Pluchino Nicola, Buchs Nicolas C, Drakopoulos Panagiotis, Wenger Jean Marie, Morel Philippe, Dällenbach Patrick
Department of Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland.
Department of Surgery, Clinic for Visceral and Transplantation Surgery, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland.
Int J Surg Case Rep. 2014;5(12):1025-7. doi: 10.1016/j.ijscr.2014.10.001. Epub 2014 Oct 29.
Robotic single-site surgery (RSS) represents the latest innovation for clinical use of single incision surgery. Several applications have been reported in urology, general surgery and gynecology with potential application in benign cases as well as in oncology.
To further explore potential applications of RSS, we present the first case reported in the literature of combined cholecystectomy and total hysterectomy using the da Vinci Si single-port platform (Intuitive Surgical Inc., Sunnyvale, CA).
A critical description of the procedure with potential advantages and limitations of the current platform for combined surgical procedure is provided.
Robotics may facilitate the widespread diffusion of single incision surgery, overcoming current laparoscopic and LESS limitations. However, the available robotic platform still has technical features that will limit its uptake amongst surgeons and further technological development is needed for a wider diffusion of single incision surgery.
机器人单孔手术（RSS）是单切口手术临床应用的最新创新技术。泌尿外科、普通外科和妇科已有多项应用报道，在良性病例以及肿瘤学领域均有潜在应用价值。
为进一步探索RSS的潜在应用，我们报告了文献中首例使用达芬奇Si单孔平台（直观外科公司，加利福尼亚州桑尼维尔）进行联合胆囊切除术和全子宫切除术的病例。
对该手术过程进行了关键描述，并阐述了当前联合手术平台的潜在优势和局限性。
机器人技术可能有助于单切口手术的广泛推广，克服当前腹腔镜手术和LESS手术的局限性。然而，现有的机器人平台仍存在一些技术特点，将限制其在外科医生中的应用，单切口手术的更广泛推广还需要进一步的技术发展。
