Review and First Study of a Single-Port Robot in Pelvic Traumatology

TL;DR

This paper explores the feasibility of using a single-port robot for urethral repair and pelvic reconstruction in severe pelvic trauma cases.

Contribution

The study presents the first reported use of a single-port robot for robot-assisted osteosynthesis in pelvic trauma.

Findings

Single-port robotic urethral repair in severe pelvic trauma is feasible.

Robotic-assisted reconstruction of the anterior pelvic ring is possible with a single-port robot.

Additional small incisions were needed for reposition and screw placement during surgery.

Abstract

Background/Objectives: Robotic procedures are becoming a standard component of modern protocols in some fields of surgery, given that they present many advantages in terms of accuracy among surgical options. However, in the field of pelvic trauma, limited knowledge is available as concerns robot-assisted surgery. Methods: In this study, a review of the literature was undertaken, and based on the available knowledge and our own clinical experience, we performed urethral repair and pelvic ring reconstruction using a da Vinci SP robot. Results: Given that, to the best of our knowledge, no report on urethral repair in severe trauma via robot-assisted osteosynthesis using a single-port robot has been published thus far, we present a novel study on the use of a single-port robot in pelvic traumatology, including its advantages and limitations. Conclusions: Single-port robotic urethral repair in cases of severe pelvic trauma is feasible and presents great advantages, with findings indicating that even single-port robotic-assisted reconstruction of the anterior pelvic ring is possible. However, our study contained limitations, and additional small incisions for reposition and screw placement purposes were necessary during surgery.

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