Full robotic multivisceral resections: the Modena experience and literature review

Synchronous robotic repair of anterior diaphragmatic (Morgagni) hernia & low anterior resection for rectal cancer

“…Satisfactory outcomes such as good oncological clearance, low morbidity & blood loss and acceptable recovery times without significantly increasing surgical operative time have been reported. 4 We have not encountered any reports of combined fully robotic thoracic and abdominal procedures as in the case we present here. MHs are rare and are often discovered incidentally.…”

“…A unique feature of robotic operating platforms is the utility of performing multi‐visceral and multi‐cavity surgical procedures negating the need for separate surgical setups hence maximising operating room efficiency. There may be added benefits of shortening the time to adjuvant treatments in cases where there are synchronous neoplastic lesions in anatomically different regions 4 . In complex and lengthy multi‐visceral operations that may be mentally and physically exhausting on the surgeon, the robotic platform may provide an additional benefit of reducing cognitive and musculoskeletal fatigue 14 …”

“…There may be added benefits of shortening the time to adjuvant treatments in cases where there are synchronous neoplastic lesions in anatomically different regions. 4 In complex and lengthy multi-visceral operations that may be mentally and physically exhausting on the surgeon, the robotic platform may provide an additional benefit of reducing cognitive and musculoskeletal fatigue. 14 Due to the small number of reported procedures making use of this versatility feature, there has been no standardised surgical approach as to the setup and surgical teams appear to modify their own techniques on a case by case basis.…”

“…The use of fully robotic platforms in multi‐visceral procedures has been hailed as one of the advantages of this versatile and expanding technology. There are currently a handful of published case reports and series that have reported on multi‐speciality/multi‐visceral procedures combining colorectal & urological, 1,2 colorectal & upper gastrointestinal 3 and colorectal & gynaecological 4 organs. Satisfactory outcomes such as good oncological clearance, low morbidity & blood loss and acceptable recovery times without significantly increasing surgical operative time have been reported 4 .…”

“…There are currently a handful of published case reports and series that have reported on multi‐speciality/multi‐visceral procedures combining colorectal & urological, 1,2 colorectal & upper gastrointestinal 3 and colorectal & gynaecological 4 organs. Satisfactory outcomes such as good oncological clearance, low morbidity & blood loss and acceptable recovery times without significantly increasing surgical operative time have been reported 4 . We have not encountered any reports of combined fully robotic thoracic and abdominal procedures as in the case we present here.…”