Robotic inguinal hernia repair: is the new Da Vinci single port platform providing any benefit?

Dreifuss, Nicolás H; Chang, Betty; Schlottmann, Francisco; Cubisino, Antonio; Mangano, Alberto; Masrur, Mario; Bianco, Francesco

doi:10.1007/s00464-022-09737-2

Cited by 8 publications

(8 citation statements)

References 36 publications

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“…Several series included the same population reducing the total number to 2819 patients (Table 1). Among the included studies, 36 were case reports , 52 were noncomparative studies , and 15 were comparative studies [99][100][101][102][103][104][105][106][107][108][109][110][111][112][113]. Only one study was a randomized controlled trial [103].…”

Section: Resultsmentioning

confidence: 99%

“…The comparator was the Intuitive Surgical Da Vinci robot in ten cases [ 99 , 100 , 101 , 103 , 104 , 105 , 106 , 107 , 110 , 112 ] and the laparoscopic approach in six cases [ 102 , 105 , 106 , 108 , 109 , 111 ]. Only one study compared two different techniques with the same platform [ 113 ].…”

Section: Resultsmentioning

confidence: 99%

“…Forty-five (43.7%) authors reported the surgical background of the operating surgeon and his previous experience [ 26 , 31 , 33 , 45 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 62 , 64 , 67 , 69 , 76 , 77 , 79 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 94 , 96 , 99 , 102 , 103 , 104 , 105 , 106 , 108 , 109 , 110 ]. A structured training process of the surgical team on the adopted system was reported by 28 (27.2%) authors [ 26 , 40 , 47 , 48 , 49 , 51 , 52 ...…”

Section: Resultsmentioning

confidence: 99%

“…Forty-five (43.7%) authors reported the surgical background of the operating surgeon and his previous experience [26,31,33,45,[47][48][49][50][51][52][53][54][55][56][57][58][59]62,64,67,69,76,77,79,[83][84][85][86][87][88][89][90][91][92]94,96,99,[102][103][104][105][106][108][109][110]. A structured training process of the surgical team on the adopted system was reported by 28 (27.2%) authors [26,40,[47][48][49]…”

Section: Trainingmentioning

confidence: 99%

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New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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Background and Objectives: Robotic surgery has been widely adopted in general surgery worldwide but access to this technology is still limited to a few hospitals. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures. The aim of this systematic review is to highlight the current clinical practice with the new robotic platforms in general surgery. Materials and Methods: A grey literature search was performed on the Internet to identify the available robotic systems. A PRISMA compliant systematic review was conducted for all English articles up to 10 February 2023 searching the following databases: MEDLINE, EMBASE, and Cochrane Library. Clinical outcomes, training process, operating surgeon background, cost-analysis, and specific registries were evaluated. Results: A total of 103 studies were included for qualitative synthesis after the full-text screening. Of the fifteen robotic platforms identified, only seven were adopted in a clinical environment. Out of 4053 patients, 2819 were operated on with a new robotic device. Hepatopancreatobiliary surgery specialty performed the majority of procedures, and the most performed procedure was cholecystectomy. Globally, 109 emergency surgeries were reported. Concerning the training process, only 45 papers reported the background of the operating surgeon, and only 28 papers described the training process on the surgical platform. Only one cost-analysis compared a new robot to the existing reference. Two manufacturers promoted a specific registry to collect clinical outcomes. Conclusions: This systematic review highlights the feasibility of most surgical procedures in general surgery using the new robotic platforms. Adoption of these new devices in general surgery is constantly growing with the extension of regulatory approvals. Standardization of the training process and the assessment of skills’ transferability is still lacking. Further studies are required to better understand the real clinical and economical benefit.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

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New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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“…With the introduction of the cutting-edge Da Vinci SP system, Kim and Lee 129 and Lee et al 130 , respectively, described the detail of the technically challenging procedure of SIRAS TEP inguinal hernia repair utilizing this novel surgical platform in 2022. As practices of SIRAS inguinal hernia repair cumulate (Table 5 ) 123 – 126 , 128 – 131 , this approach has been proved safe and feasible with improved cosmesis, similar short-term postoperative morbitiy, higher same-day discharge rate and quicker postoperative recovery, as well as an estimated pooled prevalence of hernia recurrence rate of 0.18%, PIH (2.3% vs. 1.1%; P =0.31) and chronic postoperative pain (0.0% vs. 0.4%; P =1) 131 , 132 . These surgical outcomes of SIRAS inguinal hernia repair are yet to be further evaluated through more larger-scale and well-structured studies with longer follow-up.…”

Section: The Research Status Of Sirasmentioning

confidence: 99%

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Cheng,

Huang,

Jia

et al. 2023

International Journal of Surgery

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Since the advent of conventional multiport laparoscopic surgery, the prosperity of minimally invasive surgery has been thriving on the advancement of endoscopic techniques. Cosmetic superiority, recovery benefits, and noninferior surgical outcomes weigh single-incision laparoscopic surgery as a promising modality. Although there are surgical challenges posed by steep learning curve and technological difficulties, such as instruments collision, triangulation loss and limited retraction, the establishment of robotic surgical platform as a solution to all is inspiring. Furthermore, with enhanced instrument maneuverability and stability, robotic ergonomic innovations adopt the advantages of single-incision laparoscopic surgery and surmount its recognized barriers by introducing a novel combination, single-incision robotic-assisted surgery. As was gradually diffused in general surgery and other specialties, single-incision robotic-assisted surgery manifests privileges in noninferior clinical outcomes an satisfactory cosmetic effect among strictly selected patients, and has the potential of a preferable surgical option for minimally invasive surgery.

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