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Precision in robotic rectal surgery using the da Vinci Xi system and integrated table motion, a technical note.

Sofoklis Panteleimonitis1,2, Mick Harper3, Stuart Hall3

  • 1School of Health Sciences and Social Work, University of Portsmouth, James Watson West, 2 King Richard 1st Road, Portsmouth, PO1 2FR, UK. sofoklis_p@hotmail.com.

Journal of Robotic Surgery
|September 17, 2017
PubMed
Summary

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This study introduces a standardized single-docking technique for robotic rectal surgery using the da Vinci Xi system. This approach streamlines the procedure, proving safe and effective for rectal cancer patients.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Colorectal Surgery

Background:

  • Robotic rectal surgery adoption is increasing.
  • Traditional robotic procedures face challenges with docking, arm clashing, and undocking, leading to increased operative time.
  • The da Vinci Xi system offers potential solutions through integrated table motion.

Purpose of the Study:

  • To describe a standardized single-docking technique for robotic rectal surgery using the da Vinci Xi system.
  • To evaluate the safety, feasibility, and reproducibility of this standardized technique.
  • To present operative outcomes in rectal cancer patients.

Main Methods:

  • A stepwise description of the da Vinci Xi docking process and surgical technique.
  • Prospective data collection from 33 consecutive rectal cancer patients.
Keywords:
Rectal cancerRectal surgeryRobotic surgeryTable motionda Vinci Xi

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  • Intra-operative video demonstration of the technique.

    • Main Results:

    • The study included 33 patients (24 male, 9 female) undergoing robotic rectal surgery.
    • 88% had anterior resections, 12% had abdominoperineal excisions.
    • No conversions, anastomotic leaks, or mortality were reported. Median operation time was 331 minutes, blood loss 20 ml, and length of stay 6.5 days. 30-day readmission and re-operation rates were 3%.

    Conclusions:

    • The standardized single-docking technique with da Vinci Xi is safe, feasible, and reproducible.
    • Technological advancements in the da Vinci Xi system facilitate a totally robotic single-docking approach.
    • This technique addresses previous challenges associated with robotic rectal surgery setup and execution.