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World Journal of Surgery
Published in: World Journal of Surgery 10/2019

01-10-2019 | Laparotomy | Scientific Review

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

Authors: 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

Published in: World Journal of Surgery | Issue 10/2019

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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.
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Metadata
Title
Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries: A Systematic Review of the Literature and Meta-analysis
Authors
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
Publication date
01-10-2019
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 10/2019
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-019-05049-0

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