Robot-assisted laparoscopic (RAL) procedures in general surgery

Int J Med Robot. 2016 Sep;12(3):427-30. doi: 10.1002/rcs.1706. Epub 2015 Oct 6.

Abstract

Background: Robotics was introduced in clinical practice more than two decades ago, and it has gained remarkable popularity for a wide variety of laparoscopic procedures. We report our results of robot-assisted laparoscopic surgery (RALS) in the most commonly applied general surgical procedures.

Method: Ninety seven patients underwent RALS from 2009 to 2012. Indications for RALS were cholelithiasis, gastric carcinoma, splenic tumors, colorectal carcinoma, benign colorectal diseases, non-toxic nodular goiter and incisional hernia. Records of patients were analyzed for demographic features, intraoperative and postoperative complications and conversion to open surgery.

Results: Forty six female and 51 male patients were operated and mean age was 58,4 (range: 25-88). Ninety three out of 97 procedures (96%) were completed robotically, 4 were converted to open surgery and there were 15 postoperative complications. There was no mortality.

Conclusion: Wide variety of procedures of general surgery can be managed safely and effectively by RALS. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords: general surgery; minimally invasive surgery; robotics.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Digestive System Surgical Procedures
  • Female
  • Humans
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Neoplasms / surgery
  • Postoperative Complications / epidemiology
  • Robotic Surgical Procedures / methods*
  • Thyroidectomy