Da Vinci single site© surgical platform in clinical practice: a systematic review

Morelli, Luca; Guadagni, Simone; Franco, Gregorio Di; Palmeri, Matteo; Mosca, Franco

doi:10.1002/rcs.1713

Cited by 47 publications

(24 citation statements)

References 56 publications

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“…61 Surgeries that are performed in confined spaces stand to benefit most from the wristed instrumentation of robotics. A recent development in colorectal surgery that has been receiving much attention is the transanal approach to performing TME (TaTME).…”

mentioning

confidence: 99%

The da Vinci Xi: a review of its capabilities, versatility, and potential role in robotic colorectal surgery

Ngu¹,

Tsang²,

Koh³

2017

RSRR

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Abstract:The Xi is the latest da Vinci surgical system approved for use in colorectal surgery. With its novel overhead architecture, slimmer boom-mounted arms, extended instrument reach, guided targeting, and integrated auxiliary technology, the Xi manages to address several limitations of earlier models. The versatility of this new system allows it to be implemented in a wide range of colorectal procedures -from complex multiquadrant colectomies to challenging mesorectal dissections in the pelvis. While commonly criticized for its cost and prolonged operative time, robotic colorectal surgery holds the potential for enhanced ergonomics, superior precision, and a reduction in the learning curve involved in training an expert surgeon. This review appraises the existing literature on robotic colorectal surgery while elaborating how the improved capabilities of the Xi serve to usher in a new era of minimally invasive colorectal surgery.

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mentioning

confidence: 99%

The da Vinci Xi: a review of its capabilities, versatility, and potential role in robotic colorectal surgery

Ngu¹,

Tsang²,

Koh³

2017

RSRR

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“…by using natural orifices) or by using a single incision have highlighted the limitations of such devices. [7][8][9][10][11][12] To overcome these limitations, researchers in the past decade have explored the use of snake-like devices for surgery. The development of these devices have gone hand-in-hand with the exploration of new minimally invasive surgical paradigms.…”

Section: Minimally Invasive Surgery: History and Driversmentioning

confidence: 99%

“…Although it was originally approved for single site cholecystectomy, 109 the DVSSP has also been adapted for uses in other types of abdominal surgeries, and well as urology, and gynaecology. 11 According to a study conducted by Morelli et al, the principal reported advantage of the DVSSP has been the restoration of intraabdominal triangulation. The DVSSP achieves this triangulation by crossing its curved instruments midway through the entry port.…”

Section: Systems For Single Port Access Surgerymentioning

confidence: 99%

Snake-Like Robots for Minimally Invasive, Single-Port, and Intraluminal Surgeries

Orekhov

Abah

Simaan

2018

The Encyclopedia of Medical Robotics

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The surgical paradigm of Minimally Invasive Surgery (MIS) has been a key driver to the adoption of robotic surgical assistance. Progress in the last three decades has led to a gradual transition from manual laparoscopic surgery with rigid instruments to robot-assisted surgery. In the last decade, the increasing demand for new surgical paradigms to enable access into the anatomy without skin incision (intraluminal surgery) or with a single skin incision (Single Port Access surgery -SPA) has led researchers to investigate snake-like flexible surgical devices. In this chapter, we first present an overview of the background, motivation, and taxonomy of MIS and its newer derivatives. Challenges of MIS and its newer derivatives (SPA and intraluminal surgery) are outlined along with the architectures of new snake-like robots meeting these challenges. We also examine the commercial and research surgical platforms developed over the years, to address the specific functional requirements and constraints imposed by operations in confined spaces. The chapter concludes with an evaluation of open problems in surgical robotics for intraluminal and SPA, and a look at future trends in surgical robot design that could potentially address these unmet needs.

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“…However, the robotic surgical system automatically calculates the movement of the surgeon's console with the help of specially designed curved trocars and semi-flexible instruments, making it possible for the surgeon' s right and left hand to control the rightand left-sided screen instruments even if the instrument is attached to the left and right robotic arm, respectively. 18,20 If an additional robotic arm is added through another trocar in the abdomen, a wrist-like motion of instrument can be produced in the robotic single-site surgical system allowing for a more Fig. 2.…”

Section: Potential Technique: Robotic Single Site Plus One Port Distamentioning

confidence: 99%

Minimally Invasive (Laparoscopic or Robotic) Reduced Port (Single Port) Distal Pancreatectomy

Kang

2017

J Minim Invasive Surg

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In spite of lack of randomized control study, laparoscopic distal pancreatectomy (DP) is regarded as appropriate treatment in managing benign and low grade malignant tumor in distal part of the pancreas. With the advance of laparoscopic skills, innovative instruments, and perioperative management, clinical effort to reduce the access injury for laparoscopic DP has been attempted to enhance the cosmetic effect and the benefit of minimally invasive surgery. Due to inborn technical limitation of laparoscopic surgical system, it is not easy to perform laparoscopic reduced port-or single port-distal pancreatectomy (LRP/LSP-DP) in daily routine clinical practice, however, surgical technique for safe and effective LRP/LSP-DP has been developed. Till now, only a few experts reported the technical feasibility and safety of LRP/LSP-DP in selected patients. According to literature review, the number of the patients who underwent LRP/LSP-DP seems to gradually increase. In this moment, surgical experiences may be too limited to reach the conclusion, but, with the help of robotic surgical system, LRP/LSP-DP has potential room for further investigation. Therefore, minimally invasive surgeons need to pay attention to this innovative movement. In this review, currently available surgical techniques for LRP/LSP-DP has been summarized with some future perspectives on this technique.

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Da Vinci single site© surgical platform in clinical practice: a systematic review

Cited by 47 publications

References 56 publications

The da Vinci Xi: a review of its capabilities, versatility, and potential role in robotic colorectal surgery

The da Vinci Xi: a review of its capabilities, versatility, and potential role in robotic colorectal surgery

Snake-Like Robots for Minimally Invasive, Single-Port, and Intraluminal Surgeries

Minimally Invasive (Laparoscopic or Robotic) Reduced Port (Single Port) Distal Pancreatectomy

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