Assessment of the da Vinci Single Port Robotic Platform on Cholecystectomy in Adolescents

Klazura, Greg; Graf, Akua; Sims, Thomas L.; Rojnica, Marko; Koo, Nathaniel; Lobe, Thom E.

doi:10.1089/lap.2021.0674

Cited by 5 publications

(2 citation statements)

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“…Robotic-assisted or laparoscopic single-port surgery is wildly applied in various adult subspecialty [ 3 – 6 ]. And robotic-assisted single-port surgery is successfully used in pediatric pyeloplasty and cholecystectomy [ 7 , 8 ]. However, few studies focus on applying single-port or single-port plus one in pediatric Lich-Gregoir ureteral reimplantation.…”

Section: Discussionmentioning

confidence: 99%

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Chen,

Kang,

Lin

et al. 2024

BMC Urol

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Objective To observe the safety and short-term outcomes of a new way of laparoscopic trocar placement in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux. Methods The retrospective study included 32 patients under 14 years diagnosed with primary vesicoureteral reflux (VUR). All these patients underwent robotic-assisted Lich-Gregoir ureteral reimplantation in our department from December 2020 to August 2022. These patients were divided into the following groups according to the different ways of trocar placement: 13 patients in group single-port plus one (SR) and 19 patients in group multiple-port (MR). Patients’ characteristics as well as their perioperative and follow-up data were collected and evaluated. Results There was no significant difference in the data regarding patients’ characteristics and preoperative data. These data included the grade of vesicoureteral reflux according to the voiding cystourethrogram (VCUG), and the differential degree of renal function (DRF) at the following time points: preoperative, postoperative, and comparison of preoperative and postoperative. There was no difference between the two groups. During surgery, the time of artificial pneumoperitoneum establishment, ureteral reimplantation time, and total operative time in the SR group were longer than those in the MR group. Yet only the time of artificial pneumoperitoneum establishment shows a statistical difference (P < 0.0001). Also, the peri-operative data, including the volume of blood loss, fasting time, hospitalization, and length of time that a ureteral catheter remained in place, and the number of postoperative complications demonstrate no difference. In addition, the SFU grade and VCUG grade at the following time point also show no difference between the two groups. Conclusion The study demonstrates that SR in robotic-assisted Lich-Gregoir ureteral reimplantation has reached the same surgical effects as MR. In addition, the single-port plus one trocar placement receives a higher cosmetic satisfaction score from parents and did not increase the surgical time and complexity.

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Section: Discussionmentioning

confidence: 99%

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Chen,

Kang,

Lin

et al. 2024

BMC Urol

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“…Opponents believe that children cannot benefit more in this routine operation; on the contrary, it is associated with longer operating times and high costs ( 38 ). Single-site robotic cholecystectomy may have great appeal for the pediatric population and provide a potential cosmetic benefit through a novel robotic platform ( 39 ).…”

Section: Distinctive Robotic Surgeries For Pediatric Patientsmentioning

confidence: 99%

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Hong

Tang

2023

Front. Pediatr.

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Robotic-assisted surgery has been fully embraced by surgeons for the adult population; however, its acceptance is too slow in the world of pediatric surgeons. It is largely due to the technical limitations and the inherent high cost associated with it. In the past two decades, indeed, there has been considerable advancement in pediatric robotic surgery. A large number of surgical procedures were performed on children with the assistance of robots, even with comparative success rates to standard laparoscopy. As a newly developing field, it still has many challenges and obstacles. This work is centered on the current status and progression of pediatric robotic surgery as well as the future perspectives in the field of pediatric surgery.

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Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review

Celotto,

Ramacciotti,

Mangano

et al. 2024

Surg Endosc

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Background The da Vinci Single-Port Robot System (DVSP) allows three robotic instruments and an articulated scope to be inserted through a single small incision. It received FDA approval in 2014 and was first introduced in 2018. The aim of this new system was to overcome the limitations of single-incision laparoscopic and robotic surgery. Since then, it has been approved for use only for urologic and transoral surgeries in some countries. It has been used as part of experimental protocols in general surgery. Objective By obtaining the CE mark at the end of January 2024, DVSP will soon enter the European market. This review aims to comprehensively describe the applications of DVSP in general surgery. Design A search of PubMed, Embase, and Ebsco databases up to March 2024 was conducted, with registration in PROSPERO (CRD42024536430), following the preferred reporting items for Systematic reviews and Meta-analyses for scoping review (PRISMA-Scr) guidelines. All the studies about the use of DVSP in general surgery were included. Results Fifty-six studies were included. The following surgical areas of use were identified: transabdominal and transanal colorectal, cholecystectomy, abdominal wall repair, upper gastroesophageal tract, liver, pancreas, breast, and thyroid surgery. The reported surgical and short-term outcomes are promising; a wide range of procedures have been performed safely. Some groups have found advantages, such as faster discharge, shorter operative time, and less postoperative pain compared to multiport robotic surgery. Conclusion Five years after its initial clinical applications, the use of the DVSP in general surgery procedures has demonstrated feasibility and safety. Hernia repair, cholecystectomy, and colorectal surgery emerge as the most frequently conducted interventions with this robotic system. Nevertheless, there is anticipation for further studies with larger sample sizes and extended follow-up periods to provide more comprehensive insights and data on the long-term outcomes, including the incidence of incisional hernia. Graphical Abstract

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Assessment of the da Vinci Single Port Robotic Platform on Cholecystectomy in Adolescents

Cited by 5 publications

References 1 publication

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review

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