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Robotic Abdominal-Perineal Resection for Rectal Cancer Using da Vinci Single-Port System: Initial Clinical Experience
Momoko Ichihara1,2, Koichi Okuya1, Tatsuya Ito1
1Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan.
Asian Journal of Endoscopic Surgery
|April 28, 2025
Summary
The da Vinci Single-Port (dV-SP) system enabled a challenging rectal cancer resection. This robotic approach offers improved outcomes and cosmesis compared to traditional methods.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Oncology
Background:
- Rectal cancer diagnosis and treatment present surgical challenges.
- Single-port robotic surgery aims to improve upon traditional laparoscopic techniques.
- The da Vinci Single-Port (dV-SP) system offers unique articulated instruments and a single access approach.
Observation:
- A 58-year-old male patient with Stage IIc rectal cancer underwent abdominal-perineal resection.
- The surgery utilized the da Vinci Single-Port (dV-SP) robotic system.
- The dV-SP system's features (cobra camera, articulated wrists/elbows) addressed limitations of single-port surgery.
Findings:
- The dV-SP system facilitated overcoming challenges like poor triangulation, countertraction, instrument collision, and in-line viewing.
- The robotic approach provided superior cosmetic results compared to multiport robotic surgery.
- This represents the first reported use of dV-SP for rectal cancer in Japan.
Implications:
- The da Vinci Single-Port system shows promise for complex rectal cancer resections.
- Robotic single-port surgery may offer enhanced surgical capabilities and patient outcomes.
- Further research into dV-SP for oncologic procedures is warranted.
