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Robotic laparoendoscopy single site surgery: a transdisciplinary review
Alexandre Balaphas1, Monika E Hagen, Nicolas C Buchs
1Clinic for Visceral Surgery and Transplantation, Department of Surgery, University Hospital of Geneva, Switzerland.
Summary
Robotic laparoendoscopic single site surgery (LESS) is technically feasible for many procedures. Customized selection of robotic platforms and instruments is crucial for successful outcomes in robotic LESS.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
Background:
- Laparoendoscopic single site surgery (LESS) offers potential but presents technical challenges.
- Robotic technology is increasingly adapted to overcome LESS difficulties.
- Current approaches to robotic LESS lack a standardized consensus.
Purpose of the Study:
- To systematically review and analyze techniques for robotic single-site surgery.
- To identify and evaluate different robotic platforms and access devices used in LESS.
Main Methods:
- A transdisciplinary systematic literature review was conducted.
- Analysis included techniques and approaches published up to December 31, 2011.
- PubMed database was utilized for the literature search.
Main Results:
- Forty-one publications were identified and included in the review.
- Seven studies utilized the da Vinci Single Site Instrumentation.
- Other studies employed various access devices like GelPort/GelPOINT and glove techniques.
Conclusions:
- Robotic LESS is technically feasible across a range of surgical procedures.
- Optimal outcomes depend on customized selection of robotic platforms (da Vinci, glove technique, GelPort/GelPOINT).
- Careful consideration of instrument crossing and minimal distances is essential for robotic LESS procedures.