Initial clinical experience with Single-Port robotic (SP r) left colectomy using the SP surgical system: description of
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Initial clinical experience with Single‑Port robotic (SP r) left colectomy using the SP surgical system: description of the technique Jean F. Salem1 · Samir Agarwal1 · Henry Schoonyoung1 · Charlie Martin1 · John H Marks1 Received: 6 June 2020 / Accepted: 11 November 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background The daVinci Single-Port (SP) robot is a new robotic platform designed to overcome the challenges of SingleIncision Laparoscopic Surgery. The objective of this study is to demonstrate the feasibility and technical aspects of SP robotic (SP r) left colectomy using the SP platform. Methods Under Institutional Review Board approval and registration on ClinicalTrials.gov, we performed SP rLeft colectomy using the daVinci SP surgical system on four patients. The primary end-point of this study was to report and describe the technical feasibility to perform SP rLeft colectomy. The secondary end-points included perioperative metrics and outcomes. Results Four patients underwent successful SP rLeft colectomy for diverticulitis through a single incision (average size: 4.4 cm) without intraoperative complications or conversions. The robot was docked 2.7 times on average (range 2–4). The average docking time was 8.4 min (range: 3–33 min). The mean estimated blood loss was 91 mL (range: 20–250 mL). There were no morbidities or mortalities. Patients were discharged on POD 2 and 3. Conclusion We demonstrated in this initial clinical series the SP rLeft colectomy to be feasible and safe to perform in select patients. The SP robot’s single-arm design and flexible instruments have shown to provide excellent visualization and retraction with minimal collisions. We predict that the SP robot will be widely utilized in the field of colorectal surgery as it becomes available to colorectal surgeons. Further experience and larger studies are needed to define the advantages and identify the problems with the SP rLeft colectomy. Keywords Single-port robot · Single-port colectomy · Robotic surgery · Robotic single-incision laparoscopic surgery (rSILS) · Left colectomy Laparoscopic surgery is now recognized as a standard of care in colorectal surgery. Its multiple benefits have been well established [1–3]. However, its slow adoption rate has pushed the development of a robotic platform to overcome technical challenges of laparoscopy in an attempt to make minimally invasive surgery (MIS) more readily accessible. There has been a steady and continuous increase in the utilization of the robotic platform in recent years across all hospital settings in the USA [4]. The video was accepted and presented at the 2019 SAGES meeting. * John H Marks [email protected] 1
The Colorectal Center at Lankenau Medical Center, Division of Colorectal Surgery, Medical Science Building, Suite 375, 100 East Lancaster Avenue, Wynnewood, PA 19096, USA
As MIS techniques evolved, single-incision laparoscopic surgery (SILS) was introduced in the mid-200
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