Application of robotic single-site surgery with optional additional port for endometriosis: a single institution’s experience

Huang, Yi; Duan, Kristina; Koythong, Tamisa; Patil, Nanda; Fan, Dazhi; Liu, Juan; Guan, Zhenkun; Guan, Xiaoming

doi:10.1007/s11701-021-01217-4

Cited by 12 publications

(6 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The researches demonstrated that robotic vNOTES surgeries are feasible in complex benign gynecologic procedures such as endometriosis and sacrocolpopexy [1][2][3]. The robotic wristed instruments with 3-D visualization resulting in delicate tissue dissection and easier suturing and knot tying, are beneficial to surgeons for overcoming the cumbersome surgical techniques in transvaginal NOTES complete endometriosis removal [4,5]. Integration of robotic transvaginal single site surgery and resection of DIE is a novel alternative minimally invasive route that is more cosmetic and less painful.…”

Section: Discussionmentioning

confidence: 99%

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

Guan

Welch;

2022

Journal of Minimally Invasive Gynecology

Self Cite

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Section: Discussionmentioning

confidence: 99%

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

Guan

Welch;

2022

Journal of Minimally Invasive Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recently, the application of the robotic system to LESS has shown multiple benefits. 33 First, a robotic system can allow a surgeon to operate in an enlarged 3D visual field. This may be critical for identifying subtle lesions and thoroughly treating advanced stages of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Since the incision is hidden in the natural crease of the umbilicus, both recovery and cosmesis are improved. Recently, the application of the robotic system to LESS has shown multiple benefits 33 . First, a robotic system can allow a surgeon to operate in an enlarged 3D visual field.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of two robotic single‐site surgery techniques for adolescent endometriosis: Focal versus butterfly

Fan

Duan

Zhang

et al. 2021

Robotics Computer Surgery

Self Cite

View full text Add to dashboard Cite

Objective: This study examined the feasibility of robotic laparoendoscopic singlesite surgery (LESS) for the treatment of adolescent endometriosis (n = 36). Additionally, we assessed a novel technique known as butterfly resection for severe cases. Methods:This was a retrospective study of women from 12 to 21 years old who received therapeutic robotic LESS for symptomatic endometriosis by a single experienced surgeon.Results: There were 32 cases of peritoneal and four cases of deep infiltrating endometriosis (DIE). Focal resection was performed in 9/32 peritoneal and all DIE cases; butterfly resection was performed in the remaining 23/32 peritoneal. At 3 months, 16/23 had complete resolution of pelvic pain in the butterfly group versus 10/13 in the focal group (P = 0.64). Conclusion:Robotic LESS produces safe outcomes with low complication rates.Butterfly resection may be considered for extensive lesions, with similar levels of pain relief compared to traditional focal resection techniques.Capsule: Single-site robotic surgery produces safe outcomes with low complication rates in adolescents with endometriosis, with techniques customized based on disease severity.

show abstract

“…[19][20][21][22][23][24][25][26][27][28][29][30][31] ; Table 2, Ref. [17,[32][33][34][35][36][37][38][39][40][41][42][43]). PRISMA guidelines were followed during the selection process [44,45] (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…A large retrospective single center cohort study has been published by Huang et al [32] demonstrating the feasibility of robotic single-site surgery for treatment of endometriosis at all stages. Data from 334 surgeries were analyzed along with perioperative outcomes.…”

Section: Feasibility and Safetymentioning

confidence: 99%

Robotic Surgery and Deep Infiltrating Endometriosis Treatment: The State of Art

Alboni¹,

Mattos²,

Marca³

et al. 2023

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Objective: Surgical treatment of endometriosis, when indicated, has demonstrated to be effective in reducing painful symptoms and improve quality of life of patients affected with endometriosis. The minimally invasive approach via laparoscopy is the preferred method when compared with laparotomy but in the last two decades another minimally invasive approach has become available, the robotically assisted laparoscopic surgery. Robotic technology is widely used in different surgical branches, such as general surgery and urology. Moreover, the use of robotic surgery is already accepted for different gynecological procedures either for benign and for oncological diseases. The advantages of robotic surgery such as improve dexterity of movements, avoided tremor, increased magnification of 3dimensional vision seem strategic in the context of a complex surgery as is deep endometriosis eradication. However, to date there is no unanimous consensus on whether robotically assisted procedures are a valid and safe alternative to laparoscopy in the treatment of endometriosis. Mechanism: In this narrative review we analyze the available literature assessesing the robotic treatment of all types of endometriosis and specifically deep infiltrating endometriosis, compared to the outcomes of conventional laparoscopy. Findings in Brief: Indeed, the evidence of safety and effectiveness of robotically assisted laparoscopy in endometriosis treatment is strong and almost unanimous. There is no clear superiority of one approach to the other but robotic-related advantages and future prospective are promising to be able to improve operative outcomes, reduce surgeon's fatigue and provide a technology easy to implement with a fast learning curve. Conclusions: Robotic technology applied to laparoscopy in the treatment of endometriosis could be seen as an effective and safe alternative to the conventional laparoscopic treatment.

show abstract

Application of robotic single-site surgery with optional additional port for endometriosis: a single institution’s experience

Cited by 12 publications

References 36 publications

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

Feasibility of two robotic single‐site surgery techniques for adolescent endometriosis: Focal versus butterfly

Robotic Surgery and Deep Infiltrating Endometriosis Treatment: The State of Art

Contact Info

Product

Resources

About