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Single‐incision plus two‐port robotic surgery for sigmoid colon cancer using the Senhance robotic system
Author(s) -
Hirano Yasumitsu,
Kondo Hiroka,
Miyawaki Yutaka,
Sugita Hirofumi,
Sakuramoto Shinichi,
Yamaguchi Shigeki
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12822
Subject(s) - medicine , surgery , port (circuit theory) , inferior mesenteric artery , perioperative , colorectal cancer , dissection (medical) , sigmoid colon , abdomen , robotic surgery , cancer , rectum , engineering , electrical engineering
Informed by our experiences with reduced‐port surgery for colorectal cancer, we performed the first single‐incision plus two‐port robotic sigmoidectomy for cancer with the Senhance robotic system. A 70‐year‐old woman presented to our department for the treatment of sigmoid colon cancer. We performed single‐incision two‐port robotic sigmoidectomy. A wound protector was inserted through a 3.0‐cm transumbilical incision, a multiport access device was mounted on top of it, and then a camera port and a 5‐mm assistant's port were placed in the multiport access device. Two extra ports were placed on the central line of the abdomen. Lymph node dissection around the inferior mesenteric artery and mobilization of the left‐sided colon were completed without any perioperative complications. The total operative time was 204 minutes, and the console time was 113 minutes. The estimated blood loss was 75 mL. The patient was discharged on postoperative day 8 without any complications.