Evaluation of technical feasibility and safety of Single-Site™ robotic right colectomy: three case reports
| Autor: | Spinoglio, G., Lenti, L., Ravazzoni, F., Formisano, G., Pagliardi, F., Marano, A. |
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| Rok vydání: | 2014 |
| Předmět: |
Aged
80 and over Male Right colectomy Robotic surgery Adenocarcinoma in Situ Cecal Neoplasms Adenocarcinoma Middle Aged Single-Site™ Colon cancer Single-incision surgery Settore MED/18 - Chirurgia Generale Treatment Outcome Robotic Surgical Procedures Colonic Neoplasms Adenoma Villous Feasibility Studies Humans Female Safety Colectomy |
| Zdroj: | The international journal of medical robotics + computer assisted surgery : MRCAS. 11(2) |
| ISSN: | 1478-596X |
| Popis: | 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.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.Overall SSRRC operative time was 218.3 ± 75.9 min. A side-to-side anisoperistaltic anastomosis was fashioned intracorporeally (two cases) or extracorporeally (one case). All patients were discharged within 5 days. There were no complications and oncological principles were satisfied. There were no recurrences up to 12 months.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. |
| Databáze: | OpenAIRE |
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