An extraperitoneal single-port robotic approach to low anterior resection-Cadaveric experience.

Autor: Hany TS; Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK., Stein H; Intuitive Surgical Inc, Sunnyvale, California, USA., Bhowmick AK; Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Jazyk: angličtina
Zdroj: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland [Colorectal Dis] 2024 Sep; Vol. 26 (9), pp. 1680-1682. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1111/codi.17120
Abstrakt: Aim: A minimally invasive surgery (MIS) extraperitoneal (XP) approach to left-sided colorectal resection utilizing the laparoscopic approach has recently been shown to be safe and feasible and to have potential advantages over the transperitoneal approach, especially in high-risk surgical patients. The aim of this article is to provide a first cadaveric demonstration of the use of a single-port robotic platform in performing XP low anterior resection by MIS.
Method: A single-port robotic platform (DaVinci®SP™) was used to perform XP single-port low anterior resection in two cadavers with body mass indexes (BMIs) of 19 and 40 kg/m 2 .
Results: The single-port robotic platform with versatile arms was successfully used to perform a complete low anterior resection with splenic flexure mobilization and total mesorectal excision through a single port.
Conclusions: A single-port robotic platform enhances complete XP dissection in the supine patient in extreme BMI ranges. Clinical studies are necessary to confirm these findings.
(© 2024 Association of Coloproctology of Great Britain and Ireland.)
Databáze: MEDLINE
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