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Review
. 2023 Oct 9:15:453-470.
doi: 10.2147/RRU.S386025. eCollection 2023.

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015-2023

Antonio Franco  1   2 , Francesco Ditonno  1   3 , Celeste Manfredi  1   4 , Andrew D Johnson  1 , Avinash Mamgain  1 , Oren Feldman-Schultz  1 , Carol L Feng  1 , Antony A Pellegrino  5   6 , Maria Carmen Mir  7 , Francesco Porpiglia  8 , Simone Crivellaro  5 , Cosimo De Nunzio  2 , Alexander K Chow  1 , Riccardo Autorino  1
Affiliations
Review

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015-2023

Antonio Franco et al. Res Rep Urol. .

Abstract

Robot-assisted surgery has emerged as a transformative technology, revolutionizing surgical approaches and techniques that decades ago could barely be imagined. The field of urology has taken charge in pioneering a new era of minimally invasive surgery with the ascent of robotic systems which offer enhanced visualization, precision, dexterity, and enabling surgeons to perform intricate maneuvers with improved accuracy. This has led to improved surgical outcomes, including reduced blood loss, lower complication rates, and faster patient recovery. The aim of our review is to present an evidence-based critical analysis on the most pioneering robotic urologic approaches described over the last eight years (2015-2023).

Keywords: image-guided surgery; minimally invasive; robot-assisted; robotic urologic surgery; single port robot.

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Conflict of interest statement

Dr Simone Crivellaro is a consultant for Intuitive. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Summary of the most pioneering techniques between 2015 and 2023.
Figure 2
Figure 2
Hood Technique. Blue arrows indicate the “hood” containing the detrusor apron, arcus tendineus, puboprostatic ligament, anterior vessels, and some fibers of the detrusor muscle.
Figure 3
Figure 3
SP RASP. (A) Robot docking through SP access port (Intuitive Surgical, Sunnyvale, California, United States) (B) Intraoperative view of transvesical SP RASP. Blue arrows delimit the adenoma incision’s plane.
See this image and copyright information in PMC

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References

    1. Mottrie A, Larcher A, Patel V. The Past, the Present, and the Future of Robotic Urology: robot-assisted Surgery and Human-assisted Robots. Eur Urol Focus. 2018;4(5):629–631. doi:10.1016/j.euf.2018.10.002 - DOI - PubMed
    1. Ilic D, Evans SM, Allan CA, Jung JH, Murphy D, Frydenberg M. Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer. Cochrane Database Systematic Rev. 2017;2017(9). doi:10.1002/14651858.CD009625.pub2 - DOI - PMC - PubMed
    1. Rassweiler J. Open vs.Laparoscopic Radical Prostatectomy. and Laparoscopy is Better! Eur Urol. 2006;50(1):26–28. doi:10.1016/j.eururo.2006.03.009 - DOI - PubMed
    1. Singh I. Robotics in urological surgery: review of current status and maneuverability, and comparison of robot-assisted and traditional laparoscopy. Computer Aided Surgery. 2011;16(1):38–45. doi:10.3109/10929088.2010.541620 - DOI - PubMed
    1. Lebeis C, Canes D, Sorcini A, Moinzadeh A. Novel technique prevents lymphoceles after transperitoneal robotic-assisted pelvic lymph node dissection: peritoneal flap interposition. Urology. 2015;85(6):1505–1509. doi:10.1016/j.urology.2015.02.034 - DOI - PubMed