Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS)

Marks, John; Salem, Jean; Anderson, Brigitte; Josse, Jonathan M.; Schoonyoung, Henry

doi:10.1007/s10151-019-02129-0

Cited by 37 publications

(30 citation statements)

References 10 publications

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“…In a cadaveric study, the da Vinci ® SP Surgical System was shown to be a realistic platform for the future of endoluminal surgery [ 51 ] and in 2020 the first clinical experience performing a single-port left colectomy using the SP robot (SPr SILS left colectomy) was described [ 52 ]. In a subsequent feasibility study, Dr. Marks expanded the use of the SP robot performing TaTME, including transanal splenic flexure release and high ligation of the IMA, but the results of these experiences have not yet been published.…”

Section: Discussionmentioning

confidence: 99%

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art

Rondelli

Sanguinetti

Polistena

et al. 2021

JPM

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Total mesorectal excision (TME) is the gold standard technique for the surgical management of rectal cancer. The transanal approach to the mesorectum was introduced to overcome the technical difficulties related to the distal rectal dissection. Since its inception, interest in transanal mesorectal excision has grown exponentially and it appears that the benefits are maximal in patients with mid-low rectal cancer where anatomical and pathological features represent the greatest challenges. Current evidence demonstrates that this approach is safe and feasible, with oncological and functional outcome comparable to conventional approaches, but with specific complications related to the technique. Robotics might potentially simplify the technical steps of distal rectal dissection, with a shorter learning curve compared to the laparoscopic transanal approach, but with higher costs. The objective of this review is to critically analyze the available literature concerning robotic transanal TME in order to define its role in the management of rectal cancer and to depict future perspectives in this field of research.

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Section: Discussionmentioning

confidence: 99%

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art

Rondelli

Sanguinetti

Polistena

et al. 2021

JPM

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“…From the United States, Juo et al [41] completed 1 case of SPR total colectomy and reported that it was a feasible procedure associated with a small increase in operative time. In another study from the United States, Marks et al [42] reported 2 cases, and Bae et al [43] from Korea reported 23 cases of SPR left colectomy, indicating that this method was feasible and safe. Spinoglio et al [44] successfully performed 3 cases of SPR right colectomies and completed intracorporeal anastomosis using the da Vinci single-site platform through a suprapubic incision.…”

Section: Application Of Single-port Robotic Surgerymentioning

confidence: 95%

The art of robotic colonic resection: a review of progress in the past 5 years

Liu

et al. 2021

Updates Surg

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Surgery is developing in the direction of minimal invasiveness, and robotic surgery is becoming increasingly adopted in colonic resection procedures. The ergonomic improvements of robot promote surgical performance, reduce workload for surgeons and benefit patients. Compared with laparoscopy-assisted colon surgery, the robotic approach has the advantages of shorter length of hospital stay, lower rate of conversion to open surgery, and lower rate of intraoperative complications for short-term outcomes. Synchronous robotic liver resection with colon cancer is feasible. The introduction of the da Vinci Xi System (Intuitive Surgical, Inc., Sunnyvale, CA, USA) has introduced more flexibility to colonic operations. Optimization of the suprapubic surgical approach may shorten the length of hospital stay for patients who undergo robotic colonic resection. Single-port robotic colectomy reduces the number of robotic ports for better looking and faster recovery. Intestinal anastomosis methods using totally robotic surgery result in shorter time to bowel function recovery and tolerance to a solid diet, although the operative time is longer. Indocyanine green is used as a tracer to assess blood supplementation in the anastomosis and marks lymph nodes during operation. The introduction of new surgical robots from multiple manufacturers is bound to change the landscape of robotic surgery and yield high-quality surgical outcomes. The present article reviews recent advances in robotic colonic resection over the past five years.

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“…SPR is being used in various medical fields. In particular, methods for intraperitoneal surgery have been reported, and safety and feasibility have been continuously demonstrated [ 6 7 ]. However, the safety and feasibility of colorectal cancer surgery using SPR have not been elucidated in detail.…”

Section: Introductionmentioning

confidence: 99%

Learning curve for single-port robot-assisted rectal cancer surgery

Choi

Yun

et al. 2022

Ann Surg Treat Res

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Purpose We analyzed the learning curve of single-port robotic (SPR)-assisted rectal cancer surgery. Methods Fifty-seven consecutive SPR-assisted rectal cancer surgery cases performed by the same surgeon were considered in surgical interventions for rectal cancer. Total operation time (OT), docking time (DT), and surgeon console time (SCT) measured during surgery were used to parametrize the learning curve. The parameters representing the learning curve were evaluated using the cumulative sum (CUSUM). Results The mean value of total OT was 241.8 ± 91.7 minutes, the mean value of DT was 20.6 ± 19.1 minutes, and the mean value of SCT was 135.9 ± 66.7 minutes. The learning curve was divided into phase 1 (initial 16 cases), phase 2 (second 16 cases), and phase 3 (subsequent 25 cases). The peak on the CUSUM graph occurred in the 21st case. The longest OT among phases was in phase 2. Complications were most frequent in phase 2. However, complications of Clavien-Dindo (CD) grade IIIb were most frequent in phase 3 with 2 patients. The most common complications were fluid collection and urinary retention (7 patients each). Complications of CD grade IIIb required one stomal revision due to stoma obstruction and one irrigation and loop ileostomy due to anastomosis leakage. Conclusion Improvement in surgical performance of SPR assisted rectal cancer operation was achieved after 21 cases. The three phases identified in the cumulative sum analysis showed a significant decrease in operative time after the middle stage of the learning curve without an increase in the complication rate.

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Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS)

Cited by 37 publications

References 10 publications

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art

Robotic Transanal Total Mesorectal Excision (RTaTME): State of the Art

The art of robotic colonic resection: a review of progress in the past 5 years

Learning curve for single-port robot-assisted rectal cancer surgery

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