Full robotic multivisceral resections: the Modena experience and literature review
| Autor: | Davide Gozzo, Alice Francescato, Francesco Colli, Carlo Alboni, Sofia Esposito, Micaela Piccoli, Vincenzo Trapani, Francesca Pecchini, Bernardo Rocco |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Colectomies Intraoperative Complication medicine.medical_treatment Operative Time Nissen fundoplication Abdominal wall 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Humans Medicine Colectomy business.industry Postoperative complication Robotics Hernia repair Nephrectomy Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Updates in Surgery. 73:1177-1187 |
| ISSN: | 2038-3312 2038-131X |
| DOI: | 10.1007/s13304-020-00939-8 |
| Popis: | The robotic platform is becoming a multidisciplinary tool, versatile, and suitable for multiple procedures. Combined multivisceral resections may represent an alternative to sequential procedures with a potential favorable impact on postoperative morbidity, and on the timing of administration of adjuvant chemotherapy. We herein present our initial experience with full robotic multivisceral resections, and a review of the literature available. Between January 2018 and April 2020, 11 patients underwent multivisceral full robotic abdominal surgery: 4 patients presented with two synchronous tumors, 4 with primary cancer associated with a benign condition and 3 cases involved deep infiltrating endometriosis. Surgical teams enrolled were: General Surgery, Urology and Gynecology. A systematic bibliographic research up to April 2020 was conducted in PubMed. 4 colorectal resections combined with partial or radical nephrectomy were performed, as well as 2 right colectomies in combination with right adrenalectomy and gastric banding removal, 2 radical prostatectomies with Nissen Fundoplication and abdominal wall hernia repair, and 3 resections of deep pelvic endometriosis with colorectal involvement. Mean total operative time was 367 min. No intraoperative complication or conversion to open was registered. Overall postoperative complication rate was 18.2%. 26 papers were included in the review (10 case series and 16 case reports) with a total of 156 combined multivisceral robotic procedures recorded. Robotic combined multivisceral resections proved to be safe and feasible when performed in high volume centers by expert surgeons. The heterogeneity of reports does not allow for a standardization of the procedure. Further studies and accumulation of experience are needed. |
| Databáze: | OpenAIRE |
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