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

Lim, Ji Ha; Yun, Seong Hyeon; Lee, Woo Yong; Kim, Hee Cheol; Cho, Yong Beom; Huh, Jung Wook; Park, Yoon Ah; Shin, Jung Kyong

doi:10.1002/rcs.2509

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Lim et al reported a transumbilical incision length of 4-6 cm, and Bae et al reported 5.0cm. [11,12] Initial experience by Marks et al reported an incision length of 4.0 and 4.5cm in SPRS. [5] Our transumbilical wound incision length of 3.25cm is one of the shortest incision length yet to report, emphasizing the cosmetic benefit of SPRS.…”

Section: Discussionmentioning

confidence: 99%

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

Preprint

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Background DaVinci Single-Port (SP) robotic surgery offers several benefits compared to traditional multiport laparoscopic or robotic surgeries. One of the main advantages is that it allows for a minimally invasive approach, resulting in a single, smaller incision and reduced trauma to the patient’s body leading to less postoperative pain, faster recovery, and reduced risk of complications. The cosmesis of a single port with minimal visible scarring is also an attractive aspect to the patients; however, many surgeons use an additional port for energy device, stapler use, and drain insertion. Pure single port surgery with one incision is still rare. Here we share our experience of first 10 cases using SP robotic platform in colorectal surgery. Methods From May 2023 to December 2023, colorectal patients who underwent SP-robotic surgery were analyzed. Placement of the incision was umbilicus for 8 patients, and right lower quadrant for 2 patients through which ileostomy maturation was performed. Data including perioperative parameters and postoperative outcomes were analyzed with a median follow-up of 4.6months (range 0.6-7.4months). Results A total number of 10 colorectal patients underwent DaVinci Single-Port robotic colorectal surgery at our institution during this period. Demographics of the patients showed 4 males (40%) and 6 females (60%) with a median age of 63.5years (range 50-75years). Median body mass index (BMI) was 22.89kg/m2 (range 19.92-26.84kg/m2), and 9 patients were diagnosed with colorectal cancer and 1 patient was diagnosed with rectal gastrointestinal tumor. One patient underwent anterior resection and cholecystectomy simultaneously. Mean operation time was 222min (range 142-316min), and mean wound size was 3.25cm (range 2.5-4.5cm). Nine patients underwent surgery with single incision through which single port trocar was inserted, and one patient had one additional port for drain insertion. Mean hospital stay was 6 days (range 4-8 days) with 1 postoperative complication of bleeding requiring transfusion, but there was no re-admission within 30 days. Conclusion Overall, our experience with single-port robotic colorectal surgery has been promising. With only one patient with additional port for drain insertion, all nine patients underwent SP-robotic surgery with single incision for colon as well as rectal surgeries. Compared to an average postoperative length of stay of 6.5-8 days in laparoscopic colorectal surgeries reported in literature, SP-robotic surgery showed faster recovery of 6 days highlighting its benefits in patient recovery and satisfaction.

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Section: Discussionmentioning

confidence: 99%

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

Preprint

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“…The mean wound size of 3.25 cm was comparable to all other studies regarding SPRS colectomy. Lim et al reported a transumbilical incision length of 4-6 cm, and Bae et al reported 5.0 cm [15,16]. Initial experience by Marks et al reported an incision length of 4.0 and 4.5 cm in SPRS [9].…”

Section: Discussionmentioning

confidence: 99%

Early Single-Center Experience of DaVinci® Single-Port (SP) Robotic Surgery in Colorectal Patients

Cho,

Kim

2024

JCM

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Background: DaVinci® single-port (SP) robotic surgery offers several benefits compared to traditional multiport laparoscopic or robotic surgeries. One of the main advantages is that it allows for a minimally invasive approach, resulting in a single, smaller incision and reduced trauma to the patient’s body, leading to less postoperative pain, faster recovery, and reduced risk of complications. The cosmesis of a single port with minimal visible scarring is also an attractive aspect to the patients; however, many surgeons use an additional port for energy device, stapler use, and drain insertion. Pure single-port surgery with one incision is still rare. Here, we share our experience of our first 10 cases using the SP robotic platform in colorectal surgery. Methods: From May 2023 to December 2023, colorectal patients who underwent SP robotic surgery were analyzed. Placement of the incision was the umbilicus for eight patients, and right lower quadrant for two patients, through which ileostomy maturation was performed. Data on perioperative parameters and postoperative outcomes were analyzed, with a median follow-up of 4.6 months (range 0.6–7.4 months). Results: A total of 10 colorectal patients underwent DaVinci® single-port robotic colorectal surgery at our institution during this period. The patient demographic was four males (40%) and six females (60%) with a median age of 63.5 years (range 50–75 years). Median body mass index (BMI) was 22.89 kg/m2 (range 19.92–26.84 kg/m2). Nine patients were diagnosed with colorectal cancer, and one patient was diagnosed with a rectal gastrointestinal tumor. One patient underwent anterior resection and cholecystectomy simultaneously. Mean operation time was 222 min (range 142–316 min), and mean wound size was 3.25 cm (range 2.5–4.5 cm). Nine patients underwent surgery with single incision through which a single-port trocar was inserted, and one patient had one additional port for drain insertion. Mean hospital stay was 6 days (range 4–8 days) with one postoperative complication of bleeding requiring transfusion, but there was no readmission within 30 days. Conclusions: Overall, our experience with single-port robotic colorectal surgery has been promising. With only one patient with additional port for drain insertion, all nine patients underwent SP-robotic surgery with single incision for colon as well as rectal surgeries. Compared to an average postoperative length of stay of 6.5-8 days in laparoscopic colorectal surgeries reported in literature, SP-robotic surgery 33showed faster recovery of 6 days highlighting its benefits in patient recovery and satisfaction.

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“…Several retrospective studies showed that SIRAS colorectal surgery was a safe and feasible surgical technique and has an advantage in the time to first bowel movement over SILS with no other complications 93 . As shown in a retrospective study of 141 cases, SIRAS colorectal surgery was capable of obtaining similar short-term oncologic outcomes, such as tumor size (4.46±2.83 vs. 4.32±2.59; P =0.769), shortest surgical margins [6.50 (1.5–20.5) vs. 6.65 (2.0–17.0); P =0.98],and harvested lymph nodes [27 (12–79) vs. 23 (12–72); P =0.148] as SILS 93 . SIRAS can reduce the total incision length and surgical cost relative to multiport robotic-assisted colectomy, reduce surgical instrument collision, and improve the nonergonomic surgical operating environment faced by surgeons performing SILS during surgery.…”

Section: The Research Status Of Sirasmentioning

confidence: 99%

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

Cited by 3 publications

References 27 publications

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Early Single Center Experience of DaVinci<sup>®</sup> Single-Port (SP) Robotic Surgery in Colorectal Patients

Early Single-Center Experience of DaVinci® Single-Port (SP) Robotic Surgery in Colorectal Patients

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

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