Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review

Area of Science:

• Minimally Invasive Surgery
• Robotic Surgery
• General Surgery

Background:

• The da Vinci Single-Port Robot System (DVSP) was developed to address limitations in single-incision surgery.
• Initially approved for urologic and transoral procedures, DVSP has been used experimentally in general surgery.
• With CE mark approval imminent, DVSP is poised for wider market entry.

Purpose of the Study:

• To comprehensively review the applications of the da Vinci Single-Port Robot System (DVSP) in general surgery.
• To assess the feasibility and safety of DVSP across various general surgical procedures.
• To identify the most common applications and reported outcomes of DVSP in general surgery.

Main Methods:

• A systematic scoping review was conducted following PRISMA-Scr guidelines.
• Searches were performed in PubMed, Embase, and Ebsco databases up to March 2024.
• Fifty-six studies detailing the use of DVSP in general surgery were included.

Main Results:

• DVSP has been applied in colorectal, cholecystectomy, abdominal wall repair, upper gastroesophageal, liver, pancreas, breast, and thyroid surgeries.
• Reported surgical and short-term outcomes are promising, with procedures performed safely.
• Advantages noted include faster discharge, shorter operative times, and reduced postoperative pain compared to multiport robotic surgery.

Conclusions:

• The da Vinci Single-Port Robot System (DVSP) demonstrates feasibility and safety in general surgery after five years of clinical application.
• Hernia repair, cholecystectomy, and colorectal surgery are the most frequent procedures using DVSP.
• Further research with larger sample sizes and longer follow-up is recommended to evaluate long-term outcomes, including incisional hernia rates.