S Cianci1, A Rosati2, V Rumolo2, S Gueli Alletti2, V Gallotta2, L C Turco2, G Corrado2, G Vizzielli2, A Fagotti3, F Fanfani3, G Scambia3, S Uccella4. 1. Unità Operativa Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna e del Bambino, Fondazione Policlinico Univeristario A. Gemelli, IRCCS, Rome, Italy. stefanoc85@hotmail.it. 2. Unità Operativa Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna e del Bambino, Fondazione Policlinico Univeristario A. Gemelli, IRCCS, Rome, Italy. 3. Unità Operativa Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna e del Bambino, Fondazione Policlinico Univeristario A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. 4. Obstetrics and Gynecology Department, Nuovo Ospedale degli Infermi, Biella, Italy.
Abstract
BACKGROUND: Robotic platforms have recently acquired progressive importance in different surgical fields, such as urology, gynecology, and general surgery. Through the years, new surgical robots have become available as single-port robotic platform. The study is aimed to value the single-port robotic platform characteristics in different surgical specialties. METHODS: The terms "LESS" OR "single port" OR "single site" AND "robot" OR "robotic" were systematically used to search the PubMed and Scopus databases. A total of 57 studies were considered eligible for the present review. The articles included were divided according to the surgical field in which the study was conducted: General surgery (29 articles), Gynecology (18 articles), Urology (10 articles). RESULTS: Most part of the articles showed the feasibility of robotic single-port surgical procedures and described advantages in terms of cosmetic, hospital stay, and in some series even cost reduction. A meta-analysis was conducted, showing a significant increment of complications using RSP if compared with SLPS and a trend (P = 0.008) when RSP was compared with LESS. The comparison of different techniques in terms of conversion to laparotomy did not show any significant difference. CONCLUSION: Robotic single port potentially furnishes an important surgical and post-operatory improvement; however, some limits still prolong the surgical time and complication rate.
BACKGROUND: Robotic platforms have recently acquired progressive importance in different surgical fields, such as urology, gynecology, and general surgery. Through the years, new surgical robots have become available as single-port robotic platform. The study is aimed to value the single-port robotic platform characteristics in different surgical specialties. METHODS: The terms "LESS" OR "single port" OR "single site" AND "robot" OR "robotic" were systematically used to search the PubMed and Scopus databases. A total of 57 studies were considered eligible for the present review. The articles included were divided according to the surgical field in which the study was conducted: General surgery (29 articles), Gynecology (18 articles), Urology (10 articles). RESULTS: Most part of the articles showed the feasibility of robotic single-port surgical procedures and described advantages in terms of cosmetic, hospital stay, and in some series even cost reduction. A meta-analysis was conducted, showing a significant increment of complications using RSP if compared with SLPS and a trend (P = 0.008) when RSP was compared with LESS. The comparison of different techniques in terms of conversion to laparotomy did not show any significant difference. CONCLUSION: Robotic single port potentially furnishes an important surgical and post-operatory improvement; however, some limits still prolong the surgical time and complication rate.
Authors: Salvatore Gueli Alletti; C Rossitto; S Cianci; E Perrone; S Pizzacalla; G Monterossi; G Vizzielli; S Gidaro; G Scambia Journal: J Robot Surg Date: 2017-06-17
Authors: Jae Won Lee; Francis Raymond P Arkoncel; Koon Ho Rha; Kyung Hwa Choi; Ho Song Yu; Yunbyung Chae; Woong Kyu Han Journal: J Endourol Date: 2011-09 Impact factor: 2.942
Authors: G Corrado; L Mereu; S Bogliolo; V Cela; L Freschi; R Carlin; B Gardella; E Mancini; S Tateo; A Spinillo; E Vizza Journal: Eur J Surg Oncol Date: 2016-08-30 Impact factor: 4.424
Authors: Rivfka Shenoy; Michael A Mederos; Linda Ye; Selene S Mak; Meron M Begashaw; Marika S Booth; Paul G Shekelle; Mark Wilson; William Gunnar; Melinda Maggard-Gibbons; Mark D Girgis Journal: Syst Rev Date: 2021-04-23
Authors: Vito Andrea Capozzi; Andrea Rosati; Stefano Uccella; Gaetano Riemma; Mattia Tarascio; Marco Torella; Pasquale De Franciscis; Nicola Colacurci; Stefano Cianci Journal: Transl Cancer Res Date: 2020-12 Impact factor: 1.241