How to do a single‐port robotic totally extraperitoneal (<scp>TEP</scp>) inguinal hernia repair using the da Vinci <scp>SP</scp> platform

Lee, Chul Seung; Chin, Je Hyun; Han, Sang-Ick

doi:10.1111/ans.18328

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…A retrospective study by Cuccurullo et al 128 of 44 cases of SIRAS TAPP in 32 patients between Feburary 2016 and July 2018 reported no recurrence and PIH at 12-month follow-up, and only one case of temporary postoperative pain of 4 months, but the small sample size was a major limitation. 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 .…”

Section: The Research Status Of Sirasmentioning

confidence: 99%

Clinical status and future prospects of single-incision robotic assisted surgery (SIRAS): 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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Section: The Research Status Of Sirasmentioning

confidence: 99%

Clinical status and future prospects of single-incision robotic assisted surgery (SIRAS): A review

Cheng,

Huang,

Jia

et al. 2023

International Journal of 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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Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study

Lee,

2024

Hernia

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How to do a single‐port robotic totally extraperitoneal (TEP) inguinal hernia repair using the da Vinci SP platform

Abstract: How to do a single-port robotic totally extraperitoneal (TEP) inguinal hernia repair using the da Vinci SP platform

Cited by 3 publications

References 10 publications

Clinical status and future prospects of single-incision robotic assisted surgery (SIRAS): A review

Clinical status and future prospects of single-incision robotic assisted surgery (SIRAS): A review

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

Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study

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