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Technical insights to multivisceral resections using the da Vinci Xi
James Chi-Yong Ngu1, Nicholas Brian Shannon1, Ernest Wencong Eu1
1Department of General Surgery, Changi General Hospital, Singapore.
ANZ Journal of Surgery
|September 21, 2022
Summary
Robotic multivisceral resections using the da Vinci Xi system are feasible and safe. Early outcomes show no perioperative mortality, with further studies needed to compare robotic versus conventional approaches.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Surgery
Background:
- Limited data exists on robotic multivisceral surgeries.
- The da Vinci Xi system offers upgrades for complex resections.
- This study reports early experience with the Xi system for multivisceral resections.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic multivisceral resections using the da Vinci Xi system.
- To assess perioperative outcomes in patients undergoing these complex procedures.
Main Methods:
- Retrospective review of 13 multivisceral resections performed between May 2015 and August 2019.
- Evaluation of patient demographics, procedural data, and perioperative outcomes.
Main Results:
- Median operative time was 290 minutes.
- Median postoperative hospital stay was 3.5 days.
- No perioperative mortality, positioning injuries, or robot arm collisions were observed; one readmission for anastomotic leak.
Conclusions:
- Robotic multivisceral resections with the da Vinci Xi are safe.
- Further research is needed to determine the benefits of robotic versus conventional laparoscopic approaches for these complex cases.
