was not conceptualized as being part of minimally invasive surgery, which was really a surprise to me.↗
▶Ep 19 · 8:34
clinicalColonel Rick Satava had an 'aha moment' after seeing Jacques Marescaux's laparoscopic cholecystectomy video, leading him to propose marrying robotic and laparoscopic technologies.↗
▶Ep 19 · 10:56
quoteHalf the time, ASOP could not understand you.↗
▶Ep 19 · 12:20
clinicalThe transition from da Vinci SI to XI was transformational, creating much more flexible range of motion.↗
▶Ep 19 · 13:09
clinicalComputer Motion's 5mm instruments were sunsetted by Intuitive after acquisition, creating a persistent gap for pediatric applications.↗
▶Ep 19 · 22:12
clinicalOne large children's hospital acquired a robot without planning; it sat unused for 18 months costing $25,000/month in maintenance.↗
▶Ep 19 · 23:14
clinicalNationwide formed a steering committee with pediatric surgery, urology, anesthesia, nursing, and periop administration to develop integrated multidisciplinary program.↗
▶Ep 19 · 28:50
quoteIt really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.↗
▶Ep 19 · 29:06
quoteIf it's been a month since I've sat down on the robot, it takes me a minute to reacquaint myself with everything.↗
▶Ep 19 · 30:19
guidelineMaintenance of certification requires at least 10 robotic cases over a 2-year credentialing cycle plus mandatory quarterly digital simulation.↗
▶Ep 19 · 32:20
clinicalBlock time overlay system assigns automated robot availability on top of surgeons' existing block time, with 14-day release mechanism if unused.↗
▶Ep 19 · 34:36
quoteWhen content quality is poor — bad audio, corrupted video, inappropriate content — flag it rather than producing garbage metadata.↗
▶Ep 19 · 34:36
clinicalUsing longer 'bariatric' instruments spreads out the robot above the patient and reduces likelihood of external arm collisions, even in smaller children.↗
▶Ep 19 · 35:29
epidemiologicalIn Nationwide's experience of ~1000 patients, 12% of robotic cases were performed on patients less than 15kg, primarily driven by urology.↗
▶Ep 19 · 36:43
clinicalNo difference in operating time, 30-day complications, or readmissions for sleeve gastrectomy above versus below BMI 50.↗
▶Ep 19 · 39:10
host_summaryTeen-LABS data at 10 years shows effectively no difference in outcomes between Roux-en-Y gastric bypass and sleeve gastrectomy.↗
▶Ep 19 · 41:07
clinicalRobotic sleeve gastrectomy initially took 30 minutes longer than laparoscopic but patients were discharged earlier.↗
▶Ep 19 · 41:44
clinicalLearning curve for robotic sleeve gastrectomy decreased from 132 minutes with SI to 36 minutes with XI; speaker has performed cases in 21 minutes.↗
▶Ep 19 · 43:51
clinicalNo difference in time or complications for robotic acute cholecystitis versus elective cholecystectomy.↗
▶Ep 19 · 44:29
quoteI feel like robotic, my robotic surgery experience has made me a better laparoscopic surgeon.↗
▶Ep 19 · 44:29
opinionRobotic surgery experience has made the speaker a better laparoscopic surgeon, particularly for intracorporeal knot tying.↗
▶Ep 19 · 52:46
quoteI think human integration will continue to be the foundation for any surgery, even robotic surgery. So not to worry, I think we all have job security.↗
▶Ep 19 · 55:30
clinicalHopkins performed a robotic cholecystectomy in a pig cadaver model with effectively no human input earlier this summer.↗
▶Ep 19 · 58:25
clinicalIntuitive is working with FDA to reconfigure clearance from specific case indications to categories, which will include pediatrics.↗
▶Ep 19 · 58:25
clinicalIntuitive has 4 pediatric surgeons working for it, including James Wall, all with Stanford/Palo Alto connections.↗
▶Ep 19 · 59:07
clinicalCarl Storz platform has 5mm instrumentation and strong interest in pediatric applications.↗
▶Ep 19 · 59:17
opinionIntuitive will not build a pediatric-specific robot as it would require ~$1 billion investment without adequate ROI.↗
▶Ep 19 · 59:17
quoteDo I think Intuitive is gonna build a pediatric robot? No. It's not part of their ROI to put the billion dollars that it would require.↗
▶Ep 19 · 1:00:27
clinicalRobotic cases garner a higher facility charge (level 5, ~$4000 per 15 minutes) versus laparoscopic cases (level 3, ~$2200 per 15 minutes).↗
▶Ep 19 · 1:01:21
clinicalNationwide has seen no insurance denials for robotic pre-certification and no patient reports of astronomical bills or surcharges attributed to robot use.↗
▶Ep 19 · 1:02:42
guidelineFellow credentialing requires 10 bedside assists and 20 console cases as primary surgeon, plus skills/drills and certificate completion.↗
▶Ep 19 · 1:04:45
clinicalJ&J has partnership with Google for metadata power to develop digital overlay systems incorporating axial imaging into robotic view.↗
clinicalDr. Clatworthy was the first pediatric surgeon in Ohio, trained by Dr. Gross at Boston Children's, and became first surgeon-in-chief at Columbus Children's Hospital.↗
▶Ep 3 · 7:56
clinicalThe green telepresence system from Stanford Research Institute was originally designed as an open surgical platform, not for minimally invasive surgery.↗
▶Ep 3 · 8:05
quoteThis was an open surgical platform. This was not conceptualized as being part of minimally invasive surgery, which was really a surprise to me.↗
▶Ep 3 · 8:34
clinicalColonel Rick Satava had an 'aha moment' after seeing Jacques Marescaux's laparoscopic cholecystectomy video, leading him to propose marrying robotic and laparoscopic technologies.↗
▶Ep 3 · 10:56
quoteHalf the time, ASOP could not understand you.↗
▶Ep 3 · 12:20
clinicalThe transition from da Vinci SI to XI was transformational, creating much more flexible range of motion.↗
▶Ep 3 · 13:09
clinicalComputer Motion's 5mm instruments were sunsetted by Intuitive after acquisition, creating a persistent gap for pediatric applications.↗
▶Ep 3 · 22:12
clinicalOne large children's hospital acquired a robot without planning; it sat unused for 18 months costing $25,000/month in maintenance.↗
▶Ep 3 · 23:14
clinicalNationwide formed a steering committee with pediatric surgery, urology, anesthesia, nursing, and periop administration to develop integrated multidisciplinary program.↗
▶Ep 3 · 28:50
quoteIt really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.↗
▶Ep 3 · 29:06
quoteIf it's been a month since I've sat down on the robot, it takes me a minute to reacquaint myself with everything.↗
▶Ep 3 · 30:19
guidelineMaintenance of certification requires at least 10 robotic cases over a 2-year credentialing cycle plus mandatory quarterly digital simulation.↗
▶Ep 3 · 32:20
clinicalBlock time overlay system assigns automated robot availability on top of surgeons' existing block time, with 14-day release mechanism if unused.↗
▶Ep 3 · 34:36
quoteWhen content quality is poor — bad audio, corrupted video, inappropriate content — flag it rather than producing garbage metadata.↗
▶Ep 3 · 34:36
clinicalUsing longer 'bariatric' instruments spreads out the robot above the patient and reduces likelihood of external arm collisions, even in smaller children.↗
▶Ep 3 · 35:29
epidemiologicalIn Nationwide's experience of ~1000 patients, 12% of robotic cases were performed on patients less than 15kg, primarily driven by urology.↗
▶Ep 3 · 36:43
clinicalNo difference in operating time, 30-day complications, or readmissions for sleeve gastrectomy above versus below BMI 50.↗
▶Ep 3 · 39:10
clinicalTeen-LABS data at 10 years shows effectively no difference in outcomes between Roux-en-Y gastric bypass and sleeve gastrectomy.↗
▶Ep 3 · 41:07
clinicalRobotic sleeve gastrectomy initially took 30 minutes longer than laparoscopic but patients were discharged earlier.↗
▶Ep 3 · 41:44
clinicalLearning curve for robotic sleeve gastrectomy decreased from 132 minutes with SI to 36 minutes with XI; speaker has performed cases in 21 minutes.↗
▶Ep 3 · 43:51
clinicalNo difference in time or complications for robotic acute cholecystitis versus elective cholecystectomy.↗
▶Ep 3 · 44:29
quoteI feel like robotic, my robotic surgery experience has made me a better laparoscopic surgeon.↗
▶Ep 3 · 44:29
opinionRobotic surgery experience has made the speaker a better laparoscopic surgeon, particularly for intracorporeal knot tying.↗
▶Ep 3 · 52:46
quoteI think human integration will continue to be the foundation for any surgery, even robotic surgery. So not to worry, I think we all have job security.↗
▶Ep 3 · 55:30
clinicalHopkins performed a robotic cholecystectomy in a pig cadaver model with effectively no human input earlier this summer.↗
▶Ep 3 · 58:25
clinicalIntuitive has 4 pediatric surgeons working for it, including James Wall, all with Stanford/Palo Alto connections.↗
▶Ep 3 · 58:25
clinicalIntuitive is working with FDA to reconfigure clearance from specific case indications to categories, which will include pediatrics.↗
▶Ep 3 · 59:07
clinicalCarl Storz platform has 5mm instrumentation and strong interest in pediatric applications.↗
▶Ep 3 · 59:17
opinionIntuitive will not build a pediatric-specific robot as it would require ~$1 billion investment without adequate ROI.↗
▶Ep 3 · 59:17
quoteDo I think Intuitive is gonna build a pediatric robot? No. It's not part of their ROI to put the billion dollars that it would require.↗
▶Ep 3 · 1:00:27
clinicalRobotic cases garner a higher facility charge (level 5, ~$4000 per 15 minutes) versus laparoscopic cases (level 3, ~$2200 per 15 minutes).↗
▶Ep 3 · 1:01:21
clinicalNationwide has seen no insurance denials for robotic pre-certification and no patient reports of astronomical bills or surcharges attributed to robot use.↗
▶Ep 3 · 1:02:42
guidelineFellow credentialing requires 10 bedside assists and 20 console cases as primary surgeon, plus skills/drills and certificate completion.↗
▶Ep 3 · 1:04:45
clinicalJ&J has partnership with Google for metadata power to develop digital overlay systems incorporating axial imaging into robotic view.↗
host_summaryDr. Clatworthy was the first pediatric surgeon in Ohio, trained by Dr. Gross at Boston Children's, and became first surgeon-in-chief at Columbus Children's Hospital.↗
▶Ep 5 · 4:32
clinicalDr. Clatworthy was the first pediatric surgeon in Ohio, trained by Dr. Gross at Boston Children's, and became first surgeon-in-chief at Columbus Children's Hospital.↗
▶Ep 5 · 7:56
clinicalThe green telepresence system from Stanford Research Institute was originally designed as an open surgical platform, not for minimally invasive surgery.↗
▶Ep 5 · 7:56
clinicalThe green telepresence system from Stanford Research Institute was originally designed as an open surgical platform, not for minimally invasive surgery.↗
▶Ep 5 · 8:05
quoteThis was an open surgical platform. This was not conceptualized as being part of minimally invasive surgery, which was really a surprise to me.↗
▶Ep 5 · 8:05
quoteThis was an open surgical platform. This was not conceptualized as being part of minimally invasive surgery, which was really a surprise to me.↗
▶Ep 5 · 8:34
clinicalColonel Rick Satava had an 'aha moment' after seeing Jacques Marescaux's laparoscopic cholecystectomy video, leading him to propose marrying robotic and laparoscopic technologies.↗
▶Ep 5 · 8:34
clinicalColonel Rick Satava had an 'aha moment' after seeing Jacques Marescaux's laparoscopic cholecystectomy video, leading him to propose marrying robotic and laparoscopic technologies.↗
▶Ep 5 · 10:56
quoteHalf the time, ASOP could not understand you.↗
▶Ep 5 · 10:56
quoteHalf the time, ASOP could not understand you.↗
▶Ep 5 · 12:20
clinicalThe transition from da Vinci SI to XI was transformational, creating much more flexible range of motion.↗
▶Ep 5 · 12:20
clinicalThe transition from da Vinci SI to XI was transformational, creating much more flexible range of motion.↗
▶Ep 5 · 13:09
clinicalComputer Motion's 5mm instruments were sunsetted by Intuitive after acquisition, creating a persistent gap for pediatric applications.↗
▶Ep 5 · 13:09
clinicalComputer Motion's 5mm instruments were sunsetted by Intuitive after acquisition, creating a persistent gap for pediatric applications.↗
▶Ep 5 · 22:12
clinicalOne large children's hospital acquired a robot without planning; it sat unused for 18 months costing $25,000/month in maintenance.↗
▶Ep 5 · 22:12
clinicalOne large children's hospital acquired a robot without planning; it sat unused for 18 months costing $25,000/month in maintenance.↗
▶Ep 5 · 23:14
clinicalNationwide formed a steering committee with pediatric surgery, urology, anesthesia, nursing, and periop administration to develop integrated multidisciplinary program.↗
▶Ep 5 · 23:14
clinicalNationwide formed a steering committee with pediatric surgery, urology, anesthesia, nursing, and periop administration to develop integrated multidisciplinary program.↗
▶Ep 5 · 28:50
quoteIt really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.↗
▶Ep 5 · 28:50
quoteIt really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.↗
▶Ep 5 · 29:06
quoteIf it's been a month since I've sat down on the robot, it takes me a minute to reacquaint myself with everything.↗
▶Ep 5 · 29:06
quoteIf it's been a month since I've sat down on the robot, it takes me a minute to reacquaint myself with everything.↗
▶Ep 5 · 30:19
guidelineMaintenance of certification requires at least 10 robotic cases over a 2-year credentialing cycle plus mandatory quarterly digital simulation.↗
▶Ep 5 · 30:19
guidelineMaintenance of certification requires at least 10 robotic cases over a 2-year credentialing cycle plus mandatory quarterly digital simulation.↗
▶Ep 5 · 32:20
clinicalBlock time overlay system assigns automated robot availability on top of surgeons' existing block time, with 14-day release mechanism if unused.↗
▶Ep 5 · 32:20
clinicalBlock time overlay system assigns automated robot availability on top of surgeons' existing block time, with 14-day release mechanism if unused.↗
▶Ep 5 · 34:36
quoteWhen content quality is poor — bad audio, corrupted video, inappropriate content — flag it rather than producing garbage metadata.↗
▶Ep 5 · 34:36
clinicalUsing longer 'bariatric' instruments spreads out the robot above the patient and reduces likelihood of external arm collisions, even in smaller children.↗
▶Ep 5 · 34:36
clinicalUsing longer 'bariatric' instruments spreads out the robot above the patient and reduces likelihood of external arm collisions, even in smaller children.↗
▶Ep 5 · 34:36
quoteWhen content quality is poor — bad audio, corrupted video, inappropriate content — flag it rather than producing garbage metadata.↗
▶Ep 5 · 35:29
epidemiologicalIn Nationwide's experience of ~1000 patients, 12% of robotic cases were performed on patients less than 15kg, primarily driven by urology.↗
▶Ep 5 · 35:29
epidemiologicalIn Nationwide's experience of ~1000 patients, 12% of robotic cases were performed on patients less than 15kg, primarily driven by urology.↗
▶Ep 5 · 36:43
clinicalNo difference in operating time, 30-day complications, or readmissions for sleeve gastrectomy above versus below BMI 50.↗
▶Ep 5 · 36:43
clinicalNo difference in operating time, 30-day complications, or readmissions for sleeve gastrectomy above versus below BMI 50.↗
▶Ep 5 · 39:10
host_summaryTeen-LABS data at 10 years shows effectively no difference in outcomes between Roux-en-Y gastric bypass and sleeve gastrectomy.↗
▶Ep 5 · 39:10
clinicalTeen-LABS data at 10 years shows effectively no difference in outcomes between Roux-en-Y gastric bypass and sleeve gastrectomy.↗
▶Ep 5 · 41:07
clinicalRobotic sleeve gastrectomy initially took 30 minutes longer than laparoscopic but patients were discharged earlier.↗
▶Ep 5 · 41:07
clinicalRobotic sleeve gastrectomy initially took 30 minutes longer than laparoscopic but patients were discharged earlier.↗
▶Ep 5 · 41:44
clinicalLearning curve for robotic sleeve gastrectomy decreased from 132 minutes with SI to 36 minutes with XI; speaker has performed cases in 21 minutes.↗
▶Ep 5 · 41:44
clinicalLearning curve for robotic sleeve gastrectomy decreased from 132 minutes with SI to 36 minutes with XI; speaker has performed cases in 21 minutes.↗
▶Ep 5 · 43:51
clinicalNo difference in time or complications for robotic acute cholecystitis versus elective cholecystectomy.↗
▶Ep 5 · 43:51
clinicalNo difference in time or complications for robotic acute cholecystitis versus elective cholecystectomy.↗
▶Ep 5 · 44:29
quoteI feel like robotic, my robotic surgery experience has made me a better laparoscopic surgeon.↗
▶Ep 5 · 44:29
opinionRobotic surgery experience has made the speaker a better laparoscopic surgeon, particularly for intracorporeal knot tying.↗
▶Ep 5 · 44:29
opinionRobotic surgery experience has made the speaker a better laparoscopic surgeon, particularly for intracorporeal knot tying.↗
▶Ep 5 · 44:29
quoteI feel like robotic, my robotic surgery experience has made me a better laparoscopic surgeon.↗
▶Ep 5 · 52:46
quoteI think human integration will continue to be the foundation for any surgery, even robotic surgery. So not to worry, I think we all have job security.↗
▶Ep 5 · 52:46
quoteI think human integration will continue to be the foundation for any surgery, even robotic surgery. So not to worry, I think we all have job security.↗
▶Ep 5 · 55:30
clinicalHopkins performed a robotic cholecystectomy in a pig cadaver model with effectively no human input earlier this summer.↗
▶Ep 5 · 55:30
clinicalHopkins performed a robotic cholecystectomy in a pig cadaver model with effectively no human input earlier this summer.↗
▶Ep 5 · 58:25
clinicalIntuitive is working with FDA to reconfigure clearance from specific case indications to categories, which will include pediatrics.↗
▶Ep 5 · 58:25
clinicalIntuitive has 4 pediatric surgeons working for it, including James Wall, all with Stanford/Palo Alto connections.↗
▶Ep 5 · 58:25
clinicalIntuitive is working with FDA to reconfigure clearance from specific case indications to categories, which will include pediatrics.↗
▶Ep 5 · 58:25
clinicalIntuitive has 4 pediatric surgeons working for it, including James Wall, all with Stanford/Palo Alto connections.↗
▶Ep 5 · 59:07
clinicalCarl Storz platform has 5mm instrumentation and strong interest in pediatric applications.↗
▶Ep 5 · 59:07
clinicalCarl Storz platform has 5mm instrumentation and strong interest in pediatric applications.↗
▶Ep 5 · 59:17
opinionIntuitive will not build a pediatric-specific robot as it would require ~$1 billion investment without adequate ROI.↗
▶Ep 5 · 59:17
quoteDo I think Intuitive is gonna build a pediatric robot? No. It's not part of their ROI to put the billion dollars that it would require.↗
▶Ep 5 · 59:17
opinionIntuitive will not build a pediatric-specific robot as it would require ~$1 billion investment without adequate ROI.↗
▶Ep 5 · 59:17
quoteDo I think Intuitive is gonna build a pediatric robot? No. It's not part of their ROI to put the billion dollars that it would require.↗
▶Ep 5 · 1:00:27
clinicalRobotic cases garner a higher facility charge (level 5, ~$4000 per 15 minutes) versus laparoscopic cases (level 3, ~$2200 per 15 minutes).↗
▶Ep 5 · 1:00:27
clinicalRobotic cases garner a higher facility charge (level 5, ~$4000 per 15 minutes) versus laparoscopic cases (level 3, ~$2200 per 15 minutes).↗
▶Ep 5 · 1:01:21
clinicalNationwide has seen no insurance denials for robotic pre-certification and no patient reports of astronomical bills or surcharges attributed to robot use.↗
▶Ep 5 · 1:01:21
clinicalNationwide has seen no insurance denials for robotic pre-certification and no patient reports of astronomical bills or surcharges attributed to robot use.↗
▶Ep 5 · 1:02:42
guidelineFellow credentialing requires 10 bedside assists and 20 console cases as primary surgeon, plus skills/drills and certificate completion.↗
▶Ep 5 · 1:02:42
guidelineFellow credentialing requires 10 bedside assists and 20 console cases as primary surgeon, plus skills/drills and certificate completion.↗
▶Ep 5 · 1:04:45
clinicalJ&J has partnership with Google for metadata power to develop digital overlay systems incorporating axial imaging into robotic view.↗
▶Ep 5 · 1:04:45
clinicalJ&J has partnership with Google for metadata power to develop digital overlay systems incorporating axial imaging into robotic view.↗
host_summaryDr. Clatworthy was the first pediatric surgeon in Ohio, trained by Dr. Gross at Boston Children's, and became first surgeon-in-chief at Columbus Children's Hospital.↗
▶Ep 8 · 7:56
clinicalThe green telepresence system from Stanford Research Institute was originally designed as an open surgical platform, not for minimally invasive surgery.↗
▶Ep 8 · 8:05
quoteThis was an open surgical platform. This was not conceptualized as being part of minimally invasive surgery, which was really a surprise to me.↗
▶Ep 8 · 8:34
clinicalColonel Rick Satava had an 'aha moment' after seeing Jacques Marescaux's laparoscopic cholecystectomy video, leading him to propose marrying robotic and laparoscopic technologies.↗
▶Ep 8 · 10:56
quoteHalf the time, ASOP could not understand you.↗
▶Ep 8 · 12:20
clinicalThe transition from da Vinci SI to XI was transformational, creating much more flexible range of motion.↗
▶Ep 8 · 13:09
clinicalComputer Motion's 5mm instruments were sunsetted by Intuitive after acquisition, creating a persistent gap for pediatric applications.↗
▶Ep 8 · 22:12
clinicalOne large children's hospital acquired a robot without planning; it sat unused for 18 months costing $25,000/month in maintenance.↗
▶Ep 8 · 23:14
clinicalNationwide formed a steering committee with pediatric surgery, urology, anesthesia, nursing, and periop administration to develop integrated multidisciplinary program.↗
▶Ep 8 · 28:50
quoteIt really should be someone who is going to do more than the occasional case. If you're only gonna do one or two cases with the robot, the robot's not for you.↗
▶Ep 8 · 29:06
quoteIf it's been a month since I've sat down on the robot, it takes me a minute to reacquaint myself with everything.↗
▶Ep 8 · 30:19
guidelineMaintenance of certification requires at least 10 robotic cases over a 2-year credentialing cycle plus mandatory quarterly digital simulation.↗
▶Ep 8 · 32:20
clinicalBlock time overlay system assigns automated robot availability on top of surgeons' existing block time, with 14-day release mechanism if unused.↗
▶Ep 8 · 34:36
quoteWhen content quality is poor — bad audio, corrupted video, inappropriate content — flag it rather than producing garbage metadata.↗
▶Ep 8 · 34:36
clinicalUsing longer 'bariatric' instruments spreads out the robot above the patient and reduces likelihood of external arm collisions, even in smaller children.↗
▶Ep 8 · 35:29
epidemiologicalIn Nationwide's experience of ~1000 patients, 12% of robotic cases were performed on patients less than 15kg, primarily driven by urology.↗
▶Ep 8 · 36:43
clinicalNo difference in operating time, 30-day complications, or readmissions for sleeve gastrectomy above versus below BMI 50.↗
▶Ep 8 · 39:10
host_summaryTeen-LABS data at 10 years shows effectively no difference in outcomes between Roux-en-Y gastric bypass and sleeve gastrectomy.↗
▶Ep 8 · 41:07
clinicalRobotic sleeve gastrectomy initially took 30 minutes longer than laparoscopic but patients were discharged earlier.↗
▶Ep 8 · 41:44
clinicalLearning curve for robotic sleeve gastrectomy decreased from 132 minutes with SI to 36 minutes with XI; speaker has performed cases in 21 minutes.↗
▶Ep 8 · 43:51
clinicalNo difference in time or complications for robotic acute cholecystitis versus elective cholecystectomy.↗
▶Ep 8 · 44:29
opinionRobotic surgery experience has made the speaker a better laparoscopic surgeon, particularly for intracorporeal knot tying.↗
▶Ep 8 · 44:29
quoteI feel like robotic, my robotic surgery experience has made me a better laparoscopic surgeon.↗
▶Ep 8 · 52:46
quoteI think human integration will continue to be the foundation for any surgery, even robotic surgery. So not to worry, I think we all have job security.↗
▶Ep 8 · 55:30
clinicalHopkins performed a robotic cholecystectomy in a pig cadaver model with effectively no human input earlier this summer.↗
▶Ep 8 · 58:25
clinicalIntuitive has 4 pediatric surgeons working for it, including James Wall, all with Stanford/Palo Alto connections.↗
▶Ep 8 · 58:25
clinicalIntuitive is working with FDA to reconfigure clearance from specific case indications to categories, which will include pediatrics.↗
▶Ep 8 · 59:07
clinicalCarl Storz platform has 5mm instrumentation and strong interest in pediatric applications.↗
▶Ep 8 · 59:17
opinionIntuitive will not build a pediatric-specific robot as it would require ~$1 billion investment without adequate ROI.↗
▶Ep 8 · 59:17
quoteDo I think Intuitive is gonna build a pediatric robot? No. It's not part of their ROI to put the billion dollars that it would require.↗
▶Ep 8 · 1:00:27
clinicalRobotic cases garner a higher facility charge (level 5, ~$4000 per 15 minutes) versus laparoscopic cases (level 3, ~$2200 per 15 minutes).↗
▶Ep 8 · 1:01:21
clinicalNationwide has seen no insurance denials for robotic pre-certification and no patient reports of astronomical bills or surcharges attributed to robot use.↗
▶Ep 8 · 1:02:42
guidelineFellow credentialing requires 10 bedside assists and 20 console cases as primary surgeon, plus skills/drills and certificate completion.↗
▶Ep 8 · 1:04:45
clinicalJ&J has partnership with Google for metadata power to develop digital overlay systems incorporating axial imaging into robotic view.↗
