TY - JOUR
T1 - Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries
T2 - A Systematic Review of the Literature and Meta-analysis
AU - Cianci, S
AU - Rosati, A
AU - Rumolo, V
AU - Gueli Alletti, S
AU - Gallotta, V
AU - Turco, L C
AU - Corrado, G
AU - Vizzielli, G
AU - Fagotti, A
AU - Fanfani, F
AU - Scambia, G
AU - Uccella, S
PY - 2019/10
Y1 - 2019/10
N2 - 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.
AB - 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.
KW - Gynecologic Surgical Procedures/methods
KW - Humans
KW - Robotic Surgical Procedures/methods
KW - Surgical Procedures, Operative/methods
KW - Urologic Surgical Procedures/methods
U2 - 10.1007/s00268-019-05049-0
DO - 10.1007/s00268-019-05049-0
M3 - Article
C2 - 31187247
VL - 43
SP - 2401
EP - 2419
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 10
ER -