Robotic Rectal Resection With a Single-docking Technique Thanks to the Rotation of the R3 Arm

Surg Laparosc Endosc Percutan Tech. 2017 Apr;27(2):e18-e21. doi: 10.1097/SLE.0000000000000383.

Abstract

Background: Robotic surgery for rectal resection presents some advantages compared with the traditional technique; however, it also presents some limitations, especially due to the multiple changes of surgical fields. We describe a new technique to perform low-anterior resection using single docking with the rotation of the third arm and our perioperative results.

Materials and methods: A total of 31 patients who underwent low-anterior rectal robotic resection with single-docking technique using robotic daVinci SI (Surgical Intuitive System) were included in the study.

Results: The mean operative time was 338 minutes. The conversion rate was 3%. The mean time of refeeding was 1.4 days and the mean time of hospital stay was 6 days.

Conclusions: Our technique allowed to use the robot for all surgical steps with a single docking, thereby reducing the cost of the hybrid technique and facilitating the operative team in the management of the robotic cart.

Publication types

  • Technical Report

MeSH terms

  • Adult
  • Aged
  • Colorectal Neoplasms / surgery*
  • Conversion to Open Surgery / statistics & numerical data
  • Equipment Design
  • Female
  • Humans
  • Laparoscopy / instrumentation
  • Length of Stay
  • Male
  • Middle Aged
  • Operative Time
  • Retrospective Studies
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods
  • Surgical Instruments
  • Treatment Outcome