Top

Published in:

Open Access 21-06-2022 | Cholecystitis | Review Article

Robotic operations in urgent general surgery: a systematic review

Authors: Alexander Reinisch, Juliane Liese, Winfried Padberg, Frank Ulrich

Published in: Journal of Robotic Surgery | Issue 2/2023

Abstract

Robotically assisted operations are the state of the art in laparoscopic general surgery. They are established predominantly for elective operations. Since laparoscopy is widely used in urgent general surgery, the significance of robotic assistance in urgent operations is of interest. Currently, there are few data on robotic-assisted operations in urgent surgery. The aim of this study was to collect and classify the existing studies. A two-stage, PRISMA-compliant literature search of PubMed and the Cochrane Library was conducted. We analyzed all articles on robotic surgery associated with urgent general surgery resp. acute surgical diseases of the abdomen. Gynecological and urological diseases so as vascular surgery, except mesenterial ischemia, were excluded. Studies and case reports/series published between 1980 and 2021 were eligible for inclusion. In addition to a descriptive synopsis, various outcome parameters were systematically recorded. Fifty-two studies of operations for acute appendicitis and cholecystitis, hernias and acute conditions of the gastrointestinal tract were included. The level of evidence is low. Surgical robots in the narrow sense and robotic camera mounts were used. All narrow-sense robots are nonautonomous systems; in 82%, the Da Vinci^® system was used. The most frequently published emergency operations were urgent cholecystectomies (30 studies, 703 patients) followed by incarcerated hernias (9 studies, 199 patients). Feasibility of robotic operations was demonstrated for all indications. Neither robotic-specific problems nor extensive complication rates were reported. Various urgent operations in general surgery can be performed robotically without increased risk. The available data do not allow a final evidence-based assessment.

Available only for authorised users

Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM, Asbun HJ, Endo I, Umezawa A, Asai K, Suzuki K, Mori Y, Okamoto K, Pitt HA, Han HS, Hwang TL, Yoon YS, Yoon DS, Choi IS, Huang WS, Giménez ME, Garden OJ, Gouma DJ, Belli G, Dervenis C, Jagannath P, Chan ACW, Lau WY, Liu KH, Su CH, Misawa T, Nakamura M, Horiguchi A, Tagaya N, Fujioka S, Higuchi R, Shikata S, Noguchi Y, Ukai T, Yokoe M, Cherqui D, Honda G, Sugioka A, de Santibañes E, Supe AN, Tokumura H, Kimura T, Yoshida M, Mayumi T, Kitano S, Inomata M, Hirata K, Sumiyama Y, Inui K, Yamamoto M (2018) Tokyo guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 25(1):73–86. https://doi.org/10.1002/jhbp.517CrossRefPubMed

Gorter RR, Eker HH, Gorter-Stam MA, Abis GS, Acharya A, Ankersmit M, Antoniou SA, Arolfo S, Babic B, Boni L, Bruntink M, van Dam DA, Defoort B, Deijen CL, DeLacy FB, Go PM, Harmsen AM, van den Helder RS, Iordache F, Ket JC, Muysoms FE, Ozmen MM, Papoulas M, Rhodes M, Straatman J, Tenhagen M, Turrado V, Vereczkei A, Vilallonga R, Deelder JD, Bonjer J (2016) Diagnosis and management of acute appendicitis. EAES consensus development conference 2015. Surg Endosc 30(11):4668–90. https://doi.org/10.1007/s00464-016-5245-7CrossRefPubMedPubMedCentral

Sheetz KH, Claflin J, Dimick JB (2020) Trends in the adoption of robotic surgery for common surgical procedures. JAMA Netw Open 3(1):e1918911. https://doi.org/10.1001/jamanetworkopen.2019.18911CrossRefPubMedPubMedCentral

de Angelis N, Khan J, Marchegiani F, Bianchi G, Aisoni F, Alberti D, Ansaloni L, Biffl W, Chiara O, Ceccarelli G, Coccolini F, Cicuttin E, D’Hondt M, Di Saverio S, Diana M, De Simone B, Espin-Basany E, Fichtner-Feigl S, Kashuk J, Kouwenhoven E, Leppaniemi A, Beghdadi N, Memeo R, Milone M, Moore E, Peitzmann A, Pessaux P, Pikoulis M, Pisano M, Ris F, Sartelli M, Spinoglio G, Sugrue M, Tan E, Gavriilidis P, Weber D, Kluger Y, Catena F (2022) Robotic surgery in emergency setting: 2021 WSES position paper. World J Emerg Surg 17(1):4. https://doi.org/10.1186/s13017-022-00410-6CrossRef

Ng KT, Tsia AKV, Chong VYL (2019) Robotic versus conventional laparoscopic surgery for colorectal cancer: a systematic review and meta-analysis with trial sequential analysis. World J Surg 43(4):1146–1161. https://doi.org/10.1007/s00268-018-04896-7CrossRefPubMed

Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, Darzi A (2016) Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and meta-analysis of the first 30 years. Surg Endosc 30(10):4330–52. https://doi.org/10.1007/s00464-016-4752-xCrossRefPubMedPubMedCentral

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. https://doi.org/10.1136/bmj.b2700CrossRefPubMedPubMedCentral

Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.aeCrossRefPubMedPubMedCentral

Kudsi OY, Gokcal F (2019) Urgent robotic mesocolic excision for obstructing proximal transverse colon cancer—a video vignette. Colorectal Dis 21(9):1093–1094. https://doi.org/10.1111/codi.14714CrossRefPubMed

10.

Kudsi OY, Bou-Ayash N (2020) Bleeding sigmoid diverticulosisurgent stapleless totally robotic sigmoidectomy-a video vignette. Colorectal Dis 22(9):1205. https://doi.org/10.1111/codi.15051CrossRefPubMed

11.

Kudsi OY, Bou-Ayash N (2020) Caecal volvulus—urgent totally robotic right colectomy—a video vignette. Colorectal Dis 22(10):1448–1449. https://doi.org/10.1111/codi.15068CrossRefPubMed

12.

Yi B, Wang G, Li J, Jiang J, Son Z, Su H, Zhu S (2016) The first clinical use of domestically produced Chinese minimally invasive surgical robot system “micro hand S.” Surg Endosc 30(6):2649–55. https://doi.org/10.1007/s00464-015-4506-1CrossRefPubMed

13.

Yi B, Wang G, Li J, Jiang J, Son Z, Su H, Zhu S, Wang S (2017) Domestically produced Chinese minimally invasive surgical robot system “micro hand S” is applied to clinical surgery preliminarily in China. Surg Endosc 31(1):487–93. https://doi.org/10.1007/s00464-016-4945-3CrossRefPubMed

14.

Ohmura Y, Nakagawa M, Suzuki H, Kotani K, Teramoto A (2018) Feasibility and usefulness of a joystick-guided robotic scope holder (soloassist) in laparoscopic surgery. Visc Med 34(1):37–44. https://doi.org/10.1159/000485524CrossRefPubMedPubMedCentral

15.

Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg 138(7):777–84. https://doi.org/10.1001/archsurg.138.7.777CrossRefPubMed

16.

Cadière GB, Himpens J, Germay O, Izizaw R, Degueldre M, Vandromme J, Capelluto E, Bruyns J (2001) Feasibility of robotic laparoscopic surgery: 146 cases. World J Surg 25(11):1467–1477. https://doi.org/10.1007/s00268-001-0132-2CrossRefPubMed

17.

Buzad FA, Corne LM, Brown TC, Fagin RS, Hebert AE, Kaczmarek CA, Pack AN, Payne TN (2013) Single-site robotic cholecystectomy: efficiency and cost analysis. Int J Med Robot 9(3):365–370. https://doi.org/10.1002/rcs.1507CrossRefPubMed

18.

Konstantinidis KM, Hirides P, Hirides S, Chrysocheris P, Georgiou M (2012) Cholecystectomy using a novel Single-Site(®) robotic platform: early experience from 45 consecutive cases. Surg Endosc 26(9):2687–94. https://doi.org/10.1007/s00464-012-2227-2CrossRefPubMed

19.

Kornprat P, Werkgartner G, Cerwenka H, Bacher H, El-Shabrawi A, Rehak P, Mischinger HJ (2006) Prospective study comparing standard and robotically assisted laparoscopic cholecystectomy. Langenbecks Arch Surg 391(3):216–221. https://doi.org/10.1007/s00423-006-0046-4CrossRefPubMed

20.

Svoboda S, Qaqish TR, Wilson A, Park H, Youssef Y (2015) Robotic single-site cholecystectomy in the obese: outcomes from a single institution. Surg Obes Relat Dis 11(4):882–885. https://doi.org/10.1016/j.soard.2014.11.016CrossRefPubMed

21.

Mittal R, Sbaih M, Motson RW, Arulampalam T (2020) Use of a robotic camera holder (FreeHand). Minim Invasive Ther Allied Technol 29(1):56–60. https://doi.org/10.1080/13645706.2019.1576052CrossRefPubMed

22.

Kelkar D, Borse MA, Godbole GP, Kurlekar U, Slack M (2020) Interim safety analysis of the first-in-human clinical trial of the Versius surgical system, a new robot-assisted device for use in minimal access surgery. Surg Endosc. https://doi.org/10.1007/s00464-020-08014-4CrossRefPubMedPubMedCentral

23.

Kubat E, Hansen N, Nguyen H, Wren SM, Eisenberg D (2016) Urgent and elective robotic single-site cholecystectomy: analysis and learning curve of 150 consecutive cases. J Laparoendosc Adv Surg Tech A 26(3):185–191. https://doi.org/10.1089/lap.2015.0528CrossRefPubMed

24.

Anderson M, Lynn P, Aydinli HH, Schwartzberg D, Bernstein M, Grucela A (2020) Early experience with urgent robotic subtotal colectomy for severe acute ulcerative colitis has comparable perioperative outcomes to laparoscopic surgery. J Robot Surg 14(2):249–253. https://doi.org/10.1007/s11701-019-00968-5CrossRefPubMed

25.

Bou-Ayash N, Gokcal F, Kudsi OY (2020) Robotic inguinal hernia repair for incarcerated hernias. J Laparoendosc Adv Surg Tech A. https://doi.org/10.1089/lap.2020.0607CrossRefPubMed

26.

Kudsi OY, Gokcal F, Bou-Ayash N, Chang K (2020) Comparison of midterm outcomes between open and robotic emergent ventral hernia repair. Surg Innov. https://doi.org/10.1177/1553350620971182CrossRefPubMed

27.

Hosein S, Carlson T, Flores L, Armijo PR, Oleynikov D (2021) Minimally invasive approach to hiatal hernia repair is superior to open, even in the emergent setting: a large national database analysis. Surg Endosc 35(1):423–8. https://doi.org/10.1007/s00464-020-07404-yCrossRefPubMed

28.

Gangemi A, Danilkowicz R, Bianco F, Masrur M, Giulianotti PC (2017) Risk factors for open conversion in minimally invasive cholecystectomy. JSLS. https://doi.org/10.4293/JSLS.2017.00062CrossRefPubMedPubMedCentral

29.

Chung PJ, Huang R, Policastro L, Lee R, Schwartzman A, Alfonso A, Sugiyama G (2015) Single-site robotic cholecystectomy at an inner-city academic center. JSLS. https://doi.org/10.4293/JSLS.2015.00033CrossRefPubMedPubMedCentral

30.

Hanisch E, Markus B, Gutt C, Schmandra TC, Encke A (2001) Robot-assisted laparoscopic cholecystectomy and fundoplication–initial experiences with the Da Vinci system. Chirurg 72(3):286–288. https://doi.org/10.1007/s001040051307CrossRefPubMed

31.

Bustos R, Mashbari H, Gangemi A (2019) First report of gallbladder volvulus managed with a robotic approach. Case Rep Surg 2019:2189890. https://doi.org/10.1155/2019/2189890CrossRefPubMedPubMedCentral

32.

Milone M, Vertaldi S, Bracale U, D’Ambra M, Cassese G, Manigrasso M, De Palma GD (2019) Robotic cholecystectomy for acute cholecystitis: three case reports. Medicine (Baltimore) 98(30):e16010. https://doi.org/10.1097/MD.0000000000016010CrossRefPubMed

33.

Bibi S, Rahnemai-Azar AA, Coralic J, Bayoumi M, Khorsand J, Farkas DT, Prasad LM (2015) Single-site robotic cholecystectomy: the timeline of progress. World J Surg 39(10):2386–2391. https://doi.org/10.1007/s00268-015-3135-0CrossRefPubMed

34.

Vidovszky TJ, Carr AD, Farinholt GN, Ho HS, Smith WH, Ali MR (2014) Single-site robotic cholecystectomy in a broadly inclusive patient population: a prospective study. Ann Surg 260(1):134–141. https://doi.org/10.1097/SLA.0000000000000295CrossRefPubMed

35.

Schertz P, Misra S, Livert D, Mulligan J, Rohatgi C (2019) Comparison of intraoperative outcomes between single-incision robotic cholecystectomy and multi-incision robotic cholecystectomy. Cureus 11(8):e5386. https://doi.org/10.7759/cureus.5386CrossRefPubMedPubMedCentral

36.

Kulaylat AN, Richards H, Yada K, Coyle D, Shelby R, Onwuka AJ, Aldrink JH, Diefenbach KA, Michalsky MP (2020) Comparative analysis of robotic-assisted versus laparoscopic cholecystectomy in pediatric patients. J Pediatr Surg. https://doi.org/10.1016/j.jpedsurg.2020.11.013CrossRefPubMed

37.

Beltzer C, Knoerzer L, Bachmann R, Axt S, Dippel H, Schmidt R (2019) Robotic versus laparoscopic sigmoid resection for diverticular disease: a single-center experience of 106 cases. J Laparoendosc Adv Surg Tech A 29(11):1451–1455. https://doi.org/10.1089/lap.2019.0451CrossRefPubMed

38.

Robinson TD, Sheehan JC, Patel PB, Marthy AG, Zaman JA, Singh TP (2022) Emergent robotic versus laparoscopic surgery for perforated gastrojejunal ulcers: a retrospective cohort study of 44 patients. Surg Endosc 36(2):1573–1577. https://doi.org/10.1007/s00464-021-08447-5CrossRefPubMed

39.

Lembcke B (2015) Diagnosis, differential diagnoses, and classification of diverticular disease. Viszeralmedizin 31(2):95–102. https://doi.org/10.1159/000380833CrossRefPubMedPubMedCentral

40.

Kudsi OY, Bou-Ayash N, Chang K, Gokcal F (2020) Perioperative and midterm outcomes of emergent robotic repair of incarcerated ventral and incisional hernia. J Robot Surg. https://doi.org/10.1007/s11701-020-01130-2CrossRefPubMed

41.

Muysoms F, Vierstraete M, Nachtergaele F, Van Garsse S, Pletinckx P, Ramaswamy A (2021) Economic assessment of starting robot-assisted laparoscopic inguinal hernia repair in a single-centre retrospective comparative study: the EASTER study. BJS Open. https://doi.org/10.1093/bjsopen/zraa046CrossRefPubMedPubMedCentral

42.

Li YP, Wang SN, Lee KT (2017) Robotic versus conventional laparoscopic cholecystectomy: a comparative study of medical resource utilization and clinical outcomes. Kaohsiung J Med Sci 33(4):201–206. https://doi.org/10.1016/j.kjms.2017.01.010CrossRefPubMed

43.

Semm K (1983) Endoscopic appendectomy. Endoscopy 15(2):59–64. https://doi.org/10.1055/s-2007-1021466CrossRefPubMed

44.

Hüttenbrink C, Hatiboglu G, Simpfendörfer T, Radtke JP, Becker R, Teber D, Hadaschik B, Pahernik S, Hohenfellner M (2018) Incidental appendectomy during robotic laparoscopic prostatectomy-safe and worth to perform? Langenbecks Arch Surg 403(2):265–269. https://doi.org/10.1007/s00423-017-1630-5CrossRefPubMed

45.

Akl MN, Magrina JF, Kho RM, Magtibay PM (2008) Robotic appendectomy in gynaecological surgery: technique and pathological findings. Int J Med Robot 4(3):210–213. https://doi.org/10.1002/rcs.198CrossRefPubMed

46.

Mannu GS, Sudul MK, Bettencourt-Silva JH, Cumber E, Li F, Clark AB, Loke YK (2017) Closure methods of the appendix stump for complications during laparoscopic appendectomy. Cochrane Database Syst Rev 11:CD006437. https://doi.org/10.1002/14651858.CD006437.pub3CrossRefPubMed

47.

Brunt LM, Deziel DJ, Telem DA, Strasberg SM, Aggarwal R, Asbun H, Bonjer J, McDonald M, Alseidi A, Ujiki M, Riall TS, Hammill C, Moulton CA, Pucher PH, Parks RW, Ansari MT, Connor S, Dirks RC, Anderson B, Altieri MS, Tsamalaidze L, Stefanidis D, Group tPoBDICW (2020) Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Ann Surg 272(1):3–23. https://doi.org/10.1097/SLA.0000000000003791CrossRefPubMed

48.

Konstantinidis IT, Ituarte P, Woo Y, Warner SG, Melstrom K, Kim J, Singh G, Lee B, Fong Y, Melstrom LG (2020) Trends and outcomes of robotic surgery for gastrointestinal (GI) cancers in the USA: maintaining perioperative and oncologic safety. Surg Endosc 34(11):4932–4942. https://doi.org/10.1007/s00464-019-07284-xCrossRefPubMed

49.

Schiergens TS, Sienel WGR, Werner J (2020) Implementation of new technologies in the DRG system under economic aspects. Chirurg 91(7):561–566. https://doi.org/10.1007/s00104-020-01184-wCrossRefPubMed

50.

Soliman BG, Nguyen DT, Chan EY, Chihara RK, Meisenbach LM, Graviss EA, Kim MP (2020) Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair. Surg Endosc 34(6):2495–502. https://doi.org/10.1007/s00464-019-07055-8CrossRefPubMed

51.

Kibar Y, Yalcin S, Kopru B, Kaya E, Topuz B, Ebiloglu T (2016) Robot-assisted laparoscopic repair of spontaneous appendicovesical fistula. J Endourol Case Rep 2(1):111–113. https://doi.org/10.1089/cren.2016.0063CrossRefPubMedPubMedCentral

52.

Ayloo S, Roh Y, Choudhury N (2014) Laparoscopic versus robot-assisted cholecystectomy: a retrospective cohort study. Int J Surg 12(10):1077–1081. https://doi.org/10.1016/j.ijsu.2014.08.405CrossRefPubMed

53.

Balachandran B, Hufford TA, Mustafa T, Kochar K, Sulo S, Khorsand J (2017) A comparative study of outcomes between single-site robotic and multi-port laparoscopic cholecystectomy: an experience from a tertiary care center. World J Surg 41(5):1246–1253. https://doi.org/10.1007/s00268-016-3799-0CrossRefPubMed

54.

Daskalaki D, Fernandes E, Wang X, Bianco FM, Elli EF, Ayloo S, Masrur M, Milone L, Giulianotti PC (2014) Indocyanine green (ICG) fluorescent cholangiography during robotic cholecystectomy: results of 184 consecutive cases in a single institution. Surg Innov 21(6):615–621. https://doi.org/10.1177/1553350614524839CrossRefPubMed

55.

Gonzalez AM, Rabaza JR, Donkor C, Romero RJ, Kosanovic R, Verdeja JC (2013) Single-incision cholecystectomy: a comparative study of standard laparoscopic, robotic, and SPIDER platforms. Surg Endosc 27(12):4524–31. https://doi.org/10.1007/s00464-013-3105-2CrossRefPubMed

56.

Honaker MD, Paton BL, Stefanidis D, Schiffern LM (2015) Can robotic surgery be done efficiently while training residents? J Surg Educ 72(3):377–380. https://doi.org/10.1016/j.jsurg.2014.11.008CrossRefPubMed

57.

Jeong Jang E, Kang SH, Kim KW (2021) Early outcomes of robotic single site cholecystectomy using the DaVinci Xi® system. JSLS. https://doi.org/10.4293/JSLS.2020.00082CrossRefPubMedPubMedCentral

58.

Kalteis M, Pistrich R, Schimetta W, Pölz W (2007) Laparoscopic cholecystectomy as solo surgery with the aid of a robotic camera holder: a case-control study. Surg Laparosc Endosc Percutan Tech 17(4):277–282. https://doi.org/10.1097/SLE.0b013e31806030aeCrossRefPubMed

59.

Mattei P (2018) Single-site robotic-assisted laparoscopic cholecystectomy in children and adolescents: a report of 20 cases. Surg Endosc 32(5):2402–8. https://doi.org/10.1007/s00464-017-5939-5CrossRefPubMed

60.

Rosales-Velderrain A, Alkhoury F (2017) Single-port robotic cholecystectomy in pediatric patients: single institution experience. J Laparoendosc Adv Surg Tech A 27(4):434–437. https://doi.org/10.1089/lap.2016.0484CrossRefPubMed

61.

Su WL, Huang JW, Wang SN, Lee KT (2017) Comparison study of clinical outcomes between single-site robotic cholecystectomy and single incision laparoscopic cholecystectomy. Asian J Surg 40(6):424–428. https://doi.org/10.1016/j.asjsur.2016.03.005CrossRefPubMed

62.

Tao Z, Emuakhagbon VS, Pham T, Augustine MM, Guzzetta A, Huerta S (2021) Outcomes of robotic and laparoscopic cholecystectomy for benign gallbladder disease in Veteran patients. J Robot Surg 15(6):849–857. https://doi.org/10.1007/s11701-020-01183-3CrossRefPubMed

63.

Felli E, Brunetti F, Disabato M, Salloum C, Azoulay D, De’angelis N (2014) Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy. World J Emerg Surg 9:32. https://doi.org/10.1186/1749-7922-9-32CrossRefPubMedPubMedCentral

64.

Guerra F, Petrelli F, Stortoni P, Patriti A (2021) Acute large bowel malignant obstruction of the splenic flexure: fully robotic resection with central ligation and intracorporeal anastomosis—a video vignette. Colorectal Dis 23(1):325. https://doi.org/10.1111/codi.15384CrossRefPubMed

65.

Pedraza R, Ragupathi M, Martinez T, Haas EM (2012) Robotic-assisted laparoscopic primary repair of acute iatrogenic colonic perforation: case report. Int J Med Robot 8(3):375–378. https://doi.org/10.1002/rcs.1447CrossRefPubMed

66.

Sudan R, Desai SS (2012) Emergency and weekend robotic surgery are feasible. J Robot Surg 6(3):263–266. https://doi.org/10.1007/s11701-011-0289-0CrossRefPubMed

67.

Sun L, Tang S (2015) Perioperative nursing for gastric perforation repair operation performed by the first domestic surgical robot. Zhong Nan Da Xue Xue Bao Yi Xue Ban 40(4):453–456. https://doi.org/10.11817/j.issn.1672-7347.2015.04.019CrossRefPubMed

68.

Cubas R, Garcia M, Mukherjee K (2021) Robotic repair of incarcerated morgagni hernia in an adult on the acute care surgery service. Rev Fac Cien Med Univ Nac Cordoba 78(1):91–94. https://doi.org/10.31053/1853.0605.v78.n1.28299CrossRefPubMedPubMedCentral

69.

Ceccarelli G, Pasculli A, Bugiantella W, De Rosa M, Catena F, Rondelli F, Costa G, Rocca A, Longaroni M, Testini M (2020) Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review. World J Emerg Surg 15(1):37. https://doi.org/10.1186/s13017-020-00316-1CrossRefPubMedPubMedCentral

70.

Muhonen J, Hsu M, Strudivant M, Unger A, Dexter D, Giuseppucci P, Esper C (2020) Identification and repair of left-sided paraduodenal hernia using both laparoscopic and robotic techniques. Case Rep Surg 2020:7569530. https://doi.org/10.1155/2020/7569530CrossRef

71.

Smith MT, Wong NC, Coleman JA (2021) Inguinal hernia of the distal ureter causing hydronephrosis: a rare case. Urol Case Rep 35:101549. https://doi.org/10.1016/j.eucr.2020.101549CrossRefPubMed

Title: Robotic operations in urgent general surgery: a systematic review
Authors: Alexander Reinisch
Juliane Liese
Winfried Padberg
Frank Ulrich
Publication date: 21-06-2022
Publisher: Springer London
Keywords: Cholecystitis
Basic Surgery
Cholecystectomy
Appendicitis
Appendicitis
Appendectomy
Published in: Journal of Robotic Surgery / Issue 2/2023
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-022-01425-6

At a glance: The STEP trials

Springer Medicine

Robotic operations in urgent general surgery: a systematic review

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2023

Intraoperative angiography of the neurovascular bundle using indocyanine green and near-infrared fluorescence improves anatomical dissection during robot-assisted radical prostatectomy: initial clinical experience

Robotic right colectomy with robotic-sewn anastomosis: a pilot case series

Establishing robotic bariatric surgery at an academic tertiary hospital: a learning curve analysis for totally robotic Roux-en-Y gastric bypass

Clinical and oncological outcomes of open partial nephrectomy versus robot assisted partial nephrectomy over 15 years

Evaluating the implementation of robotic thoracic surgery on a Veterans Administration Hospital

Correction to: Impact of robot‑assisted surgery appearance on reduction of annual blood transfusion cases in Japan: application of meta‑analysis and NDB open data