Author Affiliation: Department of Surgery, Case Western Reserve University, Cleveland, Ohio.
The article by Wren and Curet1 demonstrates nicely that robotic technology can be enhanced and adapted to changes in surgical technique. Single-incision laparoscopic surgery has been quite the hot topic in the past several years and has been shown to be effective in accomplishing even intricate surgical procedures. Clearly, there is a learning curve for the method and compromises in traditional technique have been made to permit tissue manipulation. These adjustments are often unnatural to the surgeon and require practice to master. The addition of a modified robot to the procedure certainly seems to ameliorate the learning curve and facilitate the performance of the procedure in uncomplicated cases. It is also certain that with continued use, modifications and improvements in the robot and technique would permit the performance of more difficult cases and maneuvers.
Ponsky JL. Are We Making Progress?Comment on “Single-Port Robotic Cholecystectomy”. Arch Surg. 2011;146(10):1127. doi:10.1001/archsurg.2011.252