Skip to main content
Log in

Robotic Single-Site Surgery: A Summary of the Current Clinical Experience

  • Robotic Surgery (E. Berber, Section Editor)
  • Published:
Current Surgery Reports Aims and scope Submit manuscript

Abstract

The robotic single-site platform was released in late 2011 and since then it has been applied in the fields of gynecologic surgery and general surgery. In this review, we include the reported robotic experience in the above-described fields using this platform to perform surgery as well as its advantages and limitations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Goel R, Lomanto D. Controversies in single-port laparoscopic surgery. Surg Laparosc Endosc Percutan Tech. 2012;22(5):380–2. doi:10.1097/SLE.0b013e3182615776.

    Article  PubMed  Google Scholar 

  2. Singh J, Podolsky ER, Castellanos AE. Optimizing single port surgery: a case report and review of technique in colon resection. Int J Med Robot. 2011;7(2):127–30. doi:10.1002/rcs.378 Epub 2011 Mar 10.

    Article  PubMed  Google Scholar 

  3. Wren SM, Curet MJ. Single-port robotic cholecystectomy: results from a first human use clinical study of the new da Vinci single-site surgical platform. Arch Surg. 2011;146:1122–7.

    Article  PubMed  Google Scholar 

  4. Paek J, Lee JD, Kong TW, Chang SJ, Ryu HS. Robotic single-site versus laparo-endoscopic single-site surgery for adnexal tumours: a propensity score-matching analysis. Int J Med Robot. 2015. doi:10.1002/rcs.1707.

    PubMed  Google Scholar 

  5. El Hachem L, Momeni M, Friedman K, Moshier EL, Chuang LT, Gretz HF III. Safety, feasibility and learning curve of robotic single-site surgery in gynecology. Int J Med Robot. 2015. doi:10.1002/rcs.1675.

  6. Scheib SA, Fader AN. Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique. Am J Obstet Gynecol. 2015;212(2):179.e1–8. doi:10.1016/j.ajog.2014.07.057.

  7. Akdemir A, Zeybek B, Ozgurel B, Oztekin MK, Sendag F. Learning curve analysis of intracorporeal cuff suturing during robotic single-site total hysterectomy. J Minim Invasive Gynecol. 2015;22(3):384–9. doi:10.1016/j.jmig.2014.06.006.

  8. Cela V, Freschi L, Simi G, Ruggiero M, Tana R, Pluchino N. Robotic single-site hysterectomy: feasibility, learning curve and surgical outcome. Surg Endosc. 2013;27(7):2638–43. doi:10.1007/s00464-012-2780-8.

    Article  CAS  PubMed  Google Scholar 

  9. Bogliolo S, Mereu L, Cassani C, Gardella B, Zanellini F, Dominoni M, Babilonti L, Delpezzo C, Tateo S, Spinillo A. Roboticsingle-site hysterectomy: two institutions’ preliminary experience. Int J Med Robot. 2015;11(2):159–65. doi:10.1002/rcs.1613.

    Article  PubMed  Google Scholar 

  10. Gargiulo AR, Lewis EI, Kaser DJ, Srouji SS. Robotic single-site myomectomy: a step-by-step tutorial. Fertil Steril. 2015;104(5):e13. doi:10.1016/j.fertnstert.2015.07.1159.

    Article  PubMed  Google Scholar 

  11. Lewis EI, Srouji SS, Gargiulo AR. Robotic single-site myomectomy: initial report and technique. Fertil Steril. 2015;103(5):1370–7. doi:10.1016/j.fertnstert.2015.02.021.

    Article  PubMed  Google Scholar 

  12. Gungor M, Kahraman K, Ozbasli E. Ovarian cystectomy for a dermoid cyst with the new single-port robotic system. 2015;24(2):123–6. doi:10.3109/13645706.2014.955029.

    Google Scholar 

  13. Sinno AK, Tanner EJ III. Robotic laparoendoscopic single site radical hysterectomy with sentinel lymph node mapping and pelvic lymphadenectomy for cervical cancer. Gynecol Oncol. 2015;139(2):387. doi:10.1016/j.ygyno.2015.08.012.

    Article  PubMed  Google Scholar 

  14. Tateo S, Nozza A, Del PC, Mereu L. Roboticsingle-site pelvic lymphadenectomy. Gynecol Oncol. 2014;134(3):631. doi:10.1016/j.ygyno.2014.06.027.

    Article  PubMed  Google Scholar 

  15. White MA, Autorino R, Spana G, Hillyer S, Stein RJ, Kaouk JH. Robotic laparoendoscopic single site urological surgery: analysis of 50 consecutive cases. J Urol. 2012;187(5):1696–701. doi:10.1016/j.juro.2011.12.073.

    Article  PubMed  Google Scholar 

  16. Jung JH, Kim HW, Oh CK, Song JM, Chung BH, Hong SJ, Rha KH. Simultaneous robot-assisted laparoendoscopic single-site partial nephrectomy and standard radical prostatectomy. Yonsei Med J. 2014;55(2):535–8. doi:10.3349/ymj.2014.55.2.535.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Shin TY, Lim SK, Komninos C, Kim DW, Han WK, Hong SJ, Jung BH, Rha KH. Laparoendoscopic single-site (LESS) robot-assisted partial nephrectomy (RAPN) reduces postoperative wound pain without a rise in complication rates. BJU Int. 2014;114(4):555–61. doi:10.1111/bju.12783.

    Article  PubMed  Google Scholar 

  18. Tiu A, Shin TY, Kim KH, Lim SK, Han WK, Rha KH. Robotic laparoendoscopic single-site transumbilical partial nephrectomy: functional and oncologic outcomes at 2 years. Urology. 2013;82(3):595–9. doi:10.1016/j.urology.2013.05.010.

    Article  PubMed  Google Scholar 

  19. Buffi NM, Lughezzani G, Fossati N, Lazzeri M, Guazzoni G, Lista G, Larcher A, Abrate A, Fiori C, Cestari A, Porpiglia F. Robot-assisted, single-site, dismembered pyeloplasty for ureteropelvic junction obstruction with the new da Vinci platform: a stage 2a study. Eur Urol. 2015;67(1):151–6. doi:10.1016/j.eururo.2014.03.001.

    Article  PubMed  Google Scholar 

  20. Komninos C, Tuliao P, Kim DK, Choi YD, Chung BH, Rha KH. Robot-assisted laparoendoscopic single-site partial nephrectomy with the novel da vinci single-site platform: initial experience. Korean J Urol. 2014;55(6):380–4. doi:10.4111/kju.2014.55.6.380.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Mathieu R, Verhoest G, Vincendeau S, Manunta A, Bensalah K. Robotic-assisted laparoendoscopic single-site radical nephrectomy: first experience with the novel Da Vinci single-site platform. World J Urol. 2014;32(1):273–6.

    Article  CAS  PubMed  Google Scholar 

  22. Kroh M, El-Hayek K, Rosenblatt S, Chand B, Escobar P, Kaouk J, et al. First human surgery with novel single-port robotic system: cholecystectomy using the da Vinci single-site platform. Surg Endosc. 2011;25:3566–73.

    Article  PubMed  Google Scholar 

  23. Ayloo S, Choudhury N. Single-site robotic cholecystectomy. JSLS. 2014;18:e2014.00266. doi:10.4293/JSLS2014.00266.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Uras C, B€oler DE, Erg€uner I, et al. Robotic single port cholecystectomy (R-LESS-C): Experience in 36 patients. Asian J Surg. 2014;37:115–9.

    Article  PubMed  Google Scholar 

  25. Konstantinidis KM, Hirides P, Hirides S, et al. Cholecystectomy using a novel Single-Site(1) robotic platform: early experience from 45 consecutive cases. Surg Endosc. 2012;26:2687–94.

  26. Nelson EC, Gottlieb AH, M€uller HG, et al. Robotic cholecystectomy and resident education: The UC Davis experience. Int J Med Robot. 2014;10:218–22.

  27. Morel P, Buchs NC, Iranmanesh P, et al. Robotic single-site cholecystectomy. J Hepatobiliary Pancreat Sci 2014;21:134–41.

  28. Lee SH, Jung MJ, Hwang HK, et al. The first experiences of robotic single-site cholecystectomy in Asia: a potential way to expand minimally-invasive single-site surgery? Yonsei Med J. 2015;56:189–95.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Gonzalez AM, Rabaza JR, Donkor C, et al. Single-incision cholecystectomy: a comparative study of standard laparoscopic, robotic, and SPIDERplatforms. Surg Endosc. 2013;27:4524–31.

  30. Vidovszky TJ, Carr AD, Farinholt GN. Single-site robotic cholecystectomy in a broadly inclusive patient population: a prospective study. Ann Surg. 2014;260:134–41.

  31. Gonzalez A, Murcia CH, Romero R, Escobar E, Garcia P, Walker G, Gallas M, Dickens E, McIntosh B, Norwood W, Kim K, Rabaza J, Parris D. A multicenter study of initial experience with single-incision robotic cholecystectomies (SIRC) demonstrating a high success rate in 465 cases. Surg Endosc. 2015 Nov 5. [Epub ahead of print].

  32. Buchs NC, Hagen ME, Pugin F, et al. Intra-operative fluorescent cholangiography using indocyanin green during robotic single site cholecystectomy. Int J Med Rob. 2012;8:436–40.

  33. Spinoglio G, Priora F, Bianchi PP, et al. Real-time near-infrared (NIR) fluorescent cholangiography in single-site robotic cholecystectomy (SSRC): a single-institutional prospective study. Surg Endoscopy. 2013;27:2156–62.

  34. Daskalaki D, Fernandes E, Wang X, et al. Indocyanine green (ICG) fluorescent cholangiography during robotic cholecystectomy: results of 184 consecutive cases in a single institution. Surg Innov. 2014;21:615–21.

  35. Calatayud D, Milone L, Elli EF, et al. ICG-fluorescence identification of a small aberrant biliary canaliculus during robotic cholecystectomy. Liver Int. 2012;32:602.

  36. Boni L, David G, Mangano A, et al.: Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery. Surg Endosc. 2014;11.

  37. Iranmanesh P, Morel P, Buchs NC, et al. Docking of the da Vinci Si surgical system with single site technology. Int J Med Robotics Comput Assit Surg. 2013;9:12–6.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anthony M. Gonzalez.

Ethics declarations

Conflict of Interest

Drs. Escobar Dominguez and Gonzalez declare no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Robotic Surgery.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Escobar Dominguez, J.E., Gonzalez, A.M. Robotic Single-Site Surgery: A Summary of the Current Clinical Experience. Curr Surg Rep 4, 22 (2016). https://doi.org/10.1007/s40137-016-0142-5

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s40137-016-0142-5

Keywords

Navigation