Robotic surgery in emergency setting: 2021 WSES position paper
Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emer...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
de’Angelis, Nicola [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2022 |
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| Übergeordnetes Werk: |
Enthalten in: World journal of emergency surgery - London : BioMed Central, 2006, 17(2022), 1 vom: 20. Jan. |
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| Übergeordnetes Werk: |
volume:17 ; year:2022 ; number:1 ; day:20 ; month:01 |
| Links: |
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| DOI / URN: |
10.1186/s13017-022-00410-6 |
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| Katalog-ID: |
SPR050429760 |
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| 520 | |a Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. | ||
| 650 | 4 | |a Emergency surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Robotic surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a General surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Minimally invasive surgery |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Khan, Jim |4 aut | |
| 700 | 1 | |a Marchegiani, Francesco |4 aut | |
| 700 | 1 | |a Bianchi, Giorgio |4 aut | |
| 700 | 1 | |a Aisoni, Filippo |4 aut | |
| 700 | 1 | |a Alberti, Daniele |4 aut | |
| 700 | 1 | |a Ansaloni, Luca |4 aut | |
| 700 | 1 | |a Biffl, Walter |4 aut | |
| 700 | 1 | |a Chiara, Osvaldo |4 aut | |
| 700 | 1 | |a Ceccarelli, Graziano |4 aut | |
| 700 | 1 | |a Coccolini, Federico |4 aut | |
| 700 | 1 | |a Cicuttin, Enrico |4 aut | |
| 700 | 1 | |a D’Hondt, Mathieu |4 aut | |
| 700 | 1 | |a Di Saverio, Salomone |4 aut | |
| 700 | 1 | |a Diana, Michele |4 aut | |
| 700 | 1 | |a De Simone, Belinda |4 aut | |
| 700 | 1 | |a Espin-Basany, Eloy |4 aut | |
| 700 | 1 | |a Fichtner-Feigl, Stefan |4 aut | |
| 700 | 1 | |a Kashuk, Jeffry |4 aut | |
| 700 | 1 | |a Kouwenhoven, Ewout |4 aut | |
| 700 | 1 | |a Leppaniemi, Ari |4 aut | |
| 700 | 1 | |a Beghdadi, Nassiba |4 aut | |
| 700 | 1 | |a Memeo, Riccardo |4 aut | |
| 700 | 1 | |a Milone, Marco |4 aut | |
| 700 | 1 | |a Moore, Ernest |4 aut | |
| 700 | 1 | |a Peitzmann, Andrew |4 aut | |
| 700 | 1 | |a Pessaux, Patrick |4 aut | |
| 700 | 1 | |a Pikoulis, Manos |4 aut | |
| 700 | 1 | |a Pisano, Michele |4 aut | |
| 700 | 1 | |a Ris, Frederic |4 aut | |
| 700 | 1 | |a Sartelli, Massimo |4 aut | |
| 700 | 1 | |a Spinoglio, Giuseppe |4 aut | |
| 700 | 1 | |a Sugrue, Michael |4 aut | |
| 700 | 1 | |a Tan, Edward |4 aut | |
| 700 | 1 | |a Gavriilidis, Paschalis |4 aut | |
| 700 | 1 | |a Weber, Dieter |4 aut | |
| 700 | 1 | |a Kluger, Yoram |4 aut | |
| 700 | 1 | |a Catena, Fausto |4 aut | |
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10.1186/s13017-022-00410-6 doi (DE-627)SPR050429760 (SPR)s13017-022-00410-6-e DE-627 ger DE-627 rakwb eng de’Angelis, Nicola verfasserin (orcid)0000-0002-1211-4916 aut Robotic surgery in emergency setting: 2021 WSES position paper 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. Emergency surgery (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 General surgery (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Khan, Jim aut Marchegiani, Francesco aut Bianchi, Giorgio aut Aisoni, Filippo aut Alberti, Daniele aut Ansaloni, Luca aut Biffl, Walter aut Chiara, Osvaldo aut Ceccarelli, Graziano aut Coccolini, Federico aut Cicuttin, Enrico aut D’Hondt, Mathieu aut Di Saverio, Salomone aut Diana, Michele aut De Simone, Belinda aut Espin-Basany, Eloy aut Fichtner-Feigl, Stefan aut Kashuk, Jeffry aut Kouwenhoven, Ewout aut Leppaniemi, Ari aut Beghdadi, Nassiba aut Memeo, Riccardo aut Milone, Marco aut Moore, Ernest aut Peitzmann, Andrew aut Pessaux, Patrick aut Pikoulis, Manos aut Pisano, Michele aut Ris, Frederic aut Sartelli, Massimo aut Spinoglio, Giuseppe aut Sugrue, Michael aut Tan, Edward aut Gavriilidis, Paschalis aut Weber, Dieter aut Kluger, Yoram aut Catena, Fausto aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 17(2022), 1 vom: 20. Jan. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:17 year:2022 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13017-022-00410-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2022 1 20 01 |
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10.1186/s13017-022-00410-6 doi (DE-627)SPR050429760 (SPR)s13017-022-00410-6-e DE-627 ger DE-627 rakwb eng de’Angelis, Nicola verfasserin (orcid)0000-0002-1211-4916 aut Robotic surgery in emergency setting: 2021 WSES position paper 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. Emergency surgery (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 General surgery (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Khan, Jim aut Marchegiani, Francesco aut Bianchi, Giorgio aut Aisoni, Filippo aut Alberti, Daniele aut Ansaloni, Luca aut Biffl, Walter aut Chiara, Osvaldo aut Ceccarelli, Graziano aut Coccolini, Federico aut Cicuttin, Enrico aut D’Hondt, Mathieu aut Di Saverio, Salomone aut Diana, Michele aut De Simone, Belinda aut Espin-Basany, Eloy aut Fichtner-Feigl, Stefan aut Kashuk, Jeffry aut Kouwenhoven, Ewout aut Leppaniemi, Ari aut Beghdadi, Nassiba aut Memeo, Riccardo aut Milone, Marco aut Moore, Ernest aut Peitzmann, Andrew aut Pessaux, Patrick aut Pikoulis, Manos aut Pisano, Michele aut Ris, Frederic aut Sartelli, Massimo aut Spinoglio, Giuseppe aut Sugrue, Michael aut Tan, Edward aut Gavriilidis, Paschalis aut Weber, Dieter aut Kluger, Yoram aut Catena, Fausto aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 17(2022), 1 vom: 20. Jan. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:17 year:2022 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13017-022-00410-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2022 1 20 01 |
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10.1186/s13017-022-00410-6 doi (DE-627)SPR050429760 (SPR)s13017-022-00410-6-e DE-627 ger DE-627 rakwb eng de’Angelis, Nicola verfasserin (orcid)0000-0002-1211-4916 aut Robotic surgery in emergency setting: 2021 WSES position paper 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. Emergency surgery (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 General surgery (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Khan, Jim aut Marchegiani, Francesco aut Bianchi, Giorgio aut Aisoni, Filippo aut Alberti, Daniele aut Ansaloni, Luca aut Biffl, Walter aut Chiara, Osvaldo aut Ceccarelli, Graziano aut Coccolini, Federico aut Cicuttin, Enrico aut D’Hondt, Mathieu aut Di Saverio, Salomone aut Diana, Michele aut De Simone, Belinda aut Espin-Basany, Eloy aut Fichtner-Feigl, Stefan aut Kashuk, Jeffry aut Kouwenhoven, Ewout aut Leppaniemi, Ari aut Beghdadi, Nassiba aut Memeo, Riccardo aut Milone, Marco aut Moore, Ernest aut Peitzmann, Andrew aut Pessaux, Patrick aut Pikoulis, Manos aut Pisano, Michele aut Ris, Frederic aut Sartelli, Massimo aut Spinoglio, Giuseppe aut Sugrue, Michael aut Tan, Edward aut Gavriilidis, Paschalis aut Weber, Dieter aut Kluger, Yoram aut Catena, Fausto aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 17(2022), 1 vom: 20. Jan. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:17 year:2022 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13017-022-00410-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2022 1 20 01 |
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10.1186/s13017-022-00410-6 doi (DE-627)SPR050429760 (SPR)s13017-022-00410-6-e DE-627 ger DE-627 rakwb eng de’Angelis, Nicola verfasserin (orcid)0000-0002-1211-4916 aut Robotic surgery in emergency setting: 2021 WSES position paper 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. Emergency surgery (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 General surgery (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Khan, Jim aut Marchegiani, Francesco aut Bianchi, Giorgio aut Aisoni, Filippo aut Alberti, Daniele aut Ansaloni, Luca aut Biffl, Walter aut Chiara, Osvaldo aut Ceccarelli, Graziano aut Coccolini, Federico aut Cicuttin, Enrico aut D’Hondt, Mathieu aut Di Saverio, Salomone aut Diana, Michele aut De Simone, Belinda aut Espin-Basany, Eloy aut Fichtner-Feigl, Stefan aut Kashuk, Jeffry aut Kouwenhoven, Ewout aut Leppaniemi, Ari aut Beghdadi, Nassiba aut Memeo, Riccardo aut Milone, Marco aut Moore, Ernest aut Peitzmann, Andrew aut Pessaux, Patrick aut Pikoulis, Manos aut Pisano, Michele aut Ris, Frederic aut Sartelli, Massimo aut Spinoglio, Giuseppe aut Sugrue, Michael aut Tan, Edward aut Gavriilidis, Paschalis aut Weber, Dieter aut Kluger, Yoram aut Catena, Fausto aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 17(2022), 1 vom: 20. Jan. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:17 year:2022 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13017-022-00410-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2022 1 20 01 |
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10.1186/s13017-022-00410-6 doi (DE-627)SPR050429760 (SPR)s13017-022-00410-6-e DE-627 ger DE-627 rakwb eng de’Angelis, Nicola verfasserin (orcid)0000-0002-1211-4916 aut Robotic surgery in emergency setting: 2021 WSES position paper 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. Emergency surgery (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 General surgery (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Khan, Jim aut Marchegiani, Francesco aut Bianchi, Giorgio aut Aisoni, Filippo aut Alberti, Daniele aut Ansaloni, Luca aut Biffl, Walter aut Chiara, Osvaldo aut Ceccarelli, Graziano aut Coccolini, Federico aut Cicuttin, Enrico aut D’Hondt, Mathieu aut Di Saverio, Salomone aut Diana, Michele aut De Simone, Belinda aut Espin-Basany, Eloy aut Fichtner-Feigl, Stefan aut Kashuk, Jeffry aut Kouwenhoven, Ewout aut Leppaniemi, Ari aut Beghdadi, Nassiba aut Memeo, Riccardo aut Milone, Marco aut Moore, Ernest aut Peitzmann, Andrew aut Pessaux, Patrick aut Pikoulis, Manos aut Pisano, Michele aut Ris, Frederic aut Sartelli, Massimo aut Spinoglio, Giuseppe aut Sugrue, Michael aut Tan, Edward aut Gavriilidis, Paschalis aut Weber, Dieter aut Kluger, Yoram aut Catena, Fausto aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 17(2022), 1 vom: 20. Jan. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:17 year:2022 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13017-022-00410-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2022 1 20 01 |
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de’Angelis, Nicola @@aut@@ Khan, Jim @@aut@@ Marchegiani, Francesco @@aut@@ Bianchi, Giorgio @@aut@@ Aisoni, Filippo @@aut@@ Alberti, Daniele @@aut@@ Ansaloni, Luca @@aut@@ Biffl, Walter @@aut@@ Chiara, Osvaldo @@aut@@ Ceccarelli, Graziano @@aut@@ Coccolini, Federico @@aut@@ Cicuttin, Enrico @@aut@@ D’Hondt, Mathieu @@aut@@ Di Saverio, Salomone @@aut@@ Diana, Michele @@aut@@ De Simone, Belinda @@aut@@ Espin-Basany, Eloy @@aut@@ Fichtner-Feigl, Stefan @@aut@@ Kashuk, Jeffry @@aut@@ Kouwenhoven, Ewout @@aut@@ Leppaniemi, Ari @@aut@@ Beghdadi, Nassiba @@aut@@ Memeo, Riccardo @@aut@@ Milone, Marco @@aut@@ Moore, Ernest @@aut@@ Peitzmann, Andrew @@aut@@ Pessaux, Patrick @@aut@@ Pikoulis, Manos @@aut@@ Pisano, Michele @@aut@@ Ris, Frederic @@aut@@ Sartelli, Massimo @@aut@@ Spinoglio, Giuseppe @@aut@@ Sugrue, Michael @@aut@@ Tan, Edward @@aut@@ Gavriilidis, Paschalis @@aut@@ Weber, Dieter @@aut@@ Kluger, Yoram @@aut@@ Catena, Fausto @@aut@@ |
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de’Angelis, Nicola Khan, Jim Marchegiani, Francesco Bianchi, Giorgio Aisoni, Filippo Alberti, Daniele Ansaloni, Luca Biffl, Walter Chiara, Osvaldo Ceccarelli, Graziano Coccolini, Federico Cicuttin, Enrico D’Hondt, Mathieu Di Saverio, Salomone Diana, Michele De Simone, Belinda Espin-Basany, Eloy Fichtner-Feigl, Stefan Kashuk, Jeffry Kouwenhoven, Ewout Leppaniemi, Ari Beghdadi, Nassiba Memeo, Riccardo Milone, Marco Moore, Ernest Peitzmann, Andrew Pessaux, Patrick Pikoulis, Manos Pisano, Michele Ris, Frederic Sartelli, Massimo Spinoglio, Giuseppe Sugrue, Michael Tan, Edward Gavriilidis, Paschalis Weber, Dieter Kluger, Yoram Catena, Fausto |
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Robotic surgery in emergency setting: 2021 WSES position paper |
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Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. © The Author(s) 2022 |
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Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. © The Author(s) 2022 |
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Background Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery. Methods This position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus. Results Ten studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature. © The Author(s) 2022 |
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Khan, Jim Marchegiani, Francesco Bianchi, Giorgio Aisoni, Filippo Alberti, Daniele Ansaloni, Luca Biffl, Walter Chiara, Osvaldo Ceccarelli, Graziano Coccolini, Federico Cicuttin, Enrico D’Hondt, Mathieu Di Saverio, Salomone Diana, Michele De Simone, Belinda Espin-Basany, Eloy Fichtner-Feigl, Stefan Kashuk, Jeffry Kouwenhoven, Ewout Leppaniemi, Ari Beghdadi, Nassiba Memeo, Riccardo Milone, Marco Moore, Ernest Peitzmann, Andrew Pessaux, Patrick Pikoulis, Manos Pisano, Michele Ris, Frederic Sartelli, Massimo Spinoglio, Giuseppe Sugrue, Michael Tan, Edward Gavriilidis, Paschalis Weber, Dieter Kluger, Yoram Catena, Fausto |
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Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations. Conclusions Many hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. 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