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Current status of robotic single-port surgery
Ryan J Nelson1, Jaya Sai S Chavali1, Nitin Yerram1
1Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Urology Annals
|August 11, 2017
Summary
Robotic laparoendoscopic single-site (R-LESS) surgery in urology faces challenges but is evolving. Future success hinges on purpose-built platforms and demonstrating clear advantages over multiport approaches.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic-assisted laparoscopic surgery is advancing rapidly.
- Robotic laparoendoscopic single-site (R-LESS) surgery emerged from these advancements.
- R-LESS faces significant technical hurdles limiting widespread adoption.
Purpose of the Study:
- To provide a historical overview of R-LESS urologic surgery.
- To outline current advancements in R-LESS urology.
- To assess the future trajectory of R-LESS techniques.
Main Methods:
- Selective literature review using PubMed.
- Keywords included: robotic laparoscopic single incision, R-LESS, and single incision robotic surgery.
- Relevant articles on single-site robotic surgery in urology were selected and analyzed.
Main Results:
- The development of R-LESS procedures and platforms shows continuous evolution.
- Innovations aim to overcome limitations like triangulation, arm clashing, and retraction.
- A trend towards purpose-built single-port robotic platforms is evident.
Conclusions:
- The evolution of R-LESS in urology is ongoing, driven by technological innovation.
- Purpose-built robotic platforms are crucial for overcoming existing limitations.
- Demonstrating definitive advantages over conventional multiport surgery is key for R-LESS future success.
