Novel surgical approach for gastric gastrointestinal stromal tumor (GIST): Robotic single port partial gastrectomy

Dreifuss, Nicolás H; Schlottmann, Francisco; Cubisino, Antonio; Bianco, Francesco M.

doi:10.1016/j.suronc.2021.101704

Cited by 11 publications

(8 citation statements)

References 3 publications

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“…Up to now, this platform has been FDA‐approved for urological operations and transoral endoscopic robotic surgery (TORS) for head and neck cancers, with promising outcomes and a fast learning curve 14,15 . Despite not being yet approved for general surgery procedures in the US, a few cases have been described in the literature 28–31 …”

Section: Discussionmentioning

confidence: 99%

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Robotic single‐port surgery: Preliminary experience in general surgery

Bianco

Dreifuss

Chang

et al. 2022

Robotics Computer Surgery

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Background We aim to analyse the safety and feasibility of the DaVinci Single Port (SP) platform in general surgery. Methods A prospective series of robotic SP transabdominal pre‐peritoneal inguinal hernia repairs (SP‐TAPP) and cholecystectomies (SP‐C) (off‐label) were analysed. Primary endpoints were safety and feasibility defined by the need for conversion and incidence of perioperative complications. Results A total of 225 SP procedures were performed; 84 (37.3%) SP‐TAPP (70 unilateral, 7 bilateral), and 141 (62.7%) SP‐C. There were no conversions or additional ports placed. Mean console time was 17.6, 31.9, and 54 min for SP‐C, unilateral, and bilateral SP‐TAPP, respectively. There was no mortality, intraoperative or major postoperative complications. Mean LOS was 2.7 h for elective SP‐TAPP and 2.3 h for SP‐C. Conclusion Robotic SP surgery is safe and feasible for two of the most performed general surgery operations. Further experience might allow expanding the applications of robotic single‐incision surgery for other procedures.

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Section: Discussionmentioning

confidence: 99%

“… 14 , 15 Despite not being yet approved for general surgery procedures in the US, a few cases have been described in the literature. 28 , 29 , 30 , 31 …”

Section: Discussionmentioning

confidence: 99%

Robotic single‐port surgery: Preliminary experience in general surgery

Bianco

Dreifuss

Chang

et al. 2022

Robotics Computer Surgery

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“…We used an IRB approved protocol to start our experience with the new SP platform at the University of Illinois at Chicago (USA). To date, more than 275 robotic SP procedures have been performed by a single surgeon (Francesco M. Bianco) with an extensive experience in single site laparoscopic and robotic surgery 19 . To our knowledge, we have described the first robotic SP anti‐reflux procedures in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…To date, more than 275 robotic SP procedures have been performed by a single surgeon (Francesco M. Bianco) with an extensive experience in single site laparoscopic and robotic surgery. 19 To our knowledge, we have described the first robotic SP anti‐reflux procedures in the literature. In our initial experience, this novel approach has been shown to be safe and feasible, even for a re‐Redo procedure which is known to be significantly more challenging.…”

Section: Discussionmentioning

confidence: 99%

Robotic single port anti‐reflux surgery: Initial worldwide experience of two cases with a novel surgical approach to treat gastroesophageal reflux disease

Cubisino

Dreifuss

Schlottmann

et al. 2022

Robotics Computer Surgery

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Introduction To date, no anti‐reflux operations have been reported with the new da Vinci Single‐Port (single port (SP)) robotic platform. We aimed to describe this novel surgical approach and evaluate its safety and feasibility. Methods All robotic SP operations were performed under an Institutional Review Board approved protocol. Results Two patients underwent robotic SP anti‐reflux surgery through a single incision of 2.7 cm (one Nissen‐fundoplication and one re‐Redo Nissen‐fundoplication). The mean docking‐time was 2.5 (2–3) minutes and mean console‐time was 147 (119–155) minutes. No additional ports were needed, and no intraoperative complications occurred. Patients tolerated a soft diet on postoperative day 1 and were discharged on POD‐2 and 3. Conclusion Robotic SP anti‐reflux surgery appears to be safe and feasible. This platform offers similar advantages to the multiport robotic surgery, while adding lower invasiveness and an improved cosmesis. Further studies are needed to confirm our results and evaluate long‐term outcomes of this surgical approach.

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“…At present, the use of the da Vinci SP platform in urinary surgery [ 5 ] and gynecologic surgery [ 6 ] has been shown to be safe and feasible in several clinical studies. In the field of gastrointestinal surgery, the da Vinci SP platform has been reported to be used for radical resection for colon cancer [ 7 , 8 ], transanal total mesorectal excision [ 9 ], and partial gastrectomy for gastric stromal tumors [ 10 ]. However, to our knowledge, no relevant studies have reported the application of the da Vinci SP robotic platform in radical total gastrectomy for gastric cancer.…”

Section: Introductionmentioning

confidence: 99%

Can a single-port robot be safely used for robotic total gastrectomy for advanced gastric cancer? First experience using the da Vinci SP platform

Cui

Zhang

et al. 2022

Gastroenterology Report

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Background Many studies have shown the operative feasibility and safety of robotic gastrectomy. Surgeons are pursuing single-port (SP) surgery to leverage the advantages of minimally invasive gastrectomy. The purpose of this study was to describe technical considerations and short-term outcomes from the first reported SP robotic total gastrectomy (RTG) using the da Vinci SP platform. Methods A 75-year-old patient with a body-mass index of 19.8 kg/m2 and clinical stage III cancer (cT3N+M0) underwent SP RTG on 22 January 2022 at the Department of General Surgery, the Chinese PLA General Hospital. All procedures were performed successfully using the da Vinci SP robotic platform. Results The SP RTG was successfully performed with D2 lymphadenectomy including No. 10 lymph-nodes dissection and extracorporeal Roux-en-Y anastomosis. Except for subcutaneous emphysema, no severe adverse events occurred during the operation. According to a visual analogue scale (VAS), the subjective feeling of post-operative pain was given a VAS score of 3 of 10 on Post-Operative Day 1 (POD 1), 1 of 10 on POD 3, and 1 of 10 on POD 7. We removed the gastric tube on POD 2 and advised sipping water, a liquid diet, and a soft diet on PODs 2, 4, and 6, respectively. The patient was discharged without any complications on POD 8. Conclusion RTG is technically feasible and safe using the da Vinci SP robotic platform. To our knowledge, this is the first study using the da Vinci SP platform in RTG for advanced gastric cancer in elderly patients. To verify its superior operative outcomes, further clinical trials are needed.

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Novel surgical approach for gastric gastrointestinal stromal tumor (GIST): Robotic single port partial gastrectomy

Cited by 11 publications

References 3 publications

Robotic single‐port surgery: Preliminary experience in general surgery

Robotic single‐port surgery: Preliminary experience in general surgery

Robotic single port anti‐reflux surgery: Initial worldwide experience of two cases with a novel surgical approach to treat gastroesophageal reflux disease

Can a single-port robot be safely used for robotic total gastrectomy for advanced gastric cancer? First experience using the da Vinci SP platform

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