Evidence map›Paper›PMID 38512350›Full record

SynthesisSurgical endoscopy2024

Ultrasound-guided robotic surgical procedures: a systematic review.

Matteo Pavone, Barbara Seeliger, Elena Teodorico, Marta Goglia, Cristina Taliento, Nicolò Bizzarri, Lise Lecointre, Cherif Akladios, Antonello Forgione, Giovanni Scambia and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Matteo PavoneInstitute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France. matteopavone.21@gmail.com.ORCID 0000-0002-9791-9464
Barbara SeeligerInstitute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France.
Elena TeodoricoUOC Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Marta GogliaDepartment of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Cristina TalientoDepartment of Obstetrics and Gynecology, University Hospital Ferrara, Ferrara, Italy.
Nicolò BizzarriUOC Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Lise LecointreInstitute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France.
Cherif AkladiosDepartment of Gynecologic Surgery, University Hospitals of Strasbourg, Strasbourg, France.
Antonello ForgioneResearch Institute Against Digestive Cancer, IRCAD, Strasbourg, France.
Giovanni ScambiaUOC Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Jacques MarescauxResearch Institute Against Digestive Cancer, IRCAD, Strasbourg, France.
Antonia C TestaUOC Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Denis QuerleuInstitute of Image-Guided Surgery, IHU Strasbourg, Strasbourg, France.

Funding

Fondation de l'Avenir pour la Recherche Médicale Appliquée ANR-10-IAHU-02
6 · The paper itself

Abstract

introductionUltrasound has been nicknamed "the surgeon's stethoscope". The advantages of laparoscopic ultrasound beyond a substitute for the sense of touch are considerable, especially for robotic surgery. Being able to see through parenchyma and into vascular structures enables to avoid unnecessary dissection by providing a thorough assessment at every stage without the need for contrast media or ionising radiation. The limitations of restricted angulation and access within the abdominal cavity during laparoscopy can be overcome by robotic handling of miniaturised ultrasound probes and the use of various and specific frequencies will meet tissue- and organ-specific characteristics. The aim of this systematic review was to assess the reported applications of intraoperative ultrasound-guided robotic surgery and to outline future perspectives.

methodsThe study adhered to the PRISMA guidelines. PubMed, Google Scholar, ScienceDirect and ClinicalTrials.gov were searched up to October 2023. Manuscripts reporting data on ultrasound-guided robotic procedures were included in the qualitative analysis.

results20 studies met the inclusion criteria. The majority (53%) were related to the field of general surgery during liver, pancreas, spleen, gallbladder/bile duct, vascular and rectal surgery. This was followed by other fields of oncological surgery (42%) including urology, lung surgery, and retroperitoneal lymphadenectomy for metastases. Among the studies, ten (53%) focused on locating tumoral lesions and defining resection margins, four (15%) were designed to test the feasibility of robotic ultrasound-guided surgery, while two (10.5%) aimed to compare robotic and laparoscopic ultrasound probes. Additionally two studies (10.5%) evaluated the robotic drop-in probe one (5%) assessed the hepatic tissue consistency and another one (5%) aimed to visualize the blood flow in the splenic artery.

conclusionThe advantages of robotic instrumentation, including ergonomics, dexterity, and precision of movements, are of relevance for robotic intraoperative ultrasound (RIOUS). The present systematic review demonstrates the virtue of RIOUS to support surgeons and potentially reduce minimally invasive procedure times.

Indexed as

Robotic Surgical ProceduresUltrasonography, InterventionalHumansLaparoscopyArtificial intelligenceDigital surgeryImage-guided surgeryNew technologiesRobotic-assisted surgeryUltrasound

Identifiers

PMID38512350
PMCPMC11078854

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.