Abstract
Background
The da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) is a computer-assisted (robotic) surgical system designed to enable and enhance minimally invasive surgery. The Food and Drug Administration (FDA) has cleared computer-assisted surgical systems for use by trained physicians in an operating room environment for laparoscopic surgical procedures in general, cardiac, colorectal, gynecologic, head and neck, thoracic and urologic surgical procedures. There are substantial numbers of peer-reviewed papers regarding the da Vinci® Surgical System, and a thoughtful assessment of evidence framed by clinical opinion is warranted.
Methods
The SAGES da Vinci® TAVAC sub-committee performed a literature review of the da Vinci® Surgical System regarding gastrointestinal surgery. Conclusions by the sub-committee were vetted by the SAGES TAVAC Committee and SAGES Executive Board. Following revisions, the document was evaluated by the TAVAC Committee and Executive Board again for final approval.
Results
Several conclusions were drawn based on expert opinion organized by safety, efficacy, and cost for robotic foregut, bariatric, hepatobiliary/pancreatic, colorectal surgery, and single-incision cholecystectomy.
Conclusions
Gastrointestinal surgery with the da Vinci® Surgical System is safe and comparable, but not superior to standard laparoscopic approaches. Although clinically acceptable, its use may be costly for select gastrointestinal procedures. Current data are limited to the da Vinci® Surgical System; further analyses are needed.
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References
Davies B (2000) A review of robotics in surgery. Proc Inst Mech Engrs 214(1):129–140
Colavita PD, Tsirline VB, Walters AL, Lincourt AE, Belyansky I, Heniford BT (2013) Laparoscopic versus open hernia repair: outcomes and sociodemographic utilization results from nationwide inpatient sample. Surg Endosc 27:109–117
Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, Wolfe BM (2001) Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234(3):279–289
Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350(20):2050–2059
Ficarra V, Novara G, Fracalanza S et al (2009) A prospective, non-randomized trial comparing robot-assisted laparoscopic and retropubic radical prostatectomy in one European institution. BJU Int 104(4):534–539
Sooriakumaran P, Srivastava A, Shariat SF et al (2013) A Multinational, Multiinstitutional Study Comparing Positive Surgical Margin Rates Among 22393 Open, Laparoscopic, and Robot-assisted Radical Prostatectomy Patients. Eur Urol 66(3):450–456
Davis J, Kreaden U, Gabbert J, Thomas R (2014) Learning curve assessment of robot-assisted radical prostatectomy compared with open-surgery controls from the premier perspective[sic] database. J Endourol 28(5):560–566
Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, Plana MN (2010) Efficacy of the da Vinci® Surgical System in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 252:254–262
Anderson E, Chang DC, Parsons JK, Talamini MA (2012) The first national examination of outcomes and trends in robotic surgery in the United States. J Am Coll Surg 215(1):107–114
Annual report 2012 (2013) Intuitive Surgical Inc
Barbash G, Glied A (2010) New technology and health care costs—the case of robotic-assisted surgery. N Engl J Med 363(8):701–704
Ahmed K, Khan MS, Vats A, Nagpal K, Priest O, Patel V, Vecht JA, Ashrafian H et al (2009) Current status of robotic assisted pelvic surgery and future developments. Int J Surg 7:431–440
Melvin WS, Needleman BJ, Krause KR et al (2002) Computer–enhanced versus standard laparoscopic antireflux surgery. J Gastrointest Surg 6(1):11–16
Melvin WS, Krause KR, Needleman BJ et al (2001) Computer assisted ‘‘robotic’’ Heller myotomy: initial case report. J Laparoendosc Adv Surg Tech A 11(4):251–253
Talamini M, Chapman WC, Horgan S et al (2003) Evaluation of 211 ‘‘robotic’’ surgical procedures. Surg Endosc 17:1521–1524
Melvin WS, Krause KR, Needleman BJ et al (2002) Computer assisted ‘‘robotic’’ foregut surgery, initial experience in North America. Surg Endosc 16(12):1790–1792
Galvani C, Gorodner MV, Moser F et al (2006) Laparoscopic Heller myotomy for achalasia facilitated by robotic assistance. Surg Endosc 20(7):1105–1112
Iqbal A, Hadner M, Desai K et al (2006) Technique and follow-up of minimally invasive Heller myotomy for achalasia. Surg Endosc 20(3):394–401
Nakadi IE, Melot C, Closset J et al (2006) Evaluation of da Vinci® Nissen fundoplication clinical results and cost minimization. World J Surg 30:1050–1054
Morino M, Pellegrino L, Giaccone C et al (2006) Randomized clinical trial of robot-assisted versus laparoscopic Nissen fundoplication. Br J Surg 93:553–558
Ballantyne GH (2002) Robotic surgery, telerobotic surgery, telepresence, and telementoring: review of early clinical results. Surg Endosc 16(10):1389–1402
Costi R, Himpens J, Bruyns J et al (2003) Robotic fundoplication: from theoretic advantages to real problems. J Am Coll Surg 197(3):500–507
D’Annibale A, Orsini C, Morpurgo E, Sovernigo G (2006) Robotic surgery: considerations after 250 procedures. Chit Ital 58(1):5–14
Ballantyne GH (2007) Telerobotic gastrointestinal surgery: phase 2-safety and efficacy. Surg Endosc 21(7):1054–1062
Braumann C, Menenakos C, Rueckert JC et al (2005) Computer-assisted laparoscopic repair of “upside-down” stomach with the Da Vinci® system. Surg Laparosc Endosc Percutan Tech 15:285–289
Ruurda JP, Draaisma WA, van Hillegersberg R et al (2005) Robot-assisted endoscopic surgery: a four-year single-center experience. Dig Surg 22:313–320
Hanly EJ, Talamini MA (2004) Robotic abdominal surgery. Am J Surg 188(4A Suppl):19S–26S
Newlin ME, Mikami DJ, Melvin SW (2004) Initial experience with the four-arm computer-enhanced telesurgery device in foregut surgery. J Laparoendosc Adv Surg Tech A 14:121–124
Melvin WS, Dundon JM, Talamini M, Horgan S (2005) Computer-enhanced robotic telesurgery minimizes esophageal perforation during Heller myotomy. Surgery 138:553–558 discussion 558–559
Galvani C, Gorodner MV, Moser F, Baptista M, Donahue P, Horgan S (2006) Laparoscopic Heller myotomy for achalasia facilitated by robotic assistance. Surg Endosc 20:1105–1112
Iqbal A, Haider M, Desai K, Garg N, Kavan J, Mittal S, Filipi CJ (2009) Technique and follow-up of minimally invasive Heller myotomy for achalasia. Surg Endosc 23(602–605):605
Horgan S, Galvani C, Gorodner MV et al (2005) Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg 9:1020–1029 discussion 1029–30
Draaisma WA, Ruurda JP, Scheffer RC et al (2006) Randomized clinical trial of standard laparoscopic versus robot-assisted laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. Br J Surg 93(11):1351–1359
Müller-Stich BP, Reiter MA, Wente MN (2007) Robot-assisted versus conventional laparoscopic fundoplication: short-term outcome of a pilot randomized controlled trial. Surg Endosc 21(10):1800–1805
Heemskerk J, van Gmert WG, Greve JW, Bouvy ND (2007) Robot-assisted versus conventional laparoscopic Nissen fundoplication. Surg Laparosc Endosc Percutan Tech 17(1):1–4
Giulianotti PC, Coratti A, Angelini M et al (2003) Robotics in general surgery. Arch Surg 138:777–784
Anderson C, Ellenhorn J, Hellan M et al (2007) Pilot series of robot-assisted laparoscopic subtotal gastrectomy with extended lymphadenectomy for gastric cancer. Surg Endosc 21:1662–1666
Anderson C, Ellenhorn J, Pigazzi A (2008) Robotic gastrectomy with lymphadenectomy for gastric cancer, Chap. 22. In: Bozovic V (ed) Medical robotics. I-Tech Education and Publishing, Vienna, p 305–314
Huscher CG, Mingoli A, Sgarzini G et al (2007) Totally laparoscopic total and subtotal gastrectomy with extended lymph node dissection for early and advanced gastric cancer: early and long-term results of a 100 patient series. Am J Surg 194:839–844
Kitano S, Shiraishi N, Ichiro U et al (2007) The Japanese Laparoscopic Surgery Study Group: A Multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan. Ann Surg 245:68–72
Mochiki E, Kaniyama Y, Aihara R et al (2005) Laparoscopic assisted distal gastrectomy for early gastric cancer: five years’ experience. Surgery 137:317–322
Pugliese R, Maggioni D, Sansonna F et al (2007) Total and subtotal laparoscopic gastrectomy for adenocarcinoma. Surg Endosc 21:21–27
Pugliese R, Maggioni D, Sansonna F et al (2008) Outcomes and survival after laparoscopic gastrectomy for adenocarcinoma: Analysis on 65 patients operated on by conventional or robot-assisted minimal access procedures. EJSO. doi:10.1016/j.ejso.2008.02.001
Shirahishi N, Yasuda K, Kitano S (2006) Laparoscopic gastrectomy with lymph node dissection for gastric cancer. Gastric Cancer 9:167–176
Ziqiang W, Feng Q, Zhimin C et al (2006) Comparison of laparoscopically assisted and open radical distal gastrectomy with extended lymphadenectomy for gastric cancer management. Surg Endosc 20:1738–1743
Pernazza G, Gentile E, Felicioni L et al (2006) Improved early survival after robotic gastrectomy in advanced gastric cancer. Surg Laparosc Endosc Percutan Tech 16:286
Lee YJ, Ha WS, Park ST et al (2007) Port-site recurrence after laparoscopy-assisted gastrectomy: report of the first case. J Laparoendosc Adv Surg Tech 17:455–457
Li C, Kim S, Lai JF et al (2008) Lymph node dissection around the splenic artery and hilum in advanced middle third gastric carcinoma. EJSO. doi:10.1016/j.ejso.2008.03.011
Douglass HO Jr, Hundahl SA, Macdonald JS et al (2007) Gastric cancer: D2 Dissection or Low Maruyama Index-Based Surgery—a Debate. Surg Oncol Clin N Am 16:133–135
Kim MC, Heo GU, Jung GJ (2010) Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits. Surg Endosc 24(3):610–615
Owen B, Simorov A, Siref A, Shostrom V, Oleynikov D (2014). How does robotic anti-reflux surgery compare with traditional open and laparoscopic techniques: a cost and outcomes analysis. Surg Endosc 28(5):1686–1690
Cirocchi R, Boselli C, Santoro A, Guarino S, Covarelli P, Renzi C, Listorti C, Trastulli S, Desiderio J, Coratti A, Noya G, Redler A, Parisi A (2013) Current status of robotic bariatric surgery: a systematic review. BMC Surg 13:53. doi:10.1186/1471-2482-13-53
Fourman MM, Saber AA (2012) Robotic bariatric surgery: a systematic review. Surg Obes Relat Dis 8(4):483–488
Gill RS, Al-Adra DP, Birch D et al (2011) Robotic-assisted bariatric surgery: a systematic review. Int J Med Robot. doi:10.1002/rcs.400
Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, Plana MN (2010) Efficacy of the Da Vinci® Surgical System in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 252(2):254–262. doi:10.1097/SLA.0b013e3181e6239e
Bailey JG, Hayden JA, Davis PJ, Liu RY, Haardt D, Ellsmere J (2014) Robotic versus laparoscopic Roux-en-Y gastric bypass (RYGB) in obese adults ages 18 to 65 years: a systematic review and economic analysis. Surg Endosc 28(2):414–426
Sanchez BR, Mohr CJ, Morton JM, Safadi BY, Alami RS, Curet MJ (2005) Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 1(6):549–554
Hagen ME, Pugin F, Chassot G, Huber O, Buchs N, Iranmanesh P et al (2012) Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg 22(1):52–61
Ayloo SM, Addeo P, Buchs NC, Shah G, Giulianotti PC (2011) Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg 35(3):637–642
Snyder BE, Wilson T, Leong BY, Klein C, Wilson EB (2010) Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg 20(3):265–270
Hubens G, Balliu L, Ruppert M, Gypen B, Van Tu T, Vaneerdeweg W (2008) Roux-en-Y gastric bypass procedure performed with the da Vinci® robot system: is it worth it? Surg Endosc 22(7):1690–1696
Mohr CJ, Nadzam GS, Curet MJ (2005) Totally robotic Roux-en-Y gastric bypass. Arch Surg 140(8):779–786
Park CW, Lam EC, Walsh TM, Karimoto M, Ma AT, Koo M et al (2011) Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc 25(10):3312–3321
Artuso D, Wayne M, Grossi R (2005) Use of robotics during laparoscopic gastric bypass for morbid obesity. JSLS 9(3):266–268
Myers SR, McGuirl J, Wang J (2013) Robot-assisted versus laparoscopic gastric bypass: comparison of short-term outcomes. Obes Surg 23(4):467–473
Scozzari G, Rebecchi F, Millo P, Rocchietto S, Allieta R, Morino M (2011) Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc 25(2):597–603
Curet MJ, Curet M, Solomon H, Lui G, Morton JM (2009) Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic hand-sewn Roux-en-Y gastric bypass. J Robotic Surg 3:75–78
Benizri EI, Renaud M, Reibel N, Germain A, Ziegler O, Zarnegar R et al (2013) Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study. Am J Surg 206(2):145–151
Tieu K, Allison N, Snyder B, Wilson T, Toder M, Wilson E (2013) Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis 9(2):284–288. doi:10.1016/j.soard.2011.11.022 Epub 2012 Jan
Schweitzer MA, Lidor A, Magnuson TH (2006) A zero leak rate in 251 consecutive laparoscopic gastric bypass operations using a two-layer gastrojejunostomy technique. J Laparoendosc Adv Surg Tech A 16(2):83–87. doi:10.1089/lap.2006.16.83
Nguyen NT, Hinojosa M, Fayad C, Varela E, Wilson SE (2007) Use and outcomes of laparoscopic versus open gastric bypass at academic medical centers. J Am Coll Surg 205(2):248–255. doi:10.1016/j.jamcollsurg.2007.03.011
Edwards MA, Jones DB, Ellsmere J, Grinbaum R, Schneider BE (2007) Anastomotic leak following antecolic versus retrocolic laparoscopic roux-en-Y gastric bypass for morbid obesity. Obes Surg 17(3):292–297. doi:10.1007/s11695-007-9048-8
Iselin C, Fateri F, Caviezel A, Schwartz J, Hauser J (2007) Usefullness of the Da Vinci® robot in urologic surgery. Rev Med Suisse 5(3):2766–2768
Giulianotti PC, Coratti A, Sbrana F, Addeo P, Bianco FM, Buchs NC, Annechiarico M, Benedetti E (2011) Robotic liver surgery: results for 70 resections. Surgery 149:29–39
Chan OC, Tang CN, Lai EC, Yang GP, Li MK (2011) Robotic hepatobiliary and pancreatic surgery: a cohort study. J Hepatobiliary Pancreat Sci 18:471–480
Giulianotti PC, Sbrana F, Coratti A, Bianco FM, Addeo P, Buchs NC (2011) Totally robotic right hepatectomy: surgical technique and outcomes. Arch Surg 146:844–850
Casciola L, Patriti A, Ceccarelli G, Bartoli A, Ceribelli C, Spaziani A (2011) Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments. Surg Endosc 25:3815–3824
Lai EC, Tang CN, Li MK (2012) Robot-assisted laparoscopic hemi-hepatectomy: technique and surgical outcomes. Int J Surg 10:11–15
Berber E, Akyildiz HY, Aucejo F, Gunasekaran G, Chalikonda S, Fung J (2010) Robotic versus laparoscopic resection of liver tumours. HPB 12:583–586
Patriti A, Ceccarelli G, Bartoli A, Spaziani A, Lapalorcia LM, Casciola L (2009) Laparoscopic and robot-assisted one-stage resection of colorectal cancer with synchronous liver metastases: a pilot study. J Hepatobiliary Pancreat Surg 16:450–457
Wakabayashi G, Sasaki A, Nishizuka S, Furukawa T, Kitajima M (2011) Our initial experience with robotic hepato-biliary-pancreatic surgery. J Hepatobiliary Pancreat Sci 18:481–487
Choi GH, Choi SH, Kim SH, Hwang HK, Kang CM, Choi JS, Lee WJ (2012) Robotic liver resection: technique and results of 30 consecutive procedures. Surg Endosc 26:2247–2258
Panaro F, Piardi T, Cag M, Cinqualbre J, Wolf P, Audet M (2011) Robotic liver resection as a bridge to liver transplantation. JSLS 15:86–89
Holloway RW, Brudie LA, Rakowski JA, Ahmad S (2011) Robotic-assisted resection of liver and diaphragm recurrent ovarian carcinoma: description of technique. Gynecol Oncol 120:419–422
Ho CM, Wakabayashi G, Nitta H, Ito N, Hasegawa Y, Takahara T (2013) Systematic review of robotic liver resection. Surg Endosc 27(3):732–739
Berber E, Akyildiz HY, Aucejo F, Gunasekaran G, Chalikonda S, Fung J (2010) Robotic versus laparoscopic resection of liver tumours. HPB 12(8):583–586
Ji WB, Wang HG, Zhao ZM, Duan WD, Lu F, Dong JH (2011) Robotic-assisted laparoscopic anatomic hepatectomy in China: initial experience. Ann Surg 253(2):342–348
Tsung A, Geller DA, Sukato DC, Sabbaghian S, Tohme S, Steel J, Marsh W, Reddy SK, Bartlett DL (2014) Robotic versus laparoscopic hepatectomy: a matched comparison. Ann Surg 259(3):549–555
Cirocchi R, Partelli S, Coratti A, Desiderio J, Parisi A, Falconi M (2013) Current status of robotic distal pancreatectomy: a systematic review. Surg Oncol 22(3):201–207
Zureikat AH, Moser AJ, Boone BA, Bartlett DL, Zenati M, Zeh III HJ (2013) 250 robotic pancreatic resections: safety and feasibility. Ann Surg 258(4):554–559
Weber PA, Merola S, Wasielewski A, Ballantyne GH (2002) Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 45(12):1689–1694 discussion 1695–6
Delaney CP, Lynch AC, Senagore AJ, Fazio VW (2003) Comparison of robotically performed and traditional laparoscopic colorectal surgery. Dis Colon Rectum 46(12):1633–1639
Talamini M, Campbell K, Stanfield C (2002) Robotic gastrointestinal surgery: early experience and system description. J Laparoendosc Adv Surg Tech A 12(4):225–232
Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg 138(7):777–784
Rawlings AL, Woodland JH, Crawford DL (2006) Telerobotic surgery for right and sigmoid colectomies: 30 consecutive cases. Surg Endosc 20(11):1713–1718
Rawlings AL, Woodland JH, Vegunta RK, Crawford DL (2007) Robotic versus laparoscopic colectomy. Surg Endosc 21(10):1701–1708
Anvari M (2007) Remote telepresence surgery: the Canadian experience. Surg Endosc 21(4):537–541
DeNoto G, Rubach E, Ravikumar TS (2006) A standardized technique for robotically performed sigmoid colectomy. J Laparoendosc Adv Surg Tech 16(6):551–556
D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, Guidolin D (2004) Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 47(12):2162–2168
Luca F, Ghezzi TL, Valvo M, Cenciarelli S, Pozzi S, Radice D, Crosta C, Biffi R (2011) Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. Int J Med Robot. doi:10.1002/rcs.398
Pigazzi A, Garcia-Aguilar J (2010) Robotic colorectal surgery: for whom and for what? Dis Colon Rectum 53(7):969–970
Bianchi PP, Ceriani C, Locatelli A, Spinoglio G, Zampino MG, Sonzogni A, Crosta C, Andreoni B (2010) Robotic versus laparoscopic total mesorectal excision for rectal cancer: a comparative analysis of oncological safety and short-term outcomes. Surg Endosc 24(11):2888–2894
Marecik SJ, Zawadzki M, Desouza AL, Park JJ, Abcarian H, Prasad LM (2011) Robotic cylindrical abdominoperineal resection with transabdominal levator transection. Dis Colon Rectum 54(10):1320–1325
Patel CB, Ramos-Valadez DI, Haas EM (2010) Robotic-assisted laparoscopic abdominoperineal resection for anal cancer: feasibility and technical considerations. Int J Med Robot 6(4):399–404
Pigazzi A, Luca F, Patriti A, Valvo M, Ceccarelli G, Casciola L, Biffi R, Garcia-Aguilar J, Baek JH (2010) Multicentric study on robotic tumor-specific mesorectal excision for the treatment of rectal cancer. Ann Surg Oncol 17(6):1614–1620
deSouza AL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Abcarian H (2010) Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum 53(7):1000–1006
Fung AK, Aly EH (2013) Robotic colonic surgery: is it advisable to commence a new learning curve? Dis Colon Rectum 56(6):786–796
Xiong B, Ma L, Zhang C, Cheng Y (2014) Robotic versus laparoscopic total mesorectal excision for rectal cancer: a meta-analysis. J Surg Res. doi:10.1016/j.jss.2014.01.027
Kim SH, Kwak JM (2013) Robotic total mesorectal excision: operative technique and review of the literature. Tech Coloproctol 17(1):S47–S53
Pigazzi A, Ellenhorn JDL, Ballantyne GH, Paz IB (2006) Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer. Surg Endosc 20(10):1521–1525
Baik SH, Kim NK, Lim DR, Hur H, Min BS, Lee KY (2013) Oncologic outcomes and perioperative clinicopathologic results after robot-assisted tumor-specific mesorectal excision for rectal cancer. Ann Surg Oncol 20(8):2625–2632
deSouza AL, Prasad LM, Marecik SJ, Blumetti J, Park JJ, Zimmern A, Abcarian H (2010) Total mesorectal excision for rectal cancer: the potential advantage of robotic assistance. Dis Colon Rectum 53(12):1611–1617
Kim NK, Kang J (2010) Optimal total mesorectal excision for rectal cancer: the role of robotic surgery from an expert’s view. J Korean Soc Coloproctol. 26(6):377–387
Zimmern A, Prasad L, Desouza A et al (2010) Robotic colon and rectal surgery: a series of 131 cases. World J Surg 34(8):1954–1958
Kim NK, Aahn TW, Park JK, Lee KY, Lee WH, Sohn SK, Min JS (2002) Assessment of sexual and voiding function after total mesorectal excision with pelvic autonomic nerve preservation in males with rectal cancer. Dis Colon Rectum 45(9):1178–1185
Luca F, Valvo M, Ghezzi TL, Zuccaro M, Cenciarelli S, Trovato C, Sonzogni A, Biffi R (2013) Impact of robotic surgery on sexual and urinary functions after fully robotic nerve-sparing total mesorectal excision for rectal cancer. Ann Surg 257(4):672–678
Collinson FJ, Jayne DG, Pigazzi A et al (2012) An international, multicentre, prospective, randomised, controlled, unblinded, parallel-group trial of robotic-assisted versus standard laparoscopic surgery for the curative treatment of rectal cancer. Int J Colorectal Dis 27(2):233–241
Heemskerk J, de Hoog DE, van Genmert WG, Baeten CG, Greve JW, Bouvy ND (2007) Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum 50(11):1825–1830
de Hoog DE, Heemskerk J, Nieman FH, van Gemert WG, Baeten CG, Bouvy ND (2009) Recurrence and functional results after open versus conventional laparoscopic versus robot-assisted laparoscopic rectopexy for rectal prolapse: a case-control study. Int J Colorectal Dis 24(10):1201–1206
Ragupathi M, Patel CB, Ramos-Valadez DI, Haas EM (2010) Robotic-assisted laparoscopic “salvage” rectopexy for recurrent ileoanal J-pouch prolapse. Gastroenterol Res Pract. doi:10.1155/2010/790462
Ragupathi M, Ramos-Valadez DI, Patel CB, Haas EM (2011) Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surg Endosc 25(1):199–206
Spinoglio G, Summa M, Priora F, Quarati R, Testa S (2008) Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum 51(11):1627–1632
Bokhari MB, Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM (2011) Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc 25(3):855–860
Jiménez-Rodríguez RM, Díaz-Pavón JM, de Juan FDLP, Prendes-Sillero E, Dussort HC, Padillo J (2013) Learning curve for robotic-assisted laparoscopic rectal cancer surgery. Int J Colorectal Dis 28(6):815–821
Sng KK, Hara M, Shin JW, Yoo BE, Yang KS, Kim SH (2013) The multiphasic learning curve for robot-assisted rectal surgery. Surg Endosc 27(9):3297–3307
Akmal Y, Baek JH, McKenzie S, Garcia-Aguilar J, Pigazzi A (2012) Robot-assisted total mesorectal excision: is there a learning curve? Surg Endosc 26(9):2471–2476
Joseph RA, Goh AC, Cuevas SP, Donovan MA, Kauffman MG, Salas NA, Miles B, Bass BL, Dunkin BJ (2010) “Chopstick” surgery: a novel technique improves surgeon performance and eliminates arm collision in robotic single-incision laparoscopic surgery. Surg Endosc 24(6):1331–1335
Joseph RA, Salas NA, Johnson C, Goh A, Cuevas SP, Donovan MA, Kaufman MG, Miles B, Reardon PR, Bass BL, Dunkin BJ (2010) Video. Chopstick surgery: a novel technique enables use of the Da Vinci® Robot to perform single-incision laparoscopic surgery. Surg Endosc 24(12):3224
Ostrowitz MB, Eschete D, Zemon H, DeNoto G (2009) Robotic-assisted single-incision right colectomy: early experience. Int J Med Robot 5(4):465–470
Ragupathi M, Ramos-Valadez DI, Pedraza R, Haas EM (2010) Robotic-assisted single-incision laparoscopic partial cecectomy. Int J Med Robot 6(3):362–367
Morelli L, Guadagni S, Caprili G, Di Candio G, Boggi U, Mosca F (2013) Robotic right colectomy using the Da Vinci® Single-Site® platform: case report. Int J Med Robot 9(3):258–261
Bardakcioglu O (2013) Robotic transanal access surgery. Surg Endosc 27(4):1407–1409
Buchs NC, Pugin F, Volonte F, Hagen ME, Morel P, Ris F (2013) Robotic transanal endoscopic microsurgery: technical details for the lateral approach. Dis Colon Rectum 56(10):1194–1198
Hompes R, Rauh SM, Ris F, Tuynman JB, Mortensen NJ (2014) Robotic transanal minimally invasive surgery for local excision of rectal neoplasms. Br J Surg 101(5):578–581
Morel P, Buchs NC, Iranmanesh P, Pugin F, Buehler L, Azagury DE, Jung M, Volonte F, Hagen ME (2014) Robotic single-site cholecystectomy. J Hepatobiliary Pancreat Sci 21(1):18–25
Gonzalez AM, Rabaza JR, Donkor C, Romero RJ, Kosanovic R, Verdeja JC (2013) Single-incision cholecystectomy: a comparative study of standard laparoscopic, robotic, and SPIDER platforms. Surg Endosc 27(12):4524–4531
Buzard FA, Corne LM, Brown TC, Fagin RS, Hebert AE, Kaczmarek CA, Pack AN, Payne TN (2013) Single-site robotic cholecystectomy: efficiency and cost analysis. Int J Med Robot 9(3):265–270
Vidovszky TJ, Carr AD, Farinholt GN, Ho HS, Smith WH, Ali MR (2014) Single-site robotic cholecystectomy in a broadly inclusive patient population: a prospective study. Ann Surg 260(1):134–141
Daskalaki D, Fernandes E, Wang X, Bianco FM, Elli EF, Ayloo S, Masrur M, Milone L, Giulianotti PC (2014) Indocyanine green (ICG) fluorescent cholangiography during robotic cholecystectomy: results of 184 consecutive cases in a single institution. Surg Innov 21(6):615–621
Ross SB, Sawangkum P, de La Vega KA, Luberice K, Rosemurgy AS (2013) Single-site robotic cholecystectomy (SSRC): an initial review of safety and feasibility. Minerva Chir 68(5):435–443
Konstantinidis KM, Hirides P, Hirides S, Chrysocheris P, Georgiou M (2012) Cholecystectomy using a novel Single-Site (®) robotic platform: early experience from 45 consecutive cases. Surg Endosc 26(9):2687–2694
Spinoglio G, Lenti LM, Maglione V, Lucido FS, Priora F, Bianchi PP, Grosso F, Quarati R (2012) Single-site robotic cholecystectomy (SSRC) versus single-incision laparoscopic cholecystectomy (SILC): comparison of learning curves first European experience. Surg Endosc 26(6):1648–1655
Wren SM, Curet MJ (2011) Single-port robotic cholecystectomy: results from a first human use clinical study of the new da Vinci® single-site surgical platform. Arch Surg 146(10):1122–1127
Kroh M, El-Hayek K, Rosenblatt S, Chand B, Escobar P, Kaouk J, Chalikonda S (2011) First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci® single-site platform. Surg Endosc 25(11):3566–3573
Pietrabissa A, Sbrana F, Morelli L, Badessi F, Pugliese L, Vinci A, Klersy C, Spinoglio G (2012) Overcoming the challenges of single-incision cholecystectomy with robotic single-site technology. Arch Surg 147(8):709–714
Buchs NC, Hagen ME, Pugin F, Volonte F, Bucher P, Schiffer E, Morel P (2012) Intra-operative fluorescent cholangiography suing indocyanin green during robotic single site cholecystectomy. Int J Med Robot 8(4):436–440
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Dr. Brody is a consultant for Covidien, ViiNetwork, Medtronic, Ethicon, and Cooper Surgical. Dr. Gould is on the advisory committee for Torax Medical. Dr. Oleynikov is a board member for Vitrual Incision Corporation and receives research grant from LifeCell Corporation. Dr. Ross is a speaker for Olympus and consultant for Covidien. Dr. Sandler is a speaker for Bard-Davol, Inc. and Ethicon, Inc., and is a consultant for ValenTx, Inc. Dr. Satava receives a research grant from Institute of Surgical Excellence, and is a consultant for Kingdom of Saudi Arabia—Minister of Health and InTouch. Dr. Tsuda is a proctor for Intuitive Surgical and is a speaker for Acelity. Dr. Azagury, Dr. Haas, and Dr. Hutter have nothing to disclose.
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Tsuda, S., Oleynikov, D., Gould, J. et al. SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA). Surg Endosc 29, 2873–2884 (2015). https://doi.org/10.1007/s00464-015-4428-y
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DOI: https://doi.org/10.1007/s00464-015-4428-y