Single-Incision Robotic Colectomy: Comparison of Short-Term Outcomes with Multiport Robotic Colectomy

Chang, Tsu‐Chung; Chen, Yuting; Yen, Min Hsuan; Kiu, Kee Thai

doi:10.1089/lap.2019.0317

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Initial explorations of the SIRAS colorectal surgery preliminarily verified its safety and feasibility in colorectal surgery with noninferior short-term surgical outcomes compared with SILS 87 and multiport robotic surgery 84 . Besides, the oncologic safety of SIRAS colorectal surgery was evaluated in a case series, in which all 16 cases that underwent surgery for colon cancer had negative surgical margins and the average harvested lymph nodes was 27 (range 17–53) 80 .…”

Section: The Research Status Of Sirasmentioning

confidence: 96%

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Cheng,

Huang,

Jia

et al. 2023

International Journal of Surgery

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Since the advent of conventional multiport laparoscopic surgery, the prosperity of minimally invasive surgery has been thriving on the advancement of endoscopic techniques. Cosmetic superiority, recovery benefits, and noninferior surgical outcomes weigh single-incision laparoscopic surgery as a promising modality. Although there are surgical challenges posed by steep learning curve and technological difficulties, such as instruments collision, triangulation loss and limited retraction, the establishment of robotic surgical platform as a solution to all is inspiring. Furthermore, with enhanced instrument maneuverability and stability, robotic ergonomic innovations adopt the advantages of single-incision laparoscopic surgery and surmount its recognized barriers by introducing a novel combination, single-incision robotic-assisted surgery. As was gradually diffused in general surgery and other specialties, single-incision robotic-assisted surgery manifests privileges in noninferior clinical outcomes an satisfactory cosmetic effect among strictly selected patients, and has the potential of a preferable surgical option for minimally invasive surgery.

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Section: The Research Status Of Sirasmentioning

confidence: 96%

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Cheng,

Huang,

Jia

et al. 2023

International Journal of Surgery

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“…Robotic utilization is steadily increasing, particularly for proctectomies [14,15]. However, current commercially available platforms are multiport, and use of single-incision and transanal cases is limited by collisions and issues with set-up, freedom of movement and ergonomics [16][17][18][19][20]. Furthermore, the benefits of single-incision surgery, such as less incisional pain, hernia risk, scarring and better cosmesis, are not realized [21].…”

Section: Introductionmentioning

confidence: 99%

A prospective phase II clinical trial/IDEAL Stage 2a series of single‐port robotic colorectal surgery for abdominal and transanal cases

Marks,

Yang,

Spitz

et al. 2023

Colorectal Disease

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AimSlow laparoscopy adoption accelerated the uptake of robotic surgery. However, the current robotic platforms have limitations in transanal applications and multiple port sites. The da Vinci single‐port (SP) robot is currently used on trial for colorectal surgery, and broad assessment of outcomes is needed. We aimed to report findings of a phase II clinical trial of SP robotic colorectal surgery.MethodsA sequentially reported prospective case series was performed on patients using SP robotics at a tertiary referral centre from 1 October 2018 to 31 August 2021. Cases were stratified into abdominal and transanal cohorts. Demographics, intra‐operative variables and 30‐day postoperative outcomes were evaluated. Univariate analysis was performed, with statistical process control for the docking process. Main outcomes were conversion rates, morbidity, mortality and point of standardization of docking.ResultsIn all, 133 patients were included: 93 (69.92%) abdominal and 40 (30.08%) transanal. The main diagnosis was rectal cancer (n = 59) and the procedure performed a robotic transanal abdominal transanal radical proctosigmoidectomy (n = 30). There were no conversions to open surgery. Two abdominal (2.15%) and three transanal cases (7.50%) were converted to laparoscopy. All colorectal adenocarcinomas had negative margins, proper lymph node harvest and complete mesorectal excision, as appropriate. Docking became a standardized process at cases 34 (abdominal) and 23 (anorectal). After surgery, bowel function returned on mean day 2 (abdominal) and 1 (transanal). The morbidity rate was 15.05% (abdominal) and 27.50% (transanal). There were two major morbidities in each cohort. Overall, there were three (2.65%) readmissions, one reoperation and no mortality.ConclusionsSingle‐port robotics is feasible for all types of colorectal procedures, with good clinical and oncological outcomes. With this development in colorectal surgery, further studies can develop best practices with this novel technology.

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Single-incision robotic colectomy versus single-incision laparoscopic colectomy: A matched case control study

Chang

Lin

et al. 2021

Asian Journal of Surgery

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Single-Incision Robotic Colectomy: Comparison of Short-Term Outcomes with Multiport Robotic Colectomy

Cited by 3 publications

References 20 publications

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

Clinical status and future prospects of single-incision robotic-assisted surgery: a review

A prospective phase II clinical trial/IDEAL Stage 2a series of single‐port robotic colorectal surgery for abdominal and transanal cases

Single-incision robotic colectomy versus single-incision laparoscopic colectomy: A matched case control study

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