Development of robotic surgical devices and its application in colorectal surgery

Kamil Erozkan , Emre Gorgun

Mini-invasive Surgery ›› 2023, Vol. 7 ›› Issue (1) : 37

PDF
Mini-invasive Surgery ›› 2023, Vol. 7 ›› Issue (1) :37 DOI: 10.20517/2574-1225.2023.56
Review

Development of robotic surgical devices and its application in colorectal surgery

Author information +
History +
PDF

Abstract

Due to greater accessibility, robotic technology is becoming increasingly common in a wide range of general surgical procedures. In relation to traditional laparoscopic techniques, robotic surgery has four significant advantages: greater accessibility, visibility, accuracy, and comfortability. For example, robotic surgery is particularly beneficial for procedures in hard-to-reach areas (e.g., pelvis, rectum, and endoluminal areas) because it offers a greater range of motion and precision. In addition, surgical visibility and accuracy can be improved by providing 3D and magnified visualization of the surgical field. Robotic systems are also designed for surgeons’ comfort, allowing the operator to sit while working. For these reasons, robotic surgery is preferable for colorectal and other abdominal surgical procedures. As interest in minimally invasive surgery increases, so does the need to develop new approaches and procedures in colorectal surgery. While robotic surgery has great potential for improving outcomes, there may be disadvantages over traditional laparoscopic and open surgical procedures. For example, possible disadvantages include increased maintenance, training, and cost. This review discusses the evolution of robot-assisted surgery with respect to short-term and long-term outcomes. The development of robotic surgical devices, the new devices entering the market, and the possible future directions of robotic surgery will also be discussed.

Keywords

Robotic colorectal surgery / new robotic surgical systems / future directions of robotic surgery

Cite this article

Download citation ▾
Kamil Erozkan, Emre Gorgun. Development of robotic surgical devices and its application in colorectal surgery. Mini-invasive Surgery, 2023, 7(1): 37 DOI:10.20517/2574-1225.2023.56

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Sheetz KH,Dimick JB.Trends in the adoption of robotic surgery for common surgical procedures.JAMA Netw Open2020;3:e1918911

[2]

Intuitive announces preliminary fourth quarter and full year 2022 results. Available from: https://isrg.intuitive.com/news-releases/news-release-details/intuitive-announces-preliminary-fourth-quarter-and-full-year-2. [Last accessed on 15 Nov 2023]

[3]

Jayne D,Marshall H.Effect of robotic-assisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: the ROLARR randomized clinical trial.JAMA2017;318:1569-80

[4]

Kim MJ,Park JW.Robot-assisted versus laparoscopic surgery for rectal cancer: a phase II open label prospective randomized controlled trial.Ann Surg2018;267:243-51

[5]

Crippa J,Dozois EJ.Robotic surgery for rectal cancer provides advantageous outcomes over laparoscopic approach: results from a large retrospective cohort.Ann Surg2021;274:e1218-22

[6]

Kim CW,Baik SH.Outcomes of robotic-assisted colorectal surgery compared with laparoscopic and open surgery: a systematic review.J Gastrointest Surg2014;18:816-30

[7]

Vilsan J,Ahsan N.Open, laparoscopic, and robotic approaches to treat colorectal cancer: a comprehensive review of literature.Cureus2023;15:e38956

[8]

Anderson JE,Parsons JK.The first national examination of outcomes and trends in robotic surgery in the United States.J Am Coll Surg2012;215:107-14

[9]

Maeso S,Mayol JA.Efficacy of the da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis.Ann Surg2010;252:254-62

[10]

Fung AKY.Robotic colonic surgery: is it advisable to commence a new learning curve?.Dis Colon Rectum2013;56:786-96

[11]

Zhang J,Yi F,Gao G.Comparison of clinical efficacy and safety between da Vinci robotic and laparoscopic intersphincteric resection for low rectal cancer: a meta-analysis.Front Surg2021;8:752009

[12]

Baik SH,Kang CM.Robotic tumor-specific mesorectal excision of rectal cancer: short-term outcome of a pilot randomized trial.Surg Endosc2008;22:1601-8

[13]

Huang CW,Chen CC,Wang JY.Clinical safety and effectiveness of robotic-assisted surgery in patients with rectal cancer: real-world experience over 8 years of multiple institutions with high-volume robotic-assisted surgery.Cancers2022;14:4175

[14]

Konstantinidis IT,Woo Y.Trends and outcomes of robotic surgery for gastrointestinal (GI) cancers in the USA: maintaining perioperative and oncologic safety.Surg Endosc2020;34:4932-42

[15]

Huang Z,Zhang G.Comparison of open, laparoscopic, and robotic left colectomy for radical treatment of colon cancer: a retrospective analysis in a consecutive series of 211 patients.World J Surg Oncol2022;20:345

[16]

Bao X,Song W,Luo Y.Meta-analysis on current status, efficacy, and safety of laparoscopic and robotic ventral mesh rectopexy for rectal prolapse treatment: can robotic surgery become the gold standard?.Int J Colorectal Dis2021;36:1685-94

[17]

Allaix ME,Mistrangelo M,Morino M.Conversion of laparoscopic colorectal resection for cancer: what is the impact on short-term outcomes and survival?.World J Gastroenterol2016;22:8304-13

[18]

Fleming CA,Fernandez B,Célérier B.An analysis of feasibility of robotic colectomy: post hoc analysis of a phase III randomised controlled trial.J Robot Surg2023;17:1057-63

[19]

Keller DS,Ibarra S.Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned.World J Gastroenterol2016;22:659-67

[20]

Scarpinata R.Does robotic rectal cancer surgery offer improved early postoperative outcomes?.Dis Colon Rectum2013;56:253-62

[21]

Panin SI,Sazhin AV.Should we encourage the use of robotic technologies in complicated diverticulitis? Results of systematic review and meta-analysis.Front Robot AI2023;10:1208611

[22]

Feng Q,Li T.Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial.Lancet Gastroenterol Hepatol2022;7:991-1004

[23]

Waters PS,Peacock O.Successful patient-oriented surgical outcomes in robotic vs laparoscopic right hemicolectomy for cancer - a systematic review.Colorectal Dis2020;22:488-99

[24]

Bianchi PP,Giuliani G,Formisano G.Feasibility of robotic right colectomy with complete mesocolic excision and intracorporeal anastomosis: short-term outcomes of 161 consecutive patients.Updates Surg2021;73:1065-72

[25]

Zhang T,Mao W.Meta-analysis of randomized controlled trials comparing intracorporeal versus extracorporeal anastomosis in minimally invasive right hemicolectomy: upgrading the level of evidence.Int J Colorectal Dis2023;38:147

[26]

Akram WM,Albright J.A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway.Am J Surg2018;216:1095-100

[27]

Al Natour RH,Albright J.A propensity score matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoidectomy in an enhanced recovery pathway.J Robot Surg2019;13:649-56

[28]

Cleary RK,Reidy TJ.Intracorporeal and extracorporeal anastomosis for robotic-assisted and laparoscopic right colectomy: short-term outcomes of a multi-center prospective trial.Surg Endosc2022;36:4349-58

[29]

Kim JC,Alotaibi AM,Kim CW.Robot-assisted intersphincteric resection facilitates an efficient sphincter-saving in patients with low rectal cancer.Int J Colorectal Dis2017;32:1137-45

[30]

Piozzi GN.Robotic intersphincteric resection for low rectal cancer: technical controversies and a systematic review on the perioperative, oncological, and functional outcomes.Ann Coloproctol2021;37:351-67

[31]

Yang Y,Zhang P.Robot-assisted versus conventional laparoscopic surgery for colorectal disease, focusing on rectal cancer: a meta-analysis.Ann Surg Oncol2012;19:3727-36

[32]

Compton CC,Burgart LJ.Prognostic factors in colorectal cancer: College of American Pathologists consensus statement 1999.Arch Pathol Lab Med2000;124:979-94

[33]

Kim NK,Seong JS.Oncologic outcomes after neoadjuvant chemoradiation followed by curative resection with tumor-specific mesorectal excision for fixed locally advanced rectal cancer: impact of postirradiated pathologic downstaging on local recurrence and survival.Ann Surg2006;244:1024-30

[34]

Trastulli S,Cirocchi R.Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome.Colorectal Dis2012;14:e134-56

[35]

Zheng J,Chen W,Wu J.Comparison of robotic right colectomy and laparoscopic right colectomy: a systematic review and meta-analysis.Tech Coloproctol2023;27:521-35

[36]

van der Pas MH,Cuesta MA.Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial.Lancet Oncol2013;14:210-8

[37]

Stevenson ARL,Lumley JW.Effect of laparoscopic-assisted resection vs open resection on pathological outcomes in rectal cancer: the ALaCaRT randomized clinical trial.JAMA2015;314:1356-63

[38]

Fleshman J,Sargent DJ.Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial.JAMA2015;314:1346-55

[39]

Park JS,Choi GS.Comparison of laparoscopic versus robot-assisted surgery for rectal cancers: the COLRAR randomized controlled trial.Ann Surg2023;278:31-8

[40]

Guo Y,Luo Y,Zhao H.Comparison of pathologic outcomes of robotic and open resections for rectal cancer: a systematic review and meta-analysis.PLoS One2021;16:e0245154

[41]

Feroci F,Bianchi PP.Total mesorectal excision for mid and low rectal cancer: laparoscopic vs robotic surgery.World J Gastroenterol2016;22:3602-10

[42]

Cho MS,Hur H.Short and long-term outcomes of robotic versus laparoscopic total mesorectal excision for rectal cancer: a case-matched retrospective study.Medicine2015;94:e522

[43]

Kim J,Kang DW.Robotic resection is a good prognostic factor in rectal cancer compared with laparoscopic resection: long-term survival analysis using propensity score matching.Dis Colon Rectum2017;60:266-73

[44]

Spinoglio G,Marano A.Robotic versus laparoscopic right colectomy with complete mesocolic excision for the treatment of colon cancer: perioperative outcomes and 5-year survival in a consecutive series of 202 patients.Ann Surg Oncol2018;25:3580-6

[45]

Mirkin KA,Hollenbeak CS.Robotic versus laparoscopic colectomy for stage I-III colon cancer: oncologic and long-term survival outcomes.Surg Endosc2018;32:2894-901

[46]

Xu M,Jia B,Liu H.Perioperative and long-term outcomes of robot-assisted versus laparoscopy-assisted hemicolectomy for left-sided colon cancers: a retrospective study.Updates Surg2021;73:1049-56

[47]

Ozben V,Sengun B.Robotic complete mesocolic excision for transverse colon cancer can be performed with a morbidity profile similar to that of conventional laparoscopic colectomy.Tech Coloproctol2020;24:1035-42

[48]

Ceccarelli G,Ferraro V,Rondelli F.Robotic or three-dimensional (3D) laparoscopy for right colectomy with complete mesocolic excision (CME) and intracorporeal anastomosis? A propensity score-matching study comparison.Surg Endosc2021;35:2039-48

[49]

Shah J,Vyas D.The history of robotics in surgical specialties.Am J Robot Surg2014;1:12-20

[50]

Cain P,Zuhars J,Paul H.Safety considerations in a surgical robot.Biomed Sci Instrum1993;29:291-4

[51]

Sackier JM,Jacobs L,Uecker D.Voice activation of a surgical robotic assistant.Am J Surg1997;174:406-9

[52]

Falcone T,Garcia-Ruiz A,Stevens L.Full robotic assistance for laparoscopic tubal anastomosis: a case report.J Laparoendosc Adv Surg Tech A1999;9:107-13

[53]

Melzer A,Kunert W,Voges U.Intelligent surgical instrument system ISIS. Concept and preliminary experimental application of components and prototypes.Endosc Surg Allied Technol1993;1:165-70

[54]

Weber PA,Wasielewski A.Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease.Dis Colon Rectum2002;45:1689-96

[55]

Morelli L,Di Franco G.Use of the new da Vinci Xi® during robotic rectal resection for cancer: a pilot matched-case comparison with the da Vinci Si®.Int J Med Robot2017;13:e1728

[56]

Baek SJ,Cho MS.Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy.Surg Endosc2015;29:1419-24

[57]

Luca F,Ghezzi TL.Impact of robotic surgery on sexual and urinary functions after fully robotic nerve-sparing total mesorectal excision for rectal cancer.Ann Surg2013;257:672-8

[58]

Ozben V,Atasoy D.Is da Vinci Xi better than da Vinci Si in robotic rectal cancer surgery? Comparison of the 2 generations of da Vinci systems.Surg Laparosc Endosc Percutan Tech2016;26:417-23

[59]

Protyniak B,Farmer R.Multiquadrant robotic colorectal surgery: the da Vinci Xi vs Si comparison.J Robot Surg2018;12:67-74

[60]

Piozzi GN.Dual console operating in robotic surgery - a show off or a real necessity?.Colorectal Dis2023;25:1327-9

[61]

Palmeri M,Guadagni S.Robotic colorectal resection with and without the use of the new Da Vinci table motion: a case-matched study.Surg Innov2018;25:251-7

[62]

Morelli L,Simoncini T.A prospective, single-arm study on the use of the da Vinci® table motion with the Trumpf TS7000dV operating table.Surg Endosc2018;32:4165-72

[63]

Bae SU,Bae OS.Reduced-port robotic anterior resection for left-sided colon cancer using the Da Vinci single-site® platform.Int J Med Robot2016;12:517-23

[64]

Hamzaoglu I,Baca B,Aytac E.Single-port laparoscopic sphincter-saving mesorectal excision for rectal cancer: report of the first 4 human cases.Arch Surg2011;146:75-81

[65]

Morelli L,Caprili G,Boggi U.Robotic right colectomy using the Da Vinci Single-Site® platform: case report.Int J Med Robot2013;9:258-61

[66]

Ostrowitz MB,Zemon H.Robotic-assisted single-incision right colectomy: early experience.Int J Med Robot2009;5:465-70

[67]

Sun N,Zhang C.Single-site robotic cholecystectomy versus multi-port laparoscopic cholecystectomy: a systematic review and meta-analysis.Am J Surg2018;216:1205-11

[68]

Haber GP,Autorino R.Novel robotic da Vinci instruments for laparoendoscopic single-site surgery.Urology2010;76:1279-82

[69]

Kim HJ,Song SH.An initial experience with a novel technique of single-port robotic resection for rectal cancer.Tech Coloproctol2021;25:857-64

[70]

Piozzi GN,Choo JM.Da Vinci SP robotic approach to colorectal surgery: two specific indications and short-term results.Tech Coloproctol2022;26:461-70

[71]

Song SH,Choi GS.Initial experience with a suprapubic single-port robotic right hemicolectomy in patients with colon cancer.Tech Coloproctol2021;25:1065-71

[72]

Baek SJ,Kim SH.Optimizing outcomes of colorectal cancer surgery with robotic platforms.Surg Oncol2021;37:101559

[73]

Piozzi GN,Kim JS.Da Vinci Single-Port (SP) robotic transverse colectomy for mid-transverse colon cancer.Tech Coloproctol2022;26:681-2

[74]

Noh GT,Han M,Lee RA.Initial clinical experience of single-incision robotic colorectal surgery with da Vinci SP platform.Int J Med Robot2020;16:e2091

[75]

Cheong JY,Kim JS,Kim J.Da Vinci SP system optimized for intersphincteric resection of very low rectal cancer.Dis Colon Rectum2022;65:e174

[76]

Marks JH,Salem JF.Robotic transanal surgery for rectal cancer.Clin Colon Rectal Surg2021;34:317-24

[77]

Marks JH,Salem JF,Anderson B.First clinical experience with single-port robotic transanal minimally invasive surgery (SP rTAMIS) for benign rectal neoplasms.Tech Coloproctol2021;25:117-24

[78]

Emrich Accioly JP, Zhao H, Ozgur I, Lee GC, Gorgun E, Wood HM. Single-port, robot-assisted transanal harvest of rectal mucosa grafts for substitution urethroplasty.Urology2022;166:1-5

[79]

Schleer P,de la Fuente M.Toward versatile cooperative surgical robotics: a review and future challenges.Int J Comput Assist Radiol Surg2019;14:1673-86

[80]

Chang KD,Choi YD,Rha KH.Retzius-sparing robot-assisted radical prostatectomy using the Revo-i robotic surgical system: surgical technique and results of the first human trial.BJU Int2018;122:441-8

[81]

Ku G,Lee WJ.Revo-i assisted robotic central pancreatectomy.Ann Hepatobiliary Pancreat Surg2020;24:547-50

[82]

Alip S,Han WK,Na JC.Comparing revo-i and da Vinci in retzius-sparing robot-assisted radical prostatectomy: a preliminary propensity score analysis of outcomes.J Endourol2022;36:104-10

[83]

Abdel Raheem A,Kim DK.Robot-assisted Fallopian tube transection and anastomosis using the new REVO-I robotic surgical system: feasibility in a chronic porcine model.BJU Int2016;118:604-9

[84]

Rassweiler JJ,Klein J.Future of robotic surgery in urology.BJU Int2017;120:822-41

[85]

Gkeka K,Faitatziadis S.Robot-assisted radical nephrectomy using the novel avatera robotic surgical system: a feasibility study in a porcine model.J Endourol2023;37:273-8

[86]

Nakauchi M,Nakamura K.Establishment of a new practical telesurgical platform using the hinotoriTM surgical robot system: a pre-clinical study.Langenbecks Arch Surg2022;407:3783-91

[87]

Takahashi Y,Morohashi H.Verification of delay time and image compression thresholds for telesurgery.Asian J Endosc Surg2023;16:255-61

[88]

Spinelli A,Gidaro S.First experience in colorectal surgery with a new robotic platform with haptic feedback.Colorectal Dis2018;20:228-35

[89]

McKechnie T,Daniel R.The senhance surgical system in colorectal surgery: a systematic review.J Robot Surg2023;17:325-34

[90]

Samalavicius NE,Janusonis V.Robotic colorectal surgery using the Senhance® robotic system: a single center experience.Tech Coloproctol2022;26:437-42

[91]

Dixon F,Ghuman N,Khanna A.Major colorectal resection is feasible using a new robotic surgical platform: the first report of a case series.Tech Coloproctol2021;25:285-9

[92]

Bianchi PP,Rocco B.First worldwide report on Hugo RASTM surgical platform in right and left colectomy.Updates Surg2023;75:775-80

[93]

Böhlen D.First ever radical prostatectomy performed with the new dexter robotic systemTM.Eur Urol2023;83:479-80

[94]

Virtual Incision. World’s first surgery using virtual incision’s MIRA miniature robotic system performed at bryan medical center in Lincoln, Nebraska. Available from: https://virtualincision.com/worlds-first-surgery-using-mira/. [Last accessed on 15 Nov 2023]

[95]

Prendergast JM.Towards autonomous motion control in minimally invasive robotic surgery.Expert Rev Med Devices2016;13:741-8

[96]

Zorn L,Zanne P.A novel telemanipulated robotic assistant for surgical endoscopy: preclinical application to ESD.IEEE Trans Biomed Eng2018;65:797-808

[97]

Atallah S,Bianchi E.Envisioning the future of colorectal surgery: preclinical assessment and detailed description of an endoluminal robotic system (ColubrisMX ELS).Tech Coloproctol2021;25:1199-207

[98]

Johnson CS,Marx DS.Performance of da Vinci Stapler during robotic-assisted right colectomy with intracorporeal anastomosis.J Robot Surg2019;13:115-9

[99]

Ohi M,Ichikawa T.Billroth-I reconstruction with overlap anastomosis using an EndoWrist linear stapler after robotic distal gastrectomy.J Laparoendosc Adv Surg Tech A2020;30:1117-21

[100]

Teo NZ.A comparison between the da Vinci Xi EndoWrist Stapler and a conventional laparoscopic stapler in rectal transection: a randomized controlled trial.Int J Med Robot2023;19:e2501

[101]

Guadagni S,Gianardi D.Control comparison of the new endowrist and traditional laparoscopic staplers for anterior rectal resection with the da Vinci Xi: a case study.J Laparoendosc Adv Surg Tech A2018;28:1422-7

[102]

Tejedor P,Flashman K,Khan J.The use of robotic or laparoscopic stapler in rectal cancer surgery: a systematic review and meta-analysis.J Robot Surg2020;14:829-33

[103]

Tejedor P,Nock D,Naqvi S,Khan JS.Advantages of using a robotic stapler in rectal cancer surgery.J Robot Surg2020;14:365-70

[104]

Schols RM,Van Dam RM.Advanced intraoperative imaging methods for laparoscopic anatomy navigation: an overview.Surg Endosc2013;27:1851-9

[105]

Takahashi H,Suzuki T.Accurate localization of rectal cancer using near infrared ray-guided surgery with intra-operative colonoscopy and da Vinci Firefly technology.Surg Today2020;50:205-8

[106]

Spinoglio G,Borin S,Bertani E.Robotic right colectomy with complete mesocolic excision and indocyanine green guidance.Minerva Chir2019;74:165-9

[107]

Al-Taher M,Terink I.Near-infrared fluorescence imaging for the intraoperative detection of endometriosis: a pilot study.Life2022;12:15

[108]

Giannini A,Doria D.Wearable haptic interfaces for applications in gynecologic robotic surgery: a proof of concept in robotic myomectomy.J Robot Surg2019;13:585-8

[109]

Bae SU,Hur H,Kim NK.Intraoperative near infrared fluorescence imaging in robotic low anterior resection: three case reports.Yonsei Med J2013;54:1066-9

[110]

Saeidi H,Kam M.Autonomous robotic laparoscopic surgery for intestinal anastomosis.Sci Robot2022;7:eabj2908

[111]

Saeidi H,Kam M,Leonard S.A confidence-based shared control strategy for the smart tissue autonomous robot (STAR).Rep U S2018;2018:1268-75

PDF

56

Accesses

0

Citation

Detail

Sections
Recommended

/