Evidence map›Paper›PMID 40175572›Full record

SynthesisInternational journal of colorectal disease2025

A systematic review of the Da Vinci® Single-Port system (DVSP) in the context of colorectal surgery.

Francesco Brucchi, Isacco Montroni, Roberto Cirocchi, Giovanni Taffurelli, Marco Vitellaro, Gianluca Mascianà, Giovanni Battista Levi Sandri, Gianlorenzo Dionigi, Sara Lauricella

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline 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

9 authors.

Francesco BrucchiUniversity of Milan, 20122, Milan, Italy. francesco.brucchi@unimi.it.ORCID http://orcid.org/0000-0003-3191-4369
Isacco MontroniColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian 1, 20133, Milan, Italy.ORCID http://orcid.org/0000-0002-3769-8428
Roberto CirocchiDigestive and Emergency Surgery Unit, S.Maria Hospital Trust, 05100, Terni, Italy.ORCID http://orcid.org/0000-0002-2457-0636
Giovanni TaffurelliColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian 1, 20133, Milan, Italy.ORCID http://orcid.org/0000-0003-3455-7723
Marco VitellaroColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian 1, 20133, Milan, Italy.
Gianluca MascianàColorectal Surgery Clinical and Research Unit, Fondazione Policlinico Universitario Campus Bio-Medico Di Roma, University Campus Bio-Medico, 00128, Rome, Italy.
Giovanni Battista Levi SandriSurgical Department, Ospedale "Leopoldo Delfino Parodi", Asl Roma 5, Colleferro (RM), Rome, Italy.
Gianlorenzo DionigiDivision of Surgery, Istituto Auxologico Italiano IRCCS (Istituto Di Ricovero E Cura a Carattere Scientifico), Via Giuseppe Mercalli, 30, 20122, Milan, Italy.ORCID http://orcid.org/0000-0003-0864-6087
Sara LauricellaColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian 1, 20133, Milan, Italy.ORCID http://orcid.org/0000-0002-3295-6264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to review the application of the da Vinci® Single-Port system (DVSP) in colorectal surgery, with a view to assessing its safety and feasibility, and investigating its clinical and oncological outcomes.

methodsA comprehensive search of the scientific literature was conducted across three major databases (PubMed, Web of Science, and Cochrane) up to November 2024. The study was registered in PROSPERO (CRD42024612762) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included studies pertained to the utilisation of DVSP in the domain of colorectal surgery.

resultsEleven articles were included in the final analysis. No randomized controlled trials were identified. A total of 396 patients (199 men, 197 women) underwent robotic colorectal surgery using the DVSP. Surgical resections were indicated for benign pathology in 56 patients, colon carcinoma in 194 cases, and rectal carcinoma in 146 cases. The median incision length for Uniport placement was 4 cm. The median docking time was 5.96 min (IQR, 9.33 min), and the median console time was 105 min (IQR, 62.51 min). The mean operative time was 186.3 min (IQR, 77.65 min). Intraoperative complications were rare, with only two cases reported (0.47%). Postoperative complications occurred in 12.47% of patients, with ileus being the most common. No patients were readmitted for complications within 30 days. Short-term oncological outcomes seemed promising, with a median of 24.59 lymph nodes retrieved. There were no reported deaths within 30 days. The median follow up time was 11.4 months (IQR, 11.76 months).

conclusionThis study shows that the use of DVSP in colorectal surgery is both feasible and safe. Short-term clinical and oncological outcomes seem promising. However, longer follow-up data and larger patient cohorts are needed to fully assess the long-term efficacy of this novel technique. PROSPERO REGISTRY: Registration number CRD42024612762.

Indexed as

Colorectal Surgical ProceduresRobotic Surgical ProceduresFeasibility StudiesFemaleHumansMaleOperative TimePostoperative ComplicationsTreatment OutcomeColorectal cancerColorectal surgeryDa VinciDa Vinci SPMinimally invasive surgeryRobotic surgeryRobotic surgical systemsSingle-port

Identifiers

PMID40175572
PMCPMC11965226

What OpenQuestion holds

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Registered trials

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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.