Special Issue "Update on Robotic Gastrointestinal Surgery 2.0"

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: closed (25 October 2023) | Viewed by 786

Special Issue Editor

Department of Clinical Medicine and Surgery, "Federico II" University, Naples, Italy
Interests: colorectal surgery; upper GI surgery; surgical oncology; robotics; minimally invasive surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Since the introduction of robotic surgery in the early 2000s, several studies have demonstrated its safety and feasibility in various complicated procedures including esophageal, gastric, and colorectal surgery—for both benign and malignant pathologies—hepatobiliopancreatic surgery, and gynecological and urological procedures.

Robot-assisted surgery provides the advantages of a magnified tridimensional view and of movement stability without tremor, which facilitate a precise dissection. The EndoWrist instrument also facilitates dissection at difficult angles, thus enabling surgery in complex conditions.

Even if some of the advantages of robotic surgery have been defined, we are still far from clearly recognizing precise indications for a robotic approach in gastrointestinal surgery.

With this Special Issue 2.0, we aim to investigate the conditions supporting the robotic approach in gastrointestinal surgery toward the definition of golden-standard robotic procedures as established in urological surgery for prostatectomy.

Dr. Marco Milone
Guest Editor

Manuscript Submission Information

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Keywords

  • robotic
  • minimally invasive surgery
  • esophageal
  • gastric
  • colorectal
  • pancreatic
  • hepatic

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Published Papers (1 paper)

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Research

13 pages, 2975 KiB  
Article
Robot-Assisted versus Laparoscopic Gastrointestinal Surgery: A Systematic Review and Metanalysis of Intra- and Post-Operative Complications
J. Pers. Med. 2023, 13(9), 1297; https://doi.org/10.3390/jpm13091297 - 25 Aug 2023
Viewed by 625
Abstract
Background: The use of robotic surgery is attracting ever-growing interest for its potential advantages such as small incisions, fine movements, and magnification of the operating field. Only a few randomized controlled trials (RCTs) have explored the differences in perioperative outcomes between the two [...] Read more.
Background: The use of robotic surgery is attracting ever-growing interest for its potential advantages such as small incisions, fine movements, and magnification of the operating field. Only a few randomized controlled trials (RCTs) have explored the differences in perioperative outcomes between the two approaches. Methods: We screened the main online databases from inception to May 2023. We included studies in English enrolling adult patients undergoing elective gastrointestinal surgery. We used the following exclusion criteria: surgery with the involvement of thoracic esophagus, and patients affected by severe heart, pulmonary and end-stage renal disease. We compared intra- and post-operative complications, length of hospitalization, and costs between laparoscopic and robotic approaches. Results: A total of 18 RCTs were included. We found no differences in the rate of anastomotic leakage, cardiovascular complications, estimated blood loss, readmission, deep vein thrombosis, length of hospitalization, mortality, and post-operative pain between robotic and laparoscopic surgery; post-operative pneumonia was less frequent in the robotic approach. The conversion to open surgery was less frequent in the robotic approach, which was characterized by shorter time to first flatus but higher operative time and costs. Conclusions: The robotic gastrointestinal surgery has some advantages compared to the laparoscopic technique such as lower conversion rate, faster recovery of bowel movement, but it has higher economic costs. Full article
(This article belongs to the Special Issue Update on Robotic Gastrointestinal Surgery 2.0)
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