{"paper_id":"ec0b86db-af79-45f9-b32b-2f74138a5f9d","body_text":"Abstract\nThe robotic platform is becoming a multidisciplinary tool, versatile, and suitable for multiple procedures. Combined multivisceral resections may represent an alternative to sequential procedures with a potential favorable impact on postoperative morbidity, and on the timing of administration of adjuvant chemotherapy. We herein present our initial experience with full robotic multivisceral resections, and a review of the literature available. Between January 2018 and April 2020, 11 patients underwent multivisceral full robotic abdominal surgery: 4 patients presented with two synchronous tumors, 4 with primary cancer associated with a benign condition and 3 cases involved deep infiltrating endometriosis. Surgical teams enrolled were: General Surgery, Urology and Gynecology. A systematic bibliographic research up to April 2020 was conducted in PubMed. 4 colorectal resections combined with partial or radical nephrectomy were performed, as well as 2 right colectomies in combination with right adrenalectomy and gastric banding removal, 2 radical prostatectomies with Nissen Fundoplication and abdominal wall hernia repair, and 3 resections of deep pelvic endometriosis with colorectal involvement. Mean total operative time was 367 min. No intraoperative complication or conversion to open was registered. Overall postoperative complication rate was 18.2%. 26 papers were included in the review (10 case series and 16 case reports) with a total of 156 combined multivisceral robotic procedures recorded. Robotic combined multivisceral resections proved to be safe and feasible when performed in high volume centers by expert surgeons. The heterogeneity of reports does not allow for a standardization of the procedure. 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Clin Case Rep 5:1913–1918\nFunding\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of interest\nAll authors declare that they have no conflict of interest.\nEthics approval\nAll procedures performed in the study involving human participants were in accordance with ethical standards of Institutional and National research committee.\nConsent to participate\nInformed consent was obtained from all individual participants.\nConsent for publication\nAll authors consent for publication of the study.\nAvailability of data and material\nAll relevant data generated or analysed during this study are included in this published article.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nAbout this article\nCite this article\nPiccoli, M., Esposito, S., Pecchini, F. et al. Full robotic multivisceral resections: the Modena experience and literature review. Updates Surg 73, 1177–1187 (2021). https://doi.org/10.1007/s13304-020-00939-8\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s13304-020-00939-8","source_license":"CC0","license_restricted":false}