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Robotic operations in urgent general surgery: a systematic review
Alexander Reinisch1, Juliane Liese2, Winfried Padberg2
1Department of General, Visceral and Oncologic Surgery, Wetzlar Hospital and Clinics, Forsthausstr. 1, 35578, Wetzlar, Germany. Alexander_reinisch@hotmail.com.
Journal of Robotic Surgery
|June 21, 2022
Summary
Robotic assistance is feasible for urgent general surgery, including appendicitis and hernia repairs. While data is limited, current studies show no increased risk with robotic procedures in emergency settings.
Area of Science:
- General Surgery
- Surgical Robotics
- Minimally Invasive Surgery
Background:
- Robotic assistance is standard in elective laparoscopic surgery.
- Its role in urgent general surgery is less understood due to limited data.
- This study aims to consolidate existing evidence on robotic use in emergency abdominal surgery.
Approach:
- A PRISMA-compliant literature search was performed on PubMed and the Cochrane Library.
- Studies from 1980-2021 focusing on robotic-assisted urgent abdominal general surgery were analyzed.
- Gynecological, urological, and most vascular surgeries were excluded.
Key Points:
- Fifty-two studies on appendicitis, cholecystitis, hernias, and GI conditions were included, with low evidence levels.
- The Da Vinci® system was used in 82% of narrow-sense robotic procedures.
- Urgent cholecystectomies and incarcerated hernias were the most common emergency operations.
Conclusions:
- Robotic operations are feasible for various urgent general surgery indications.
- No significant robotic-specific complications or increased risks were reported.
- Further evidence-based assessment is needed due to the limited data available.
