Background: Robotic surgery has gained widespread acceptance in elective interventions, yet its role in emergency procedures remains underexplored. While the 2021 WSES position paper discussed limited studies on the application of robotics in emergency general surgery, it recommended strict patient selection, adequate training, and improved platform accessibility. This prospective study aims to define the role of robotic surgery in emergency settings, evaluating intraoperative and postoperative outcomes and assessing its feasibility and safety. Methods: The ROEM study is an observational, prospective, multicentre, international analysis of clinically stable adult patients undergoing robotic surgery for emergency treatment of acute pathologies including diverticulitis, cholecystitis, and obstructed hernias. Data collection includes patient demographics and intervention details. Furthermore, data relating to the operating theatre team and the surgical instruments used will be collected in order to conduct a cost analysis. The study plans to enrol at least 500 patients from 50 participating centres, with each centre having a local lead and collaborators. All data will be collected and stored online through a secure server running the Research Electronic Data Capture (REDCap) web application. Ethical considerations and data governance will be paramount, requiring local ethical committee approvals from participating centres. Discussion: Current literature and expert consensus suggest the feasibility of robotic surgery in emergencies with proper support. However, challenges include staff training, scheduling conflicts with elective surgeries, and increased costs. The ROEM study seeks to contribute valuable data on the safety, feasibility, and cost-effectiveness of robotic surgery in emergency settings, focusing on specific pathologies. Previous studies on cholecystitis, abdominal hernias, and diverticulitis provide insights into the benefits and challenges of robotic approaches. It is necessary to identify patient populations that benefit most from robotic emergency surgery to optimize outcomes and justify costs.

The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery / Milone, Marco; Anoldo, Pietro; De'Angelis, Nicola; Coccolini, Federico; Khan, Jim; Kluger, Yoram; Sartelli, Massimo; Ansaloni, Luca; Morelli, Luca; Zanini, Nicola; Vallicelli, Carlo; Vigutto, Gabriele; Moore, Ernest E.; Biffl, Walter; Catena, Fausto; Manigrasso, Michele; D'Amore, Anna; Pakula, Andrea; Garzali, Ibrahim Umar; Mulita, Francesk; Amit, Gupta; Walędziak, Maciej; Ruurda, Jelle P; Caycedo-Marulanda, Antonio; Mangram, Alicia; Ioannidis, Argyrios L; Jiao, Long R; González, Carolina; Vaishnav, Dhaivat; Shamim, Adeel Ahmed; Mallat, Ali F; Rossi, Stefano; Ietto, Giuseppe; Cianci, Pasquale; Pantalone, Desire; Zaghi, Claudia; Monsellato, Igor; Garulli, Gianluca; D'Andrea, Vito; Gasparrini, Marcello; Piccoli, Micaela; Offi, Maria Fortuna; Memeo, Riccardo; Coratti, Andrea; Giuliani, Giuseppe; Formisano, Giampaolo; Bianchi, Paolo Pietro; Ielpo, Benedetto; Giuliani, Antonio; Perkins, Louis; Scheiterle, Maximilian; Coletta, Pietro; Muttillo, Irnerio; Draus, Jerzy; Andreuccetti, Jacopo; Verras, Georgios-Ioannis; Wiłkojć, Michał; van Hillegersberg, Richard; Sanchez, Alexis; Konstantinidis, Konstantinos; Ausania, Fabio; Picardi, Biagio; Conversano, Ivana; Maltinti, Gherardo; Costantini, Giulia; Portinari, Mattia; Bellini, Maria Irene; Cosmi, Federica; Esposito, Sofia; Filippo, Rosalinda; Vistoli, Fabio; Zawadzki, Maricn; Broome, Barbara J; Konstantinidis, Michael; Puccioni, Caterina; Restini, Enrico; Di Bella, Anna Maria; Palini, Gianmarco; Costanzo, Maria Ludovica; Gasparrini, Matteo; Francescato, Alice; Delvecchio, Antonella; Mullineris, Barbara; Lapolla, Pierfrancesco; Mingoli, Andrea; Brachini, Gioia; Guadagni, Simone; Matarazzo, Francesco; Null, Null. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 19:1(2024). [10.1186/s13017-024-00542-x]

The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery

Monsellato, Igor
Membro del Collaboration Group
;
D'Andrea, Vito
Membro del Collaboration Group
;
Andreuccetti, Jacopo
Membro del Collaboration Group
;
Bellini, Maria Irene
Membro del Collaboration Group
;
Costanzo, Maria Ludovica
Membro del Collaboration Group
;
Gasparrini, Matteo
Membro del Collaboration Group
;
Lapolla, Pierfrancesco
Membro del Collaboration Group
;
Mingoli, Andrea
Membro del Collaboration Group
;
Brachini, Gioia
Membro del Collaboration Group
;
2024

Abstract

Background: Robotic surgery has gained widespread acceptance in elective interventions, yet its role in emergency procedures remains underexplored. While the 2021 WSES position paper discussed limited studies on the application of robotics in emergency general surgery, it recommended strict patient selection, adequate training, and improved platform accessibility. This prospective study aims to define the role of robotic surgery in emergency settings, evaluating intraoperative and postoperative outcomes and assessing its feasibility and safety. Methods: The ROEM study is an observational, prospective, multicentre, international analysis of clinically stable adult patients undergoing robotic surgery for emergency treatment of acute pathologies including diverticulitis, cholecystitis, and obstructed hernias. Data collection includes patient demographics and intervention details. Furthermore, data relating to the operating theatre team and the surgical instruments used will be collected in order to conduct a cost analysis. The study plans to enrol at least 500 patients from 50 participating centres, with each centre having a local lead and collaborators. All data will be collected and stored online through a secure server running the Research Electronic Data Capture (REDCap) web application. Ethical considerations and data governance will be paramount, requiring local ethical committee approvals from participating centres. Discussion: Current literature and expert consensus suggest the feasibility of robotic surgery in emergencies with proper support. However, challenges include staff training, scheduling conflicts with elective surgeries, and increased costs. The ROEM study seeks to contribute valuable data on the safety, feasibility, and cost-effectiveness of robotic surgery in emergency settings, focusing on specific pathologies. Previous studies on cholecystitis, abdominal hernias, and diverticulitis provide insights into the benefits and challenges of robotic approaches. It is necessary to identify patient populations that benefit most from robotic emergency surgery to optimize outcomes and justify costs.
2024
Emergency surgery; ROEM study; Robotic surgery
01 Pubblicazione su rivista::01a Articolo in rivista
The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery / Milone, Marco; Anoldo, Pietro; De'Angelis, Nicola; Coccolini, Federico; Khan, Jim; Kluger, Yoram; Sartelli, Massimo; Ansaloni, Luca; Morelli, Luca; Zanini, Nicola; Vallicelli, Carlo; Vigutto, Gabriele; Moore, Ernest E.; Biffl, Walter; Catena, Fausto; Manigrasso, Michele; D'Amore, Anna; Pakula, Andrea; Garzali, Ibrahim Umar; Mulita, Francesk; Amit, Gupta; Walędziak, Maciej; Ruurda, Jelle P; Caycedo-Marulanda, Antonio; Mangram, Alicia; Ioannidis, Argyrios L; Jiao, Long R; González, Carolina; Vaishnav, Dhaivat; Shamim, Adeel Ahmed; Mallat, Ali F; Rossi, Stefano; Ietto, Giuseppe; Cianci, Pasquale; Pantalone, Desire; Zaghi, Claudia; Monsellato, Igor; Garulli, Gianluca; D'Andrea, Vito; Gasparrini, Marcello; Piccoli, Micaela; Offi, Maria Fortuna; Memeo, Riccardo; Coratti, Andrea; Giuliani, Giuseppe; Formisano, Giampaolo; Bianchi, Paolo Pietro; Ielpo, Benedetto; Giuliani, Antonio; Perkins, Louis; Scheiterle, Maximilian; Coletta, Pietro; Muttillo, Irnerio; Draus, Jerzy; Andreuccetti, Jacopo; Verras, Georgios-Ioannis; Wiłkojć, Michał; van Hillegersberg, Richard; Sanchez, Alexis; Konstantinidis, Konstantinos; Ausania, Fabio; Picardi, Biagio; Conversano, Ivana; Maltinti, Gherardo; Costantini, Giulia; Portinari, Mattia; Bellini, Maria Irene; Cosmi, Federica; Esposito, Sofia; Filippo, Rosalinda; Vistoli, Fabio; Zawadzki, Maricn; Broome, Barbara J; Konstantinidis, Michael; Puccioni, Caterina; Restini, Enrico; Di Bella, Anna Maria; Palini, Gianmarco; Costanzo, Maria Ludovica; Gasparrini, Matteo; Francescato, Alice; Delvecchio, Antonella; Mullineris, Barbara; Lapolla, Pierfrancesco; Mingoli, Andrea; Brachini, Gioia; Guadagni, Simone; Matarazzo, Francesco; Null, Null. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 19:1(2024). [10.1186/s13017-024-00542-x]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1711312
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