Da Vinci single site (c) surgical platform in clinical practice: a systematic review

作者：Morelli Luca; Guadagni Simone; Di Franco Gregorio^*; Palmeri Matteo; Di Candio Giulio; Mosca Franco

来源：International Journal of Medical Robotics and Computer Assisted Surgery, 2016, 12(4): 724-734.

DOI：10.1002/rcs.1713

• robotic single-site surgery
• Da Vinci Single-Site (c) Platform
• laparoendoscopic single site surgery

Background The Da Vinci single-site (c) surgical platform (DVSSP) is a set of single-site instruments and accessories specifically dedicated to robot-assisted single-site surgery.
Methods The PubMed database from inception to June 2015 was searched for English literature on the clinical use of DVSSP in general surgery, urology and gynecology.
Results Twenty-nine articles involving the clinical application of DVSSP were identified; 15 articles on general surgery (561 procedures), four articles on urology (48 procedures) and 10 articles on gynecology (212 procedures). All studies have proven the safety and feasibility of the use of DVSSP. The principal reported advantage is the restoration of intra-abdominal triangulation, while the main reported limitation is the lack of the endowrist.
Conclusions Da Vinci systems have proven to be valuable assets in single-site surgery, owing to the combination of robot use with the dedicated single-incision platform. However, case-control or prospective trials are warranted to draw more definitive conclusions.

• 出版日期2016-12