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http://dx.doi.org/10.1016/j.ijgc.2024.100043 | DOI Listing |
Minerva Urol Nephrol
August 2025
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA -
Background: The aim of this study was to develop a patient selection algorithm to better guide clinical decision-making towards the different approaches of multi-port (MP) and single-port (SP) robotic radical prostatectomy (RARP).
Methods: A retrospective study was performed on an institutional review board (IRB) -approved database to identify all consecutive patients who underwent transperitoneal MP, extraperitoneal SP, and transvesical SP-RARP between 2018 and 2024. Baseline clinicodemographic variables were collected.
J Abdom Wall Surg
August 2025
Department of Robotic Pancreaticobiliary and Abdominal Wall Reconstruction Unit, University Hospitals of Derby and Burton, Derby, United Kingdom.
Background: Robotic-assisted surgery (RAS) for abdominal wall hernia repair is an established, minimally invasive technique that is in the early phase of adoption within the UK. We aimed to demonstrate the impact on patient outcomes and safety of hernia repair by adhering to the robotic abdominal wall surgery pathway developed by the European Hernia Society.
Materials And Methods: Two experienced laparoscopic surgeons in the UK underwent four phases that involved preclinical and clinical phases.
Hernia
August 2025
Department of Surgery II, University of Witten/Herdecke, Witten, Germany.
Background: Robotic-assisted ventral hernia repair has gained popularity for its enhanced precision and visualization. Two main approaches-r-IPOM and r-TAPP-differ in technique and risk profiles. r-IPOM/+ is technically simpler and preferred for larger defects, but may increase seroma and bowel-related complications.
View Article and Find Full Text PDFPostgrad Med J
August 2025
Department of Surgery (Retd), NSCB Government Medical College, Jabalpur- 482 003, MP, India.
In an age of surgical innovation, the shift toward minimally invasive inguinal hernia repair demands critical reappraisal. Large-scale data and registry analyses reveal no consistent superiority of laparoscopic or robotic techniques over the traditional open repair, particularly regarding recurrence, complications, chronic pain, or patient satisfaction. The open Lichtenstein approach, often undervalued, remains a pragmatic, cost-effective, and evidence-based option, especially in high-risk or resource-limited settings.
View Article and Find Full Text PDFCureus
July 2025
Urology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, JPN.
Extraperitoneal single-port robot-assisted radical prostatectomy (SP-RARP) using the da Vinci SP system (Intuitive Surgical, Sunnyvale, CA, US) offers a less invasive alternative to multi-port RARP. However, a significant limitation is the system's reduced instrument force, which makes retraction and manipulation of large, heavy organs particularly challenging. As a result, SP-RARP for prostates over 100 g has been considered difficult and is rarely reported.
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