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R-LESS right colectomy with the single-site® robotic platform

Abstract

Background

Use of robotics has exemplified single-site procedures by restoring the correct hand-instrument alignment and providing stable, stereoscopic visual field. Technique was initially introduced by the manufacturers for cholecystectomy, but experienced teams quickly extended the indications to more complex procedures. We hereby present a case of a patient that underwent robotic right colectomy and omentectomy through the single-site® platform.

Methods

A single-site procedure was offered to our 58-year-old male patient with carcinoma of the ascending colon and he gave written consent for it. The VESPA® single-site platform was used according to the standards of the manufacturing company. The single-site port® was placed at the umbilicus. Rest of setup and procedure steps were based on the multiport technique. An extended omentectomy accompanying the right colectomy has not previously reported to our knowledge. After sufficient mobilization specimen was exteriorized through the umbilicus, excised and the anastomosis was performed using linear staplers.

Results

Console time was 164 min and total operation time was 221 min. Intraoperatively, there was no need for conversion, additional ports or blood transfusions. Total console time was 164 min. Lacking of wristed instruments and bipolar energy were regarded as serious limitations. No drains were used. Patient did not require ICU stay and had no postoperative complaints. He was given liquid diet on PO day #2 and he was discharged on PO day #4.

Conclusions

Robotic single-site right colectomy is safe and feasible in selected cases. Experience from single-site robotic cholecystectomy is a useful basis to expand the indications to more complex procedures. Further development of the instruments and large number of cases may justify the indications for using this technique in the future.

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Acknowledgments

Konstantinos Konstantinidis, Savvas Hirides, Perikles Chrysoheris, Fotis Antonakopoulos, and Petros Hirides certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Conflict of interest

All authors declare that they have no conflict of interest.

Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Author information

Correspondence to Savvas Hirides.

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Supplementary material 1 (WMV 11388 kb)

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Supplementary material 3 (WMV 5919 kb)

Supplementary material 4 (WMV 20763 kb)

Supplementary material 5 (WMV 9927 kb)

Supplementary material 6 (WMV 101585 kb)

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Konstantinidis, K., Hirides, S., Chrysoheris, P. et al. R-LESS right colectomy with the single-site® robotic platform. J Robotic Surg 9, 157–161 (2015) doi:10.1007/s11701-015-0499-y

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Keywords

  • Robotic Surgery
  • Single-site surgery
  • Single-incision colorectal surgery
  • VESPA
  • Single-site platform