Initial clinical experience of single‐incision robotic colorectal surgery with da Vinci SP platform

Abstract

Background: The da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) was introduced to overcome the limitations of single-incision laparoscopic surgery, which is challenging due to its restrictions regarding triangulation and retraction. The purpose of this article is to describe the initial experience with single-incision surgery using the da Vinvci Single-Port Platform (dVSP). Methods:The medical records of patients with colorectal disease, who underwent single-incision robotic surgery using the dVSP, were retrospectively reviewed.Results: Five patients with appendiceal and colorectal cancer, and two with diverticulitis were enrolled. All procedures were completed using a pure single-incision approach, with an exception for low anterior resection. There were two minor complications. For patients with colorectal cancer, the number of retrieved lymph nodes and status of the resection margin were acceptable, and cosmetic results were satisfactory. Conclusion:The dVSP is a novel surgical platform that can be used as an alternative surgical modality for colorectal surgery. K E Y W O R D S colorectal surgery, da Vinci SP, robotic surgery, single-incision

Single‐port laparoscopic versus single‐port robotic right hemicolectomy: Postoperative short‐term outcomes

“…However, this study was performed on the da Vinci Si ® platform (Intuitive Surgical Inc, Sunnyvale, CA), not on the new da Vinci SP ® robotic system. Only a few papers with a very small number of cases have shown that the new da Vinci SP ® robotic system was safe and feasible for right hemicolectomy 19–21 . However, no studies have compared the new da Vinci SP ® robot with SPL right hemicolectomy.…”

“…Only a few papers with a very small number of cases have shown that the new da Vinci SP ® robotic system was safe and feasible for right hemicolectomy. [19][20][21] However, no studies have compared the new da Vinci SP ® robot with SPL right hemicolectomy. Therefore, this study is meaningful in that it included quite a lot of data, with a total of 41 SPR right colectomy cases, and compared SPL and SPR.…”

Single plus one-port robotic surgery using the da Vinci Single-Site Platform versus conventional multi-port laparoscopic surgery for left-sided colon cancer.

“…These advantag-es provide high dexterity, especially in the field of transanal, transoral, and transabdominal surgery. Noh et al [26] reported the feasible and safe initial experience of single-port and reduced-port robotic surgery using the single-port da Vinci system for right-and left-sided colorectal resection. Future studies are needed to demonstrate the true benefits of various kinds of single-port and reduced-port accesses with laparoscopic and robotic surgery.…”

Robotic single-incision right hemicolectomy with extended lymphadenectomy using the da Vinci SP Surgical Platform

“…These multiarticulating instruments and endoscope could minimize the collision in a single-incision colorectal surgery. For its use in colorectal surgery, several reports showed its performance and validity during colectomy and total mesorectal excision [ 4 , 6 – 8 ]. In the present report, we present our experience of RHC with extended lymphadenectomy using dVSP.…”

“…To overcome this limitation, Intuitive Surgical (Sunnyvale, CA, USA) launched the da Vinci SP surgical system (dVSP) in 2018, which was developed to perform robotic single-incision surgery. Since we reported the first use of dVSP in colorectal surgery, many institutions adopted this system and its use has been increasing [ 4 ]. And, in accordance with the increment of adoption of dVSP, the indication to apply this platform has been expanding.…”