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Reduced‐port robotic anterior resection for left‐sided colon cancer using the Da Vinci single‐site ® platform
Author(s) -
Bae Sung Uk,
Jeong Woon Kyung,
Bae Ok Suk,
Baek Seong Kyu
Publication year - 2016
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.1677
Subject(s) - medicine , colorectal cancer , port (circuit theory) , surgery , robotic surgery , dissection (medical) , lymphovascular invasion , laparoscopic surgery , sigmoid colon , cancer , laparoscopy , metastasis , rectum , electrical engineering , engineering
Background Single‐Site ® port plus one conventional robotic port, a reduced‐port robotic surgery (RPRS) for left‐sided colorectal cancer, can enable lymphovascular dissection using the Endowrist ® function; this allows safe rectal transection through an additional port and maintains the cosmetic advantage of single‐incision laparoscopic surgery. Methods Between August 2014 and December 2014, the study group included 11 patients who underwent a RPRS for left‐sided colon cancer. Results There was one (9.1%) case of descending colon cancer, six (54.5%) cases of sigmoid colon cancer, and four (36.4%) cases of rectosigmoid colon cancer. The mean total operation time and docking time were 289±77 and 17±7 min. The mean times to soft diet and possible length of stay were 5.6±0.8 and 7.4±0.7 days. The mean total number of lymph nodes harvested was 18.7±7.9. The mean proximal and distal resection margins were 7.8±4.7 and 4.7±2.4 cm. Conclusions Reduced‐port robotic surgery for left‐sided colon cancer using the Single‐Site ® system appears to be feasible and safe using the new robotic single‐access platform. Copyright © 2015 John Wiley & Sons, Ltd.