Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries: A Systematic Review of the Literature and Meta-analysis

S Cianci, A Rosati, V Rumolo, S Gueli Alletti, V Gallotta, L C Turco, G Corrado, G Vizzielli, A Fagotti, F Fanfani, G Scambia, S Uccella

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Robotic platforms have recently acquired progressive importance in different surgical fields, such as urology, gynecology, and general surgery. Through the years, new surgical robots have become available as single-port robotic platform. The study is aimed to value the single-port robotic platform characteristics in different surgical specialties.

METHODS: The terms "LESS" OR "single port" OR "single site" AND "robot" OR "robotic" were systematically used to search the PubMed and Scopus databases. A total of 57 studies were considered eligible for the present review. The articles included were divided according to the surgical field in which the study was conducted: General surgery (29 articles), Gynecology (18 articles), Urology (10 articles).

RESULTS: Most part of the articles showed the feasibility of robotic single-port surgical procedures and described advantages in terms of cosmetic, hospital stay, and in some series even cost reduction. A meta-analysis was conducted, showing a significant increment of complications using RSP if compared with SLPS and a trend (P = 0.008) when RSP was compared with LESS. The comparison of different techniques in terms of conversion to laparotomy did not show any significant difference.

CONCLUSION: Robotic single port potentially furnishes an important surgical and post-operatory improvement; however, some limits still prolong the surgical time and complication rate.

Original languageEnglish
Pages (from-to)2401-2419
Number of pages19
JournalWorld Journal of Surgery
Volume43
Issue number10
DOIs
Publication statusPublished - Oct 2019

Keywords

  • Gynecologic Surgical Procedures/methods
  • Humans
  • Robotic Surgical Procedures/methods
  • Surgical Procedures, Operative/methods
  • Urologic Surgical Procedures/methods

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