Advances in robotic surgery, a systematic review focused on General Surgery
Keywords:
Advances, robotics, minimally invasive, laparoscopy, surgery, evolution.Abstract
Robotic surgery had been hypothesized since 1967, but its origin dates back to 1985
with the use of the PUMA 560 robot to take a brain biopsy (52). The first robot approved
by the FDA for use in patients is the Da Vinci from Intuitive Surgical Inc, with which the
first robot-assisted cholecystectomy was performed around 1997 (1).
The objective of this article is to establish the advances of robotic surgery in the
field of general surgery through a systematic review of scientific articles, for which
an exhaustive search was carried out in the Pubmed and Google Scholar databases,
selecting 300 articles. published from 2018 to date that were related to the topic
of interest and the keywords. Subsequently, the articles were reviewed and 50 that
provided complete, relevant and comparable information were chosen. With the 50
articles, a table of content was made that summarized the important points of each
one, the date of publication, the title, the database from which it was extracted and the
differences with the others reviewed, to proceed to compare the cost-effectiveness
of robotic surgery with laparoscopic surgery and open surgery, to evaluate in which
fields of general surgery the creation of robotic surgery has been useful, and to
propose, based on the review of scientific articles, whether robotic surgery will be
the future of general surgery.
It is concluded that minimally invasive surgery is the choice in many patients, however,
the laparoscopic approach continues to be the one that shows more cost-effective
results compared to robotic surgery, which is selectively recommended for those
patients who can benefit from it. this new technology.
References
George EI, Brand TC, LaPorta A, Marescaux J, Satava RM. Origins of robotic surgery: From skepticism to standard of care. JSLS. 2018;22(4):e2018.00039.
Liu R, Wakabayashi G, Kim H-J, Choi G-H, Yiengpruksawan A, Fong Y, et al. International consensus statement on robotic hepatectomy surgery in 2018. World J Gastroenterol. 2019;25(12):1432–44.
Liu R, Wakabayashi G, Palanivelu C, Tsung A, Yang K, Goh BKP, et al. International consensus statement on robotic pancreatic surgery. Hepatobiliary Sur Nutr. 2019;8(4):345–60.
Feeney G, Sehgal R, Sheehan M, Hogan A, Regan M, Joyce M, et al. Neoadjuvant radiotherapy for rectal cancer management. World J Gastroenterol. 2019;25(33):4850–69.
Andrade D, Vinck EE, Parra JF, Balkhy HH, Núñez F. Robotic cardiac surgery in Colombia: Overcoming the challenges of a middle-income setting. Braz J Cardiovasc Surg. 2020;35(6):990–3.
Shah MF, Nasir IUI, Parvaiz A. Robotic surgery for colorectal cancer. Visc Med. 2019;35(4):247–50.
Morrell ALG, Morrell-Junior AC, Morrell AG, Mendes JMF, Bibliografía Tustumi F, DE-Oliveira-E-Silva LG, et al. The history of robotic surgery and its evolution: when illusion becomes reality. Rev Col Bras Cir. 2021;48:e20202798.
Ricciardi S, Zirafa CC, Davini F, Melfi F. How to get the best from robotic thoracic surgery. J Thorac Dis. 2018;10(Suppl 8):S947–50.
Kalantari F, Rajaeih S, Daneshvar A, Karbasi Z, Mahdi Salem M. Robotic surgery of head and neck cancers, a narrative review. Eur J Transl Myol. 2020;30(2):8727.
Katsuno H, Hanai T, Masumori K, Koide Y, Ashida K, Matsuoka H, et al. Robotic surgery for rectal cancer: Operative technique and review of the literature. J Anus Rectum Colon. 2020;4(1):14–24.
Tae K, Ji YB, Song CM, Ryu J. Robotic and endoscopic thyroid surgery: Evolution and advances. Clin Exp Otorhinolaryngol. 2019;12(1):1–11.
Ngu JC-Y, Kim S-H. Robotic surgery in colorectal cancer: the way forward or a passing fad. J Gastrointest Oncol. 2019;10(6):1222–8.
Matsuyama T, Kinugasa Y, Nakajima Y, Kojima K. Robotic-assisted surgery for rectal cancer: Current state and future perspective. Ann Gastroenterol Surg. 2018;2(6):406–12.
Shanahan B, O’Sullivan KE, Redmond KC. Robotic sleeve lobectomy-recent advances. J Thorac Dis. 2019;11(4):1074–5.
Kovid N, Han H-S, Yoon Y-S, Cho JY. Advanced laparoscopic HPB surgery: Experience in Seoul National University Bundang Hospital. Ann Gastroenterol Surg. 2020;4(3):224–8.
Siu ICH, Li Z, Ng CSH. Latest technology in minimally invasive thoracic surgery. Ann Transl Med. 2019;7(2):35.
Akagi T, Inomata M. Essential advances in surgical and adjuvant therapies for colorectal cancer 2018-2019. Ann Gastroenterol Surg. 2020;4(1):39–46.
Hopkins MB, Geiger TM, Bethurum AJ, Ford MM, Muldoon RL, Beck DE, et al. Comparing pathologic outcomes for robotic versus laparoscopic Surgery in rectal cancer resection: a propensity adjusted analysis of 7616 patients. Surg Endosc. 2020;34(6):2613–22.
Huang C-W, Su W-C, Chang T-K, Ma C-J, Yin T-C, Tsai H-L, et al. Impact of previous abdominal surgery on robotic-assisted rectal surgery in patients with locally advanced rectal adenocarcinoma: a propensity score matching study. World J Surg Oncol. 2020;
(1):308.
Xv Y, Fan J, Ding Y, Hu Y, Hu Y, Jiang Z, et al. Latest advances in intersphincteric resection for low rectal cancer. Gastroenterol Res Pract. 2020;2020:8928109.
Kumar NA, Sasi SP, Shinde RS, Verma K, Sugoor P, Desouza A, et al. Minimally invasive surgery for pelvic exenteration in primary colorectal cancer. JSLS. 2020;24(3):e2020.00026.
Alsowaina KN, Schlachta CM, Alkhamesi NA. Cost-effectiveness of current approaches in rectal surgery. Ann Med Surg (Lond). 2019;45:36–9.
Rouanet P, Mermoud A, Jarlier M, Bouazza N, Laine A, Mathieu Daudé H. Combined robotic approach and enhanced recovery after surgery pathway for optimization of costs in patients undergoing proctectomy. BJS Open. 2020;4(3):516–23.
Gifari MW, Naghibi H, Stramigioli S, Abayazid M. A review on recent advances in soft surgical robots for endoscopic applications. Int J Med Robot. 2019;15(5):e2010.
Liu H, Xu M, Liu R, Jia B, Zhao Z. The art of robotic colonic resection: a review of progress in the past 5 years. Updates Surg. 2021;73(3):1037–48.
Sciencedirect.com. 2021. Disponible en: https://www.sciencedirect.com/science/article/pii/S1015958419303094?via%3Dihub
Lee D, Kong H-J, Kim D, Yi JW, Chai YJ, Lee KE, et al. Preliminary study on application of augmented reality visualization in robotic thyroid surgery. Ann Surg Treat Res. 2018;95(6):297–302.
Li Z, Chiu PW-Y. Robotic endoscopy. Visc Med. 2018;34(1):45–51.
Panteleimonitis S, Harper M, Hall S, Figueiredo N, Qureshi T, Parvaiz A. Precision in robotic rectal surgery using the da Vinci Xi system and integrated table motion, a technical note. J Robot Surg. 2018;12(3):433–6.
Skelton WP, Franke AJ, Iqbal A, George TJ. Comprehensive literature review of randomized clinical trials examining novel treatment advances in patients with colon cancer. J Gastrointest Oncol. 2020;11(4):790–802.
Imagami T, Takayama S, Hattori T, Matsui R, Sakamoto M, Kani H, et al. Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A case series. Int J Surg Case Rep. 2018;51:323–7.
Takahashi C, Shridhar R, Huston J, Meredith K. Esophagectomy from then to now. J Gastrointest Oncol. 2018;9(5):903–9.
Frenkel CH, Yang J, Zhang M, Ferrara A, Telem DA, Samara GJ. Gastrostomy in the era of minimally invasive head and neck cancer surgery: Gastrostomy Minimally Invasive Head and Neck. Laryngoscope. 2018;128(4):847–51.
Org.mx. 2021. Disponible en: http://www.scielo.org.mx/scielo.php?pid=S0484-79032019000100062&script=sci_arttext
O’Sullivan KE, Kreaden US, Hebert AE, Eaton D, Redmond KC. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg. 2019;8(2):174–93.
Schulte Am Esch J, Iosivan S-I, Steinfurth F, Mahdi A, Förster C, Wilkens L, et al. A standardized suprapubic bottom-to-up approach in robotic right colectomy: technical and oncological advances for complete mesocolic excision (CME). BMC Surg. 2019;19(1):72.
Li C, Hu Y, Huang J, Li J, Jiang L, Lin H, et al. Comparison of robotic-assisted lobectomy with video-assisted thoracic surgery for stage IIB-IIIA non-small cell lung cancer. Transl Lung Cancer Res. 2019;8(6):820–8.
Boehm F, Graesslin R, Theodoraki M-N, Schild L, Greve J, Hoffmann TK, et al. Current advances in robotics for head and neck surgery-A systematic review. Cancers (Basel). 2021;13(6):1398.
Matsuda T, Yamashita K, Hasegawa H, Oshikiri T, Hosono M, Higashino N, et al. Recent updates in the surgical treatment of colorectal cancer. Ann Gastroenterol Surg. 2018;2(2):129–36.
Yeung C-K, Cheung JL, Sreedhar B. Emerging next-generation robotic colonoscopy systems towards painless colonoscopy. J Dig Dis. 2019;20(4):196–205.
Na KJ, Kang CH. Robotic thymectomy for advanced thymic epithelial tumor: indications and technical aspects. J Thorac Dis. 2020;12(2):63–9.
Jbuon.com. 2021. Disponible en: https://www.jbuon.com/archive/24-3-889.pdf
Shen C, Gu D, Klein R, Zhou S, Shih Y-CT, Tracy T, et al. Factors associated with hospital decisions to purchase robotic surgical systems. MDM Policy Pract. 2020;5(1):2381468320904364.
Washio M, Yamashita K, Niihara M, Hosoda K, Hiki N. Postoperative pancreatic fistula after gastrectomy for gastric cancer. Ann Gastroenterol Surg. 2020;4(6):618–27.
Sato T, Watanabe M. The present status and developments of laparoscopic surgery for colorectal cancer. J Anus Rectum Colon. 2017;1(1):1–6.
Brown RF, Cleary RK. Intracorporeal anastomosis versus extracorporeal anastomosis for minimally invasive colectomy. J Gastrointest Oncol. 2020;11(3):500–7.
Mok CW, Lai H-W. Evolution of minimal access breast surgery. Gland Surg. 2019;8(6):784–93.
Funaki S, Shintani Y, Fukui E, Kanzaki R, Kanou T, Ose N, et al. Surgical treatment strategies for invasive thymoma. J Thorac Dis. 2020;12(12):7619–25.
Song JH, Son T, Lee S, Choi S, Cho M, Kim YM, et al. D2 lymph node dissections during reduced-port robotic distal subtotal gastrectomy and conventional laparoscopic surgery performed by a single surgeon in a high-volume center: A propensity score-matched analysis. J Gastric Cancer. 2020;20(4):431–41.
Zaman JA, Singh TP. The emerging role for robotics in cholecystectomy: the dawn of a new era? Hepatobiliary Surg Nutr. 2018;7(1):21–8.
Revistamedicina.net.2021.Disponible en: https://revistamedicina.net/ojsanm/index.php/Medicina/article/view/67-5/542
Cirurobotica.co. 2021. Disponible en: https://www.cirurobotica.co/historia-de-la-cirugia-robotica/
Org.ar. 2021. Disponible en: https://www.sacp.org.ar/revista/files/PDF/24_03/RACP_24_03_03_capitulo3.pdf
Asacirujanos.com. 2021. Disponible en: https://www.asacirujanos.com/admin/upfiles/revista/2018/Cir_Andal_vol29_n4_14.pdf
Isciii.es. 2021. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272005000600009
Imbanaco.com. 2021. Disponible en: https://www.imbanaco.com/cirugia-hepatobiliar/
Iqlacy.com. 2021. Disponible en: https://www.iqlacy.com/que-operamos/cancer-de-colon/recuperacion-de-una-operacion-de-cancer-de-colon/
Uecdn.es. Disponible en: https://e00-elmundo.uecdn.es/elmundosalud/imagenes/2011/10/06/tecnologiamedica/1317883072_0.jpg
Biotech-spain.com. Disponible en: http://biotech-spain.com/es/articles/vall-d-hebron-es-el-primer-hospital-de-catalu-a-que-hace-una-resecci-n-de-la-cabeza-del-p-ncreas-con-el-robot-da-vinci/
Diariomedico.com. Disponible en: https://www.diariomedico.com/medicina/radiodiagnostico/empresas/el-primer-robot-radiologico-para-endoscopias-del-mundo-estara-en-el-valle-de-hebron.html
News-courier.com. 2021. Disponible en: http://www.news-courier.com/genomics/news/insights-into-lung-tumor-biology-and-potential-drug-targets-351736
Medigraphic.com. 2021. Disponible en: https://www.medigraphic.com/pdfs/endosco/ce-2020/ce202c.pdfScientific & Education Medical Journal / Vol. 6 - N° 2 - 2022, 43-58Silva et al.
Downloads
Published
Versions
- 2025-11-17 (4)
- 2025-11-17 (3)
- 2025-08-13 (2)
- 2022-04-25 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Scientific and Eduaction Medical JournalAtribución – No comercial – Compartir igual: Esta licencia permite a otros distribuir, remezclar, retocar, y crear a partir de tu obra de modo no comercial, siempre y cuando te den crédito y licencien sus nuevas creaciones bajo las mismas condiciones.
Attribution-NonCommercial-ShareAlike 4.0 International
