Int J Med Robot - Evaluation of technical feasibility and safety of Single-Site? robotic right colectomy: three case reports.

Tópicos

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Resumo

CKGROUND: Robotic Single-Site? surgery overcomes the technical constraints of single-access laparoscopy. After performing over 130 Single-Site robotic cholecystectomies and stabilizing operative times, we applied this technology to right colon surgery.METHODS: We successfully completed three Single-Site robotic right colectomies (SSRRCs) using the da Vinci Si Surgical System(?) with a Single-Site kit (? Intuitive Surgical?) inserted through a suprapubic incision.RESULTS: Overall SSRRC operative time was 218.3?75.9min. A side-to-side anisoperistaltic anastomosis was fashioned intracorporeally (two cases) or extracorporeally (one case). All patients were discharged within 5days. There were no complications and oncological principles were satisfied. There were no recurrences up to 12months.CONCLUSIONS: This is the first report of SSRRC with intracorporeal anastomosis using the da Vinci(?) Single-Site? port inserted through a suprapubic incision. This approach is feasible and safe, with oncological outcomes potentially equivalent to those of robotic or laparoscopic multiport surgery.

Resumo Limpo

ckground robot singlesit surgeri overcom technic constraint singleaccess laparoscopi perform singlesit robot cholecystectomi stabil oper time appli technolog right colon surgerymethod success complet three singlesit robot right colectomi ssrrcs use da vinci si surgic system singlesit kit intuit surgic insert suprapub incisionresult overal ssrrc oper time min sidetosid anisoperistalt anastomosi fashion intracorpor two case extracorpor one case patient discharg within day complic oncolog principl satisfi recurr monthsconclus first report ssrrc intracorpor anastomosi use da vinci singlesit port insert suprapub incis approach feasibl safe oncolog outcom potenti equival robot laparoscop multiport surgeri

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