Single-incision robotic assisted surgery: a nonrandomized cohort pilot study on a novel surgical platform in colorectal surgery Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1097/js9.0000000000000612
Background: The technological barriers and steep learning curve of single-incision laparoscopic surgery had kept it from further applications. A literature review had reported that robotic technology could preserve its advantages while simplifying its difficulties. This nonrandomized cohort pilot study aims to evaluate the feasibility and safety of single-incision robotic assisted colorectal surgery based on a novel robotic surgical platform, the SHURUI Endoscopic Surgical Robotic System (SR-ENS-600). Method: This study enrolled 7 patients with colorectal malignancy who underwent single-incision robotic assisted surgery (SIRAS) at a tertiary general surgery center, and retrospectively included 23 patients who underwent robotic assisted surgery from September 2015 to June 2016 and 35 patients who underwent single-incision laparoscopic surgery from June 2017 to March 2018, which were labeled as the initial in-learning-curve attempts from the same surgical team. The technological feasibility and safety of SIRAS were evaluated. Perioperative outcomes, short-term postoperative outcomes, clinicopathologic outcomes, and follow-up were reported. Results: Six SIRAS operations were completed successfully without eventful intraoperative complications, except for one operation that encountered a large-volume of intraoperative hemorrhage. Two SIRAS cases were converted to multiport laparoscopic surgery because of intraoperative hemorrhage and difficulty in retraction. Postoperative pathology reported satisfactory specimen qualities. There were no short-term postoperative complications, no short-term mortality, no tumor recurrence, or metastasis reported. There was one incisional hernia reported half a year after operation. Patients with advanced staging were sent to standard evaluation and chemotherapy, and follow-up is still on-going. Conclusions: SIRAS can be feasibly performed by a skilled surgical team via the SR-ENS-600 platform for strictly-selected patients, which provides preferable instrument maneuverability and stability in confined surgical fields and overcomes the technical difficulty of multisite dissection through a single-incision. Large-volume investigations and high-level evidences are required to further validate its safety and superiority.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/js9.0000000000000612
- OA Status
- diamond
- Cited By
- 14
- References
- 41
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4385441836Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/js9.0000000000000612Digital Object Identifier
- Title
-
Single-incision robotic assisted surgery: a nonrandomized cohort pilot study on a novel surgical platform in colorectal surgeryWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
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2023-07-31Full publication date if available
- Authors
-
Zichao Guo, Yiqing Shi, Zijia Song, Wenqing Jia, Shaodong Wang, Yaqi Zhang, Xiaopin Ji, K. Liu, Tao Zhang, Xi Cheng, Ren ZhaoList of authors in order
- Landing page
-
https://doi.org/10.1097/js9.0000000000000612Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/js9.0000000000000612Direct OA link when available
- Concepts
-
Medicine, Surgery, Colorectal surgery, Cohort, General surgery, Abdominal surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
14Total citation count in OpenAlex
- Citations by year (recent)
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2025: 9, 2024: 4, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| authorships[0].affiliations[2].raw_affiliation_string | COVID-19, coronavirus disease 2019 |
| authorships[0].affiliations[3].raw_affiliation_string | BMI, Body mass index |
| authorships[0].affiliations[4].raw_affiliation_string | Supplemental Digital Content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal's website, www.lww.com/international-journal-of-surgery. |
| authorships[0].affiliations[5].raw_affiliation_string | RIT, respiratory tract infection |
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| authorships[0].affiliations[7].raw_affiliation_string | Zichao Guo, Yiqing Shi, Zijia Song, Wenqing Jia contributed to this work equally. |
| authorships[0].affiliations[8].raw_affiliation_string | SIRAS, Single-incision robotic assisted surgery |
| authorships[0].affiliations[9].raw_affiliation_string | SILS, Single-incision laparoscopic surgery |
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| authorships[0].affiliations[12].raw_affiliation_string | LOS, Length of stay |
| authorships[0].affiliations[13].raw_affiliation_string | SD, standard deviation |
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| authorships[0].affiliations[17].raw_affiliation_string | Running Title: Single-Incision Robotic Assisted Surgery |
| authorships[0].affiliations[18].raw_affiliation_string | NCCN, NationalComprehensive Cancer Network |
| authorships[0].affiliations[19].raw_affiliation_string | Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. |
| authorships[0].affiliations[20].raw_affiliation_string | LCIA, Left common iliac artery |
| authorships[0].affiliations[21].raw_affiliation_string | SMA, superior mesenteric artery |
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| authorships[0].affiliations[23].raw_affiliation_string | List of Abbreviations: ASA, American Society of Anesthesiologists |
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