Related Experiment Video
Updated: Feb 8, 2026
07:27
Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
1.1K
Implementation of robotic rectal surgery training programme: importance of standardisation and structured training
Sofoklis Panteleimonitis1,2, Sotirios Popeskou3, Mohamed Aradaib4
1Poole Hospital NHS Trust, Longfleet Road, Poole, BH15 2JB, UK. sofoklis_p@hotmail.com.
Langenbeck'S Archives of Surgery
|June 22, 2018
Summary
A structured training pathway enables surgeons to safely adopt robotic rectal cancer surgery using the da Vinci Xi system. Ten supervised cases were sufficient for independent robotic rectal resection, demonstrating good short-term outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Robotic rectal cancer surgery requires structured training for safe adoption.
- Single-docking technique with da Vinci Xi and integrated table motion (ITM) is being explored.
Purpose of the Study:
- To describe the training pathway for robotic rectal cancer surgery.
- To evaluate short-term surgical outcomes of surgeons trained in single-docking robotic rectal surgery.
Main Methods:
- Prospective analysis of 82 patients undergoing robotic rectal cancer resection (Nov 2015-Sep 2017).
- Comparison of short-term outcomes between supervised (first 10 cases) and independent (subsequent) cases per surgeon.
- Analysis of Global Assessment Score (GAS) and CUSUM charts to assess training progression.
Main Results:
- No conversions, anastomotic leaks, or 30-day mortality observed.
- Mean operative time was shorter in independent cases (275 min) vs. supervised (311 min) (p=0.038).
- Ten proctoring cases were adequate for independent robotic rectal resection using da Vinci Xi.
Conclusions:
- A structured training pathway and standardized technique make single-docking robotic rectal surgery with da Vinci Xi a valid and reproducible approach.
- The technique offers good short-term outcomes for the studied patient population.
Related Concept Videos
01:27Assessing Body Temperature - Rectal
12.5K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
12.5K
01:15Nursing Implementation
6.2K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
6.2K
02:22Structures of Solids
18.0K
Solids in which the atoms, ions, or molecules are arranged in a definite repeating pattern are known as crystalline solids. Metals and ionic compounds typically form ordered, crystalline solids. A crystalline solid has a precise melting temperature because each atom or molecule of the same type is held in place with the same forces or energy. Amorphous solids or non-crystalline solids (or, sometimes, glasses) which lack an ordered internal structure and are randomly arranged. Substances that...
18.0K
02:34Structural Isomerism
21.7K
Isomerism in Complexes
Isomers are different chemical species that have the same chemical formula. Structural isomerism of coordination compounds can be divided into two subcategories, the linkage isomers and coordination-sphere isomers.
Linkage isomers occur when the coordination compound contains a ligand that can bind to the transition metal center through two different atoms. For example, the CN− ligand can bind through the carbon atom or through the nitrogen atom. Similarly, SCN− can...
Isomers are different chemical species that have the same chemical formula. Structural isomerism of coordination compounds can be divided into two subcategories, the linkage isomers and coordination-sphere isomers.
Linkage isomers occur when the coordination compound contains a ligand that can bind to the transition metal center through two different atoms. For example, the CN− ligand can bind through the carbon atom or through the nitrogen atom. Similarly, SCN− can...
21.7K
03:38Structure of Lipids
99.1K
Lipids include a diverse group of compounds that are largely nonpolar in nature. This is because they are hydrocarbons that include mostly nonpolar carbon-carbon or carbon-hydrogen bonds. Non-polar molecules are hydrophobic (“water fearing”), or insoluble in water. Lipids perform many different functions in a cell. Cells store energy for long-term use in the form of fats. Lipids also provide insulation from the environment for plants and animals. For example, they help keep aquatic...
99.1K
00:56Viral Structure
74.7K
Viruses are extraordinarily diverse in shape and size, but they all have several structural features in common. All viruses have a core that contains a DNA- or RNA-based genome. The core is surrounded by a protective coat of proteins called the capsid. The capsid is composed of subunits called capsomeres. The capsid and genome-containing core are together known as the nucleocapsid.
74.7K