Expanding the indications of robotic surgery in urology: A systematic review of the literature

Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted...

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Autores principales:	Raj P. Pal, Anthony J. Koupparis
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/18ee99860194441aa4aaa9ff4e5123a9
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spelling	oai:doaj.org-article:18ee99860194441aa4aaa9ff4e5123a92021-12-02T10:50:51ZExpanding the indications of robotic surgery in urology: A systematic review of the literature2090-598X10.1016/j.aju.2018.05.005https://doaj.org/article/18ee99860194441aa4aaa9ff4e5123a92018-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300615https://doaj.org/toc/2090-598XObjectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities. Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Article titles, abstracts, and full text manuscripts were screened to identify relevant studies, which then underwent data extraction and analysis. Results: In all, 72 studies evaluating the above techniques were identified. Almost all studies were retrospective single-arm case series. RAS appears to be associated with reduced morbidity, less blood loss, reduced length of stay, and comparable clinical outcomes in comparison to the corresponding open procedures, whilst having a shorter operative duration and learning curve compared to the equivalent laparoscopic techniques. Conclusion: Emerging data demonstrate that the breadth and complexity of urological procedures performed using the da Vinci® platform (Intuitive Surgical Inc., Sunnyvale, CA, USA) is continually expanding. There is a gaining consensus that RAS is producing promising surgical results in a wide range of procedures. A major limitation of the current literature is the sparsity of comparative trials evaluating these procedures. Keywords: Robot-assisted surgery, Robotic surgery, UrologyRaj P. PalAnthony J. KoupparisTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 3, Pp 270-284 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Raj P. Pal Anthony J. Koupparis Expanding the indications of robotic surgery in urology: A systematic review of the literature
description	Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities. Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Article titles, abstracts, and full text manuscripts were screened to identify relevant studies, which then underwent data extraction and analysis. Results: In all, 72 studies evaluating the above techniques were identified. Almost all studies were retrospective single-arm case series. RAS appears to be associated with reduced morbidity, less blood loss, reduced length of stay, and comparable clinical outcomes in comparison to the corresponding open procedures, whilst having a shorter operative duration and learning curve compared to the equivalent laparoscopic techniques. Conclusion: Emerging data demonstrate that the breadth and complexity of urological procedures performed using the da Vinci® platform (Intuitive Surgical Inc., Sunnyvale, CA, USA) is continually expanding. There is a gaining consensus that RAS is producing promising surgical results in a wide range of procedures. A major limitation of the current literature is the sparsity of comparative trials evaluating these procedures. Keywords: Robot-assisted surgery, Robotic surgery, Urology
format	article
author	Raj P. Pal Anthony J. Koupparis
author_facet	Raj P. Pal Anthony J. Koupparis
author_sort	Raj P. Pal
title	Expanding the indications of robotic surgery in urology: A systematic review of the literature
title_short	Expanding the indications of robotic surgery in urology: A systematic review of the literature
title_full	Expanding the indications of robotic surgery in urology: A systematic review of the literature
title_fullStr	Expanding the indications of robotic surgery in urology: A systematic review of the literature
title_full_unstemmed	Expanding the indications of robotic surgery in urology: A systematic review of the literature
title_sort	expanding the indications of robotic surgery in urology: a systematic review of the literature
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/18ee99860194441aa4aaa9ff4e5123a9
work_keys_str_mv	AT rajppal expandingtheindicationsofroboticsurgeryinurologyasystematicreviewoftheliterature AT anthonyjkoupparis expandingtheindicationsofroboticsurgeryinurologyasystematicreviewoftheliterature
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Expanding the indications of robotic surgery in urology: A systematic review of the literature

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