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Update on Robotic Gastrointestinal Surgery 2.0
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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: 10 November 2024 | Viewed by 4254

Special Issue Editor

Dr. Marco Milone

E-Mail Website
Guest 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

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

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

Related Special Issue

Published Papers (4 papers)

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Research

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13 pages, 2975 KiB  
Article
Robot-Assisted versus Laparoscopic Gastrointestinal Surgery: A Systematic Review and Metanalysis of Intra- and Post-Operative Complications
by Carmine Iacovazzo, Pasquale Buonanno, Maria Massaro, Marilena Ianniello, Andrea Uriel de Siena, Maria Vargas and Annachiara Marra
J. Pers. Med. 2023, 13(9), 1297; https://doi.org/10.3390/jpm13091297 - 25 Aug 2023
Viewed by 1145
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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Review

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8 pages, 198 KiB  
Review
Advancements in Bariatric Surgery: A Comparative Review of Laparoscopic and Robotic Techniques
by Angelo Maria Velardi, Pietro Anoldo, Stefania Nigro and Giuseppe Navarra
J. Pers. Med. 2024, 14(2), 151; https://doi.org/10.3390/jpm14020151 - 30 Jan 2024
Viewed by 1078
Abstract
This article examines the evolution of bariatric surgery, with a focus on emerging technologies such as robotics and laparoscopy. In the case of gastric bypass, no significant differences have emerged between the two techniques in terms of hospitalization duration, weight loss, weight regain, [...] Read more.
This article examines the evolution of bariatric surgery, with a focus on emerging technologies such as robotics and laparoscopy. In the case of gastric bypass, no significant differences have emerged between the two techniques in terms of hospitalization duration, weight loss, weight regain, or 30-day mortality. Robotic surgery, while requiring more time in the operating room, has been associated with lower rates of bleeding, mortality, transfusions, and infections. In revisional bariatric surgery, the robotic approach has shown fewer complications, shorter hospital stays, and a reduced need for conversion to open surgery. In the case of sleeve gastrectomy, robotic procedures have required more time and longer postoperative stays but have recorded lower rates of transfusions and bleeding compared to laparoscopy. However, robotic surgeries have proven to be more costly and potentially more complex in terms of postoperative complications. The review has also addressed the topic of the single-anastomosis duodeno-ileal switch (SADIS), finding comparable results between robotic and laparoscopic techniques, although robotic procedures have required more time in the operating room. Robotic technology has proven to be safe and effective, albeit with slightly longer operative times in some cases. Full article
(This article belongs to the Special Issue Update on Robotic Gastrointestinal Surgery 2.0)
10 pages, 403 KiB  
Review
Robotic Hepatectomy plus Biliary Reconstruction for Bismuth Type III and Type IV Hilar Cholangiocarcinoma: State of the Art and Literature Review
by Simone Guadagni, Annalisa Comandatore, Niccolò Furbetta, Gregorio Di Franco, Cristina Carpenito, Bianca Bechini, Filippo Vagelli, Niccolò Ramacciotti, Matteo Palmeri, Giulio Di Candio and Luca Morelli
J. Pers. Med. 2024, 14(1), 12; https://doi.org/10.3390/jpm14010012 - 21 Dec 2023
Cited by 1 | Viewed by 716
Abstract
Background: In Bismuth type III and IV Hilar Cholangiocarcinoma (III–IV HC), surgical resection is the only chance for long-term survival. As the surgical procedure is complex and Robotic-Assisted Surgery (RAS) may be particularly suitable in this setting, the aim of this study is [...] Read more.
Background: In Bismuth type III and IV Hilar Cholangiocarcinoma (III–IV HC), surgical resection is the only chance for long-term survival. As the surgical procedure is complex and Robotic-Assisted Surgery (RAS) may be particularly suitable in this setting, the aim of this study is to evaluate the potential benefits of RAS in III–IV HC in terms of post-operative outcomes. Methods: We conducted a systematic review using the PRISMA checklist for article selection. We searched the PubMed database and included only studies with clinical data about the treatment of III–IV HC using RAS. Results: A total of 12 papers involving 50 patients were included. All cases were Bismuth IIIa (n = 18), IIIb (n = 27) or IV type (n = 5) and underwent hepatectomy with biliary confluence resection and reconstruction. The mean operative time was 500 minutes with a conversion rate of 4%. The mean hospital stay was 12.2 days, and the morbidity and 30-day mortality rate were 61.9% and 2%, respectively. Over a mean follow up period of 10.1 months, 9/18 cases experienced recurrence (50%). Conclusions: RAS for III–IV HC is safe and feasible, at least if performed by experienced surgeons on selected cases. The oncological outcomes appear acceptable, given the aggressiveness of this pathology, but further studies are needed to fully elucidate the exact role of robotics in this setting. Full article
(This article belongs to the Special Issue Update on Robotic Gastrointestinal Surgery 2.0)
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Other

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12 pages, 1500 KiB  
Systematic Review
Abdominal Wall Hernias—State of the Art of Laparoscopic versus Robotic Surgery
by Pietro Anoldo, Michele Manigrasso, Anna D’Amore, Mario Musella, Giovanni Domenico De Palma and Marco Milone
J. Pers. Med. 2024, 14(1), 100; https://doi.org/10.3390/jpm14010100 - 16 Jan 2024
Cited by 1 | Viewed by 1012
Abstract
Abdominal wall hernia repair, a common surgical procedure, includes various techniques to minimize postoperative complications and enhance outcomes. This review focuses on the comparison between laparoscopic and robotic approaches in treating inguinal and ventral hernias, presenting the ongoing situation of this topic. A [...] Read more.
Abdominal wall hernia repair, a common surgical procedure, includes various techniques to minimize postoperative complications and enhance outcomes. This review focuses on the comparison between laparoscopic and robotic approaches in treating inguinal and ventral hernias, presenting the ongoing situation of this topic. A systematic search identified relevant studies comparing laparoscopic and robotic approaches for inguinal and ventral hernias. Randomized control trials, retrospective, and prospective studies published after 1 January 2000, were included. Search terms such as hernia, inguinal, ventral, laparoscopy, robotic, and surgery were used. A total of 23 articles were included for analysis. Results indicated similar short-term outcomes for robotic and laparoscopic techniques in inguinal hernia repair, with robotic groups experiencing less postoperative pain. However, longer operative times and higher costs were associated with robotic repair. Robotic ventral hernia repair demonstrated potential benefits, including shorter hospital stay, lower recurrence and lower reoperation rates. While robotic surgery offers advantages such as shorter hospital stays, faster recovery, and less postoperative pain, challenges including costs and training requirements need consideration. The choice between laparoscopic and robotic approaches for abdominal wall hernias should be tailored based on individual surgeon expertise and resource availability, emphasizing a balanced evaluation of benefits and challenges. Full article
(This article belongs to the Special Issue Update on Robotic Gastrointestinal Surgery 2.0)
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