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Single-surgeon surgery in laparoscopic colonie resection

  • Published:
Diseases of the Colon & Rectum

Purpose

Short-term benefits have been demonstrated for laparoscopic-assisted colectomy. However, minimally invasive surgery is still in an evolutionary phase. In demonstrating that robotic devices also are useful in laparoscopic colonie surgery, it is fundamental to prove that a single surgeon can perform almost the entire operation on his own. METHODS: A single surgeon performed forty-one, laparoscopic-assisted, colorectal resections with the assistance of a robotic device (Automated Endoscopie System for Optimal Positioning, Computer MotionTM) maneuvering the laparoscope. A surgical assistant was included only for the open part of the operation. Main outcome measures were conversion rate, total operating time, and percentage of assistance by a second surgeon. RESULTS: There were no intraoperative complications, one case of conversion to open surgery, and three postoperative complications. The total operating time ranged from 126 to 252 minutes. A single surgeon with the assistance of a robotic device was able to perform approximately 70 percent of an ileocecal resection, 70 percent of a right hemicolectomy, 80 percent of a sigmoid resection, and 85 percent of a anterior rectal resection without further help of a surgeon. CONCLUSIONS: A single surgeon with the assistance of a computerized robotic system can complete at least two-thirds of a laparoscopic-assisted, colorectal resection on his own. The use of a robotic device in laparoscopic-assisted, colonie surgery is safe, efficient, and feasible, and will proven even more so in future. This also will result in a patient-driven demand for high-standard, minimally invasive surgery.

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Authors and Affiliations

  1. Departments of General and Clinical-Experimental Surgery, University of Saarland, Homburg, Germany

    T. Plusczyk M.D., K. Kessler M.D. & M. D. Menger M.D.

  2. Department of Surgery I, Klinikum, Salzgitter, Germany

    U. Hildebrandt M.D.

Authors
  1. U. Hildebrandt M.D.
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  2. T. Plusczyk M.D.
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  3. K. Kessler M.D.
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  4. M. D. Menger M.D.
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Hildebrandt, U., Plusczyk, T., Kessler, K. et al. Single-surgeon surgery in laparoscopic colonie resection. Dis Colon Rectum 46, 1640–1645 (2003). https://doi.org/10.1007/BF02660769

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