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Evaluation of technical feasibility and safety of Single‐Site™ robotic right colectomy: three case reports
Author(s) -
Spinoglio Giuseppe,
Lenti Luca Matteo,
Ravazzoni Ferruccio,
Formisano Giampaolo,
Pagliardi Francesca,
Marano Alessandra
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.1609
Subject(s) - medicine , surgery , anastomosis , port (circuit theory) , robotic surgery , colectomy , laparoscopy , laparoscopes , general surgery , colorectal cancer , electrical engineering , cancer , engineering
Background Robotic Single‐Site™ surgery overcomes the technical constraints of single‐access laparoscopy. After performing over 130 Single‐Site robotic cholecystectomies and stabilizing operative times, we applied this technology to right colon surgery. Methods We successfully completed three Single‐Site robotic right colectomies (SSRRCs) using the da Vinci Si Surgical System ® with a Single‐Site kit (© Intuitive Surgical™) inserted through a suprapubic incision. Results Overall SSRRC operative time was 218.3 ± 75.9 min. A side‐to‐side anisoperistaltic anastomosis was fashioned intracorporeally (two cases) or extracorporeally (one case). All patients were discharged within 5 days. There were no complications and oncological principles were satisfied. There were no recurrences up to 12 months. Conclusions This is the first report of SSRRC with intracorporeal anastomosis using the da Vinci ® Single‐Site™ port inserted through a suprapubic incision. This approach is feasible and safe, with oncological outcomes potentially equivalent to those of robotic or laparoscopic multiport surgery. Copyright © 2014 John Wiley & Sons, Ltd.