Dataset Information

Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery.

ABSTRACT:

Background

The da Vinci single-port system (SPS) (Model SP1098, Intuitive Surgical Inc., Sunnyvale, CA, USA) has been used in genitourinary and general surgical procedures; however, its clinical application in general thoracic surgery has not been attempted. This retrospective study investigated the clinical outcomes of SPS in general thoracic surgery.

Methods

After approval from the Ministry of Food and Drug Safety in Korea, the surgical details of SPS in simple thoracic surgeries at two independent institutions were collected and retrospectively reviewed.

Results

Overall, 17 surgeries were performed using SPS without conversion to multiport surgery. The patients included six males, and the overall median age was 52 years (range, 28-83 years). The commonest pathological diagnoses were thymoma (8 cases) and benign cystic lesions (6 cases). The approach for SPS was subxiphoid, subcostal, and intercostal in 11, 4, and 2 cases, respectively. All patients underwent the surgeries without complications. The median operation time and peak pain score were 120 minutes (range, 58-250 minutes) and 3 (range, 2-4). The median duration of in situ chest tube and hospital stay was 1 day (range, 1-2 days) and 3 days (range, 2-7 days), respectively. SPS showed a shorter duration of in situ chest tube and hospital stay than robotic single-site surgeries.

Conclusions

The application of SPS in the field of general thoracic surgery is feasible and can be successful. Although this study reported preliminary data and the cases were relatively simple, advanced and complex procedures should be attempted with the SPS in the near future.

SUBMITTER: Park SY

PROVIDER: S-EPMC9264062 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery.

Park Seong Yong SY Lee Jun Hee JH Stein Hubert H Heo Seung Young SY Kim Hyun Koo HK

Journal of thoracic disease 20220601 6

<h4>Background</h4>The da Vinci single-port system (SPS) (Model SP1098, Intuitive Surgical Inc., Sunnyvale, CA, USA) has been used in genitourinary and general surgical procedures; however, its clinical application in general thoracic surgery has not been attempted. This retrospective study investigated the clinical outcomes of SPS in general thoracic surgery.<h4>Methods</h4>After approval from the Ministry of Food and Drug Safety in Korea, the surgical details of SPS in simple thoracic surgerie ...[more]

PMID: 35813720

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Project description:BackgroundThe da Vinci Single-Port Robot System (DVSP) allows three robotic instruments and an articulated scope to be inserted through a single small incision. It received FDA approval in 2014 and was first introduced in 2018. The aim of this new system was to overcome the limitations of single-incision laparoscopic and robotic surgery. Since then, it has been approved for use only for urologic and transoral surgeries in some countries. It has been used as part of experimental protocols in general surgery.ObjectiveBy obtaining the CE mark at the end of January 2024, DVSP will soon enter the European market. This review aims to comprehensively describe the applications of DVSP in general surgery.DesignA search of PubMed, Embase, and Ebsco databases up to March 2024 was conducted, with registration in PROSPERO (CRD42024536430), following the preferred reporting items for Systematic reviews and Meta-analyses for scoping review (PRISMA-Scr) guidelines. All the studies about the use of DVSP in general surgery were included.ResultsFifty-six studies were included. The following surgical areas of use were identified: transabdominal and transanal colorectal, cholecystectomy, abdominal wall repair, upper gastroesophageal tract, liver, pancreas, breast, and thyroid surgery. The reported surgical and short-term outcomes are promising; a wide range of procedures have been performed safely. Some groups have found advantages, such as faster discharge, shorter operative time, and less postoperative pain compared to multiport robotic surgery.ConclusionFive years after its initial clinical applications, the use of the DVSP in general surgery procedures has demonstrated feasibility and safety. Hernia repair, cholecystectomy, and colorectal surgery emerge as the most frequently conducted interventions with this robotic system. Nevertheless, there is anticipation for further studies with larger sample sizes and extended follow-up periods to provide more comprehensive insights and data on the long-term outcomes, including the incidence of incisional hernia.

Dataset Information

Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery.

Background

Methods

Results

Conclusions

Publications

Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery.

Similar Datasets

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