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Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS).
J H Marks1,2, J F Salem3, B K Anderson3
1Department of Colorectal Surgery, Lankenau Medical Center, Wynnewood, PA, USA. MarksJ@mlhs.org.
Techniques in Coloproctology
|December 14, 2019
Summary
Single-port robotic colectomy using the da Vinci SP system is feasible and safe for patients. This novel approach facilitates single-incision surgeries with promising outcomes for colorectal procedures.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Colorectal Surgery
Background:
- The da Vinci SP robot is a new platform for single-incision surgeries.
- This study describes the initial clinical use of this novel system in colorectal surgery.
Purpose of the Study:
- To report the first clinical experience with the da Vinci SP surgical system in US colorectal surgery.
- To assess the feasibility and safety of single-port robotic colectomy.
Main Methods:
- Two patients underwent single-port robot-assisted left colectomy using the da Vinci SP system.
- Procedures were completed through a single incision, utilizing articulating instruments and a 3D camera.
Main Results:
- Both colectomies were successfully completed via a single incision (4.0-4.5 cm) without conversion.
- Estimated blood loss was <60 ml, with no intraoperative complications, morbidity, or mortality. Patients were discharged on postoperative days 2 and 3.
Conclusions:
- Single-port robotic colectomy with the da Vinci SP system is feasible and safe.
- The system's utility suggests potential for wide adoption and expansion of this technique in colorectal surgery.
