Francesco Brucchi, Isacco Montroni, Roberto Cirocchi, Giovanni Taffurelli, Marco Vitellaro, Gianluca Mascianà, Giovanni Battista Levi Sandri, Gianlorenzo Dionigi, Sara Lauricella
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Included studies pertained to the utilisation of DVSP in the domain of colorectal surgery.</p><p><strong>Results: </strong>Eleven articles were included in the final analysis. No randomized controlled trials were identified. A total of 396 patients (199 men, 197 women) underwent robotic colorectal surgery using the DVSP. Surgical resections were indicated for benign pathology in 56 patients, colon carcinoma in 194 cases, and rectal carcinoma in 146 cases. The median incision length for Uniport placement was 4 cm. The median docking time was 5.96 min (IQR, 9.33 min), and the median console time was 105 min (IQR, 62.51 min). The mean operative time was 186.3 min (IQR, 77.65 min). Intraoperative complications were rare, with only two cases reported (0.47%). Postoperative complications occurred in 12.47% of patients, with ileus being the most common. No patients were readmitted for complications within 30 days. Short-term oncological outcomes seemed promising, with a median of 24.59 lymph nodes retrieved. There were no reported deaths within 30 days. The median follow up time was 11.4 months (IQR, 11.76 months).</p><p><strong>Conclusion: </strong>This study shows that the use of DVSP in colorectal surgery is both feasible and safe. Short-term clinical and oncological outcomes seem promising. 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The study was registered in PROSPERO (CRD42024612762) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included studies pertained to the utilisation of DVSP in the domain of colorectal surgery.</p><p><strong>Results: </strong>Eleven articles were included in the final analysis. No randomized controlled trials were identified. A total of 396 patients (199 men, 197 women) underwent robotic colorectal surgery using the DVSP. Surgical resections were indicated for benign pathology in 56 patients, colon carcinoma in 194 cases, and rectal carcinoma in 146 cases. The median incision length for Uniport placement was 4 cm. The median docking time was 5.96 min (IQR, 9.33 min), and the median console time was 105 min (IQR, 62.51 min). The mean operative time was 186.3 min (IQR, 77.65 min). Intraoperative complications were rare, with only two cases reported (0.47%). 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引用次数: 0
摘要
目的：本研究的目的是回顾达芬奇®单端口系统（DVSP）在结直肠手术中的应用，以评估其安全性和可行性，并探讨其临床和肿瘤预后。方法：对截至2024年11月的三个主要数据库（PubMed、Web of Science和Cochrane）进行科学文献的全面检索。该研究已在PROSPERO注册（CRD42024612762），并按照系统评价和荟萃分析（PRISMA）指南的首选报告项目进行。纳入的研究与DVSP在结直肠手术领域的应用有关。结果：11篇文章纳入最终分析。未发现随机对照试验。共有396名患者（199名男性，197名女性）使用DVSP进行了机器人结肠直肠手术。良性病理56例，结肠癌194例，直肠癌146例。Uniport放置的正中切口长度为4cm。中位对接时间为5.96 min (IQR, 9.33 min)，中位控制时间为105 min （IQR, 62.51 min）。平均手术时间186.3 min （IQR, 77.65 min）。术中并发症罕见，仅报告2例（0.47%）。术后并发症发生率为12.47%，以肠梗阻最为常见。30天内无患者因并发症再次入院。短期肿瘤预后似乎是有希望的，平均有24.59个淋巴结被切除。30天内没有死亡报告。中位随访时间11.4个月（IQR， 11.76个月）。结论：本研究表明在结直肠手术中使用DVSP是可行且安全的。短期临床和肿瘤学结果似乎很有希望。然而，需要更长的随访数据和更大的患者队列来充分评估这种新技术的长期疗效。普洛斯彼罗注册：注册号CRD42024612762。
A systematic review of the Da Vinci® Single-Port system (DVSP) in the context of colorectal surgery.
Purpose: The purpose of this study is to review the application of the da Vinci® Single-Port system (DVSP) in colorectal surgery, with a view to assessing its safety and feasibility, and investigating its clinical and oncological outcomes.
Methods: A comprehensive search of the scientific literature was conducted across three major databases (PubMed, Web of Science, and Cochrane) up to November 2024. The study was registered in PROSPERO (CRD42024612762) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included studies pertained to the utilisation of DVSP in the domain of colorectal surgery.
Results: Eleven articles were included in the final analysis. No randomized controlled trials were identified. A total of 396 patients (199 men, 197 women) underwent robotic colorectal surgery using the DVSP. Surgical resections were indicated for benign pathology in 56 patients, colon carcinoma in 194 cases, and rectal carcinoma in 146 cases. The median incision length for Uniport placement was 4 cm. The median docking time was 5.96 min (IQR, 9.33 min), and the median console time was 105 min (IQR, 62.51 min). The mean operative time was 186.3 min (IQR, 77.65 min). Intraoperative complications were rare, with only two cases reported (0.47%). Postoperative complications occurred in 12.47% of patients, with ileus being the most common. No patients were readmitted for complications within 30 days. Short-term oncological outcomes seemed promising, with a median of 24.59 lymph nodes retrieved. There were no reported deaths within 30 days. The median follow up time was 11.4 months (IQR, 11.76 months).
Conclusion: This study shows that the use of DVSP in colorectal surgery is both feasible and safe. Short-term clinical and oncological outcomes seem promising. However, longer follow-up data and larger patient cohorts are needed to fully assess the long-term efficacy of this novel technique.
Prospero registry: Registration number CRD42024612762.
期刊介绍：
The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies.
The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.
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