Insight into the da Vinci® Xi - technical notes for single-docking left-sided colorectal procedures

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics

Background:

• Robot-assisted laparoscopic colorectal surgery adoption is limited by docking, operative time, multi-quadrant access challenges, and cost.
• The da Vinci® Xi Surgical System is designed to address these limitations.

Purpose of the Study:

• To evaluate the da Vinci® Xi Surgical System's application in left-sided colorectal procedures.
• To provide technical insights for its use in this surgical context.

Main Methods:

• Prospective evaluation of an initial series of left-sided robotic colorectal procedures.
• Data collection on patient demographics and operative outcomes using a predefined database.

Main Results:

• 54 robot-assisted laparoscopic left-sided colorectal procedures were successfully completed between March 2015 and April 2016.
• No conversions to open surgery were required.
• The da Vinci® Xi enabled multi-quadrant surgery, including dissection from the splenic flexure to the pelvis, without redocking.

Conclusions:

• The da Vinci® Xi simplifies the docking process for colorectal procedures.
• Single-docking is feasible for multi-quadrant left-sided colorectal surgery using the da Vinci® Xi.