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Simple Trick for Placement of the Robotic Single-Site Device in Obese Patients

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Abstract

Background

The creation of the da Vinci Single-Site© Surgical Platform (DVSSP) allowed robotic surgery to perform single portal procedures. Due to the characteristics of the robotic single-site system, the triangulation of the instruments was optimized, facilitating the execution of the movements. For this, the care in the placement of the portal have fundamental importance. In overweight and patients with obesity, the subcutaneous can impede the ideal positioning of the portal, affecting the movement of the robotic arms and creating discomfort for the surgeon and bringing risks to the patient.

Technique

Three points are made for subcutaneous reduction, allowing better adaptation of the device.

Experience

This technique is performed in all patients with obesity submitted to single-site robotic surgery at our service.

Conclusion

It is a simple, fast, and low-cost method, allowing more safety to patient and comfort for the surgeon.

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Fig. 1

References

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Author information

Authors and Affiliations

  1. Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil

    Henrique Rasia Bosi, Ricardo Francalacci Savaris, Thamyres Zanirati & Leandro Totti Cavazzola

Authors
  1. Henrique Rasia Bosi
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  2. Ricardo Francalacci Savaris
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  3. Thamyres Zanirati
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  4. Leandro Totti Cavazzola
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Contributions

Henrique Rasia Bosi and Thamyres Zanirati did the literature search and wrote the sketch of the paper. Ricardo Francalacci Savaris and Leandro Totti Cavazzola reviewed the paper and put it in the format for publication.

Corresponding author

Correspondence to Thamyres Zanirati.

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Conflict of Interest

The authors declare that there is no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Bosi, H.R., Savaris, R.F., Zanirati, T. et al. Simple Trick for Placement of the Robotic Single-Site Device in Obese Patients. OBES SURG 30, 4675–4676 (2020). https://doi.org/10.1007/s11695-020-04867-9

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  • DOI: https://doi.org/10.1007/s11695-020-04867-9

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