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New Robotic Platforms in General Surgery: What's the Current Clinical Scenario?
Francesco Marchegiani1, Leandro Siragusa2, Alizée Zadoroznyj1
1Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, 92110 Paris, France.
Medicina (Kaunas, Lithuania)
|July 29, 2023
Summary
New robotic platforms show feasibility for general surgery procedures, with growing adoption. However, standardized training and skill assessment are needed to understand the full clinical and economic benefits.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- General Surgery
Background:
- Robotic surgery adoption is expanding in general surgery globally.
- Limited access to robotic technology persists in many hospitals.
- New robotic platforms are emerging, prompting investigations into their clinical feasibility.
Approach:
- Systematic review of English articles up to February 10, 2023, using MEDLINE, EMBASE, and Cochrane Library.
- Grey literature search for available robotic systems.
- Evaluation of clinical outcomes, training, surgeon background, cost-analysis, and registries.
Key Points:
- Fifteen robotic platforms identified; seven are in clinical use.
- 2,819 patients underwent procedures using new robotic devices, primarily in hepatopancreatobiliary surgery (e.g., cholecystectomy).
- Training and surgeon background details were reported in less than half of the included studies; cost-analysis and registries are nascent.
Conclusions:
- New robotic platforms demonstrate feasibility across various general surgery procedures.
- Adoption of these devices is increasing with regulatory approvals.
- Standardization of training and skill transferability assessment is lacking, necessitating further research into clinical and economic benefits.
