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

Cubisino, Antonio; Dreifuss, Nicolás H; Schlottmann, Francisco; Baz, Carolina; Mangano, Alberto; Masrur, Mario; Bianco, Francesco M.

doi:10.1002/rcs.2437

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…The current version of the robotic surgical system allows single port surgery with articulating cameras and hand tools, enabling its application in major oncological surgical procedures, causing less postoperative pain, better cosmetic results, and lower hernia rates [ 92 ]. Single port liver surgery should limit the abdominal wall trauma even more, especially in case of lesions in the posterosuperior segments, which are somewhat more difficult to reach with open and laparoscopic methods and require larger incisions.…”

Section: Future Outlookmentioning

confidence: 99%

What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?

Bozkurt

Sijberden

Hilal

2022

Cancers

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In parallel with the historical development of minimally invasive surgery, the laparoscopic and robotic approaches are now frequently utilized to perform major abdominal surgical procedures. Nevertheless, the role of the robotic approach in liver surgery is still controversial, and a standardized, safe technique has not been defined yet. This review aims to summarize the currently available evidence and prospects of robotic liver surgery. Minimally invasive liver surgery has been extensively associated with benefits, in terms of less blood loss, and lower complication rates, including liver-specific complications such as clinically relevant bile leakage and post hepatectomy liver failure, when compared to open liver surgery. Furthermore, comparable R0 resection rates to open liver surgery have been reported, thus, demonstrating the safety and oncological efficiency of the minimally invasive approach. However, whether robotic liver surgery has merits over laparoscopic liver surgery is still a matter of debate. In the current literature, robotic liver surgery has mainly been associated with non-inferior outcomes compared to laparoscopy, although it is suggested that the robotic approach has a shorter learning curve, lower conversion rates, and less intraoperative blood loss. Robotic surgical systems offer a more realistic image with integrated 3D systems. In addition, the improved dexterity offered by robotic surgical systems can lead to improved intra and postoperative outcomes. In the future, integrated and improved haptic feedback mechanisms, artificial intelligence, and the introduction of more liver-specific dissectors will likely be implemented, further enhancing the robots’ abilities.

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Section: Future Outlookmentioning

confidence: 99%

What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?

Bozkurt

Sijberden

Hilal

2022

Cancers

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“…Among the included studies, 36 were case reports [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ], 52 were noncomparative studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ,…”

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%

“…Concerning skill transferability, 26 (25.2%) articles reported a previous experience with a Da Vinci robot [ 26 , 31 , 33 , 45 , 47 , 53 , 54 , 56 , 62 , 67 , 69 , 77 , 79 , 83 , 85 , 87 , 88 , 89 , 90 , 96 , 99 , 103 , 104 , 105 , 106 , 110 ].…”

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

Cited by 5 publications

References 29 publications

What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?

What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?

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

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

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