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rSILS: initial clinical experience with single-port robotic (SPr) right colectomy
J H Marks1, E Kunkel2, J Salem2
1Lankenau Medical Center Division of Colorectal Surgery, Marks Colorectal Surgical Associates, Wynnewood, PA, USA. marksj@mlhs.org.
Techniques in Coloproctology
|May 27, 2020
Summary
The da Vinci Single-Port (SP) robot enabled a safe and feasible SP robotic (SPr) right colectomy for cecal cancer. This novel platform shows promise for advancing single-incision robotic colorectal surgery.
Area of Science:
- Surgical Technology
- Robotic Surgery
- Colorectal Surgery
Background:
- The da Vinci Single-Port (SP) robot is a new platform for single-incision robotic surgery (rSILS).
- This study details the initial use of the SP robot for single-port robotic (SPr) right colectomy.
Purpose of the Study:
- To describe the initial experience and evaluate the safety and feasibility of SPr right colectomy in the USA.
- To assess perioperative metrics, morbidity, and mortality associated with this novel approach.
Main Methods:
- A single-port robotic (SPr) right colectomy was performed on a patient with cecal adenocarcinoma.
- The procedure was conducted under an FDA-regulated feasibility study and IRB approval.
Main Results:
- The SPr right colectomy was completed successfully through a single 4-cm incision without complications.
- The patient experienced no intraoperative complications, with a total operative time of 219 minutes.
- Pathology confirmed pT3N0 cecal adenocarcinoma with negative margins and no positive lymph nodes; the patient was discharged on postoperative day 3.
Conclusions:
- Initial experience indicates that SPr right colectomy is a feasible and safe procedure.
- The SP robot facilitates single-incision robotic colorectal procedures, advancing the field of robotic surgery.

