Premium
Robot‐assisted single‐incision total colectomy: a case report
Author(s) -
Juo YenYi,
Obias Vincent
Publication year - 2015
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1593
Subject(s) - umbilicus (mollusc) , medicine , surgery , blood loss , colectomy , robot , computer science , colorectal cancer , artificial intelligence , cancer
Background Literature reports shows that robots provide an opportunity for meeting technical challenges associated with Laparo‐endoscopic Single Site Surgery (LESS). Following previous success with robot‐assisted single‐incision right hemicolectomy, this paper reports experience with robot‐assisted single‐incision total colectomy. Methods Through a single incision around the umbilicus, three robotic ports and a laparoscopic port were placed through the GelPOINT. With one intraoperative redocking of the robot, it was possible to access both right and left sides of the colon. The entire colon was externalized through the GelPOINT and the umbilical incision closed in layers. Results The entire procedure took 227 minutes. There was minimal blood loss. The patient was discharged on post‐operative day four with no complications. No wound site complications were observed in clinic one week after discharge. Conclusions Robot‐assisted single‐incision total colectomy is a feasible procedure associated with little increase in operative time. Copyright © 2014 John Wiley & Sons, Ltd.