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R-LESS right colectomy with the single-site® robotic platform
Konstantinos Konstantinidis1, Savvas Hirides2, Perikles Chrysoheris1
1General, Laparoscopic and Robotic Surgery Clinic, Athens Medical Center, Distomou 3-5, Building D, 15125, Maroussi, Athens, Greece.
Journal of Robotic Surgery
|November 5, 2015
Summary
Robotic single-site right colectomy is a safe and feasible procedure for selected patients. This technique, building on experience from cholecystectomy, shows promise for complex surgeries.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Surgery
Background:
- Robotic surgery enhances instrument-hand alignment and visualization for minimally invasive procedures.
- Initially for cholecystectomy, robotic techniques are expanding to more complex surgeries.
- Single-site robotic surgery offers potential benefits over traditional multiport approaches.
Observation:
- A 58-year-old male patient underwent a single-site robotic right colectomy and omentectomy for ascending colon cancer.
- The VESPA single-site platform was utilized, with the port placed at the umbilicus.
- The procedure involved specimen exteriorization through the umbilicus and anastomosis with linear staplers.
Findings:
- The robotic single-site right colectomy and omentectomy took 221 minutes with 164 minutes of console time.
- No intraoperative conversions, additional ports, or blood transfusions were required.
- Limitations included the lack of wristed instruments and bipolar energy; however, the patient experienced no postoperative complications and was discharged on postoperative day 4.
Implications:
- Robotic single-site right colectomy is demonstrated as a safe and feasible option for select patients.
- Experience gained from simpler robotic procedures can guide the expansion to more complex surgeries.
- Further advancements in robotic instrumentation and accumulated case data are crucial for broader adoption.

