scholarly journals Technical essential aspects in robotic colorectal surgery: mastering the Da Vinci Si and Xi platforms

2021 ◽  
Vol 48 ◽  
Author(s):  
ANDRE LUIZ GIOIA MORRELL ◽  
ALEXANDER CHARLES MORRELL-JUNIOR ◽  
ALLAN GIOIA MORRELL ◽  
ELIAS COUTO ALMEIDA-FILHO ◽  
DUARTE MIGUEL FERREIRA RODRIGUES RIBEIRO ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Da Vinci ◽  
Port Placement ◽  
Technical Aspects ◽  
Essential Condition ◽  
Practical Applications ◽  
Technological Advances ◽  
Robotic Colorectal Surgery ◽  
Standard Laparoscopy

ABSTRACT Background: laparoscopy surgery has many proven clinical advantages over conventional surgery and more recently, robotic surgery has been the emerging platform in the minimally invasive era. In the colorectal field, although overcoming limitations of standard laparoscopy, robotic surgery still faces challenging situations even by the most experienced colorectal surgeons. This study reports essentials technical aspects and comparison between Da Vincis Si and Xi platforms aiming to master and maximize efficiency whenever performing robotic colorectal surgery. Methods: this study overviews the most structured concepts and practical applications in robotic colorectal surgery in both Si and Xi Da Vinci platforms. Possible pitfalls are emphasized and step-wise approach is described from port placement and docking process to surgical technique. We also present data collected from a prospectively maintained database. Results: our early experience includes forty-four patients following a standardized total robotic left-colon and rectal resection. Guided information and practical applications for a safe and efficient robotic colorectal surgery are described. We also present illustrations and describe technical aspects of a standardized procedure. Conclusion: performing robotic colorectal surgery is feasible and safe in experienced surgeons hands. Although the Da Vinci Xi platform demonstrates greater versatility in a more user-friendly design with technological advances, the correct mastery of technology by the surgical team is an essential condition for its fully robotic execution in a single docking approach.

scholarly journals Robotic rectosigmoidectomy: pioneer case report in Brazil. Current scene in colorectal robotic surgery

2010 ◽  
Vol 47 (1) ◽  
pp. 116-118 ◽  
Author(s):  
Marcelo Averbach ◽  
Pedro Popoutchi ◽  
Oswaldo Wiliam Marques Jr ◽  
Ricardo Z Abdalla ◽  
Sérgio Podgaec ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Colorectal Resection ◽  
Deep Infiltrating Endometriosis ◽  
Brazil Current ◽  
Current Series ◽  
Robotic Colorectal Surgery ◽  
Rectal Involvement ◽  
Surgical Device ◽  
Standard Laparoscopic Surgery

Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. Robotic surgery is an attractive mode in performing minimally-invasive surgery once it has several advantages if compared to standard laparoscopic surgery. The aim of this paper is to report the first known case of colorectal resection surgery using the robotic assisted surgical device in Brazil. A 35-year-old woman with deep infiltrating endometriosis with rectal involvement was referred for colorectal resection using da Vinci® surgical system. The authors also reviewed the most current series and discussed not only the safety and feasibility but also the real benefits of robotic colorectal surgery

Robotic colorectal surgery: Where are we right now?

2010 ◽  
Vol 224 (7) ◽  
pp. 1415-1419 ◽  
Author(s):  
J Kang ◽  
K Y Lee
Keyword(s):  
Minimally Invasive Surgery ◽  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Degrees Of Freedom ◽  
Three Dimensional ◽  
Colorectal Disease ◽  
Widespread Application ◽  
Robotic Colorectal Surgery

Minimally invasive surgery has become mainstream in surgical management of colorectal disease. Based on evidence of oncologic safety and benefit to patients, laparoscopic colorectal surgery is regarded as a successful alternative to open surgery. Since the introduction of the da Vinci® system as another tool for minimally invasive surgery, there have been several reports regarding the feasibility and safety of the system. The authors looked at their experience with 412 robotic colorectal surgeries and found that it was feasible and safe. Incidence of operation-related morbidity was around 11 per cent and system-related problems were 2.4 per cent. There was no operation-related or system-related mortality. From a technological perspective, robotic surgery has several advantages over laparoscopic surgery, including a magnifying view with a three-dimensional image, a stable camera platform, and instruments with Endowrist® technology that allow for seven degrees of freedom of movement. However, there is still room for improvement. The revolution of robotic technology can aid in the realization of a dream: a smaller, cheaper, and more sophisticated robotic system, which will further facilitate the widespread application of robotic surgery to colorectal disease.

Robotics for Acute Care in Colorectal Surgery

2021 ◽  
Vol 34 (05) ◽  
pp. 328-333
Author(s):  
Garrett Friedman
Keyword(s):  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Acute Care ◽  
Perforated Diverticulitis ◽  
Anastomotic Leaks ◽  
Technical Aspects ◽  
Emergency Procedures ◽  
Safe Access ◽  
Colorectal Procedures

AbstractRobotic surgery is growing exponentially in elective colorectal procedures, but utilization of robotics in urgent and emergency procedures remains low. Robotic surgery can be safely utilized for the management of several acute colorectal operations such as anastomotic leaks, perforated diverticulitis, and more. This chapter discusses safe access principles and planning, as well as technical aspects of these complex procedures, and the pathway to building a 24/7 robotic access culture.

Robotic Colorectal Resection With and Without the Use of the New Da Vinci Table Motion: A Case-Matched Study

2018 ◽  
Vol 25 (3) ◽  
pp. 251-257 ◽  
Author(s):  
Matteo Palmeri ◽  
Desirée Gianardi ◽  
Simone Guadagni ◽  
Gregorio Di Franco ◽  
Luca Bastiani ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Colorectal Resection ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Short Term ◽  
Colorectal Cancer Surgery ◽  
New Device ◽  
Robotic Colorectal Surgery ◽  
Number Of Patients ◽  
Table Motion

Background. The da Vinci Table Motion (dVTM) is a new device that enables patients to be repositioned with instruments in place within the abdomen, and without undocking the robot. The present study was designed to compare operative and short-term outcomes of patients undergoing colorectal cancer surgery with the da Vinci Xi system, with or without use of the dVTM. Methods. Ten patients underwent robotic colorectal resection for cancer with the use of dVTM (Xi-dVTM group) between May 2015 and October 2015 at our center. The intraoperative and short-term clinical outcome were compared, using a case-control methodology (propensity scores approach to create 1:2 matched pairs), with a similar group of patients who underwent robotic colorectal surgery for cancer without the use of the dVTM device (Xi-only group). Results. Overall robotic operative time was shorter in the Xi-dVTM group ( P = .04). Operations were executed fully robotic in all Xi-dVTM cases, while 2 cases of the Xi-only group required conversion to open surgery because of bulky tumors and difficult exposure. Postoperative medical complications were higher in the Xi-only group ( P = .024). Conclusions. In this preliminary experience, the use of the new dVTM with the da Vinci Xi in colorectal surgery, by overcoming the limitations of the fixed positions of the patient, enhanced the workflow and resulted in improved exposure of the operative field. Further studies with a greater number of patients are needed to confirm these benefits of the dVTM-da Vinci Xi robotically assisted colorectal surgery.

scholarly journals “Five on a Dice” Port Placement Allows for Successful Robot-Assisted Left Pneumonectomy

2017 ◽  
Vol 06 (01) ◽  
pp. e42-e44
Author(s):  
Najah Khan ◽  
Vid Fikfak ◽  
Edward Chan ◽  
Min Kim
Keyword(s):  
Pulmonary Resection ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Robot Assisted ◽  
Port Placement ◽  
Primary Tumors ◽  
Computer Aided Surgery ◽  
Technological Advances ◽  
Lower Lung ◽  
Left Pneumonectomy

Background Technology has evolved to facilitate pulmonary resection. The latest technological advances in computer-aided surgery (Da Vinci Xi) allow for more control during pulmonary resection. Case Description A 59-year-old woman presented with two primary tumors of the left upper and lower lung. After induction chemotherapy, patient had a “five on a dice” port placement and technique was used to perform successful robot-assisted pneumonectomy. The patient was discharged home on postoperative day 3 without any complications. Conclusions We have found that the “five on a dice” port placement allows for optimal control of the robot stapler and facilitates successful robot-assisted left pneumonectomy.

Multiquadrant robotic colorectal surgery: the da Vinci Xi vs Si comparison

2017 ◽  
Vol 12 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Bogdan Protyniak ◽  
Jeffrey Jorden ◽  
Russell Farmer
Keyword(s):  
Colorectal Surgery ◽  
Da Vinci ◽  
Da Vinci Xi ◽  
Robotic Colorectal Surgery

Ergonomic port placement in robotic colorectal surgery

2021 ◽  
Author(s):  
Shing Wai Wong ◽  
Zhen Hao Ang ◽  
Jia Lin Chua ◽  
Philip Crowe
Keyword(s):  
Colorectal Surgery ◽  
Port Placement ◽  
Robotic Colorectal Surgery

Robotic Surgery for Complicated Diverticular Disease

2021 ◽  
Vol 34 (05) ◽  
pp. 297-301
Author(s):  
Fadwa Ali ◽  
Elizabeth Raskin
Keyword(s):  
Minimally Invasive Surgery ◽  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Minimally Invasive ◽  
Diverticular Disease ◽  
Invasive Surgery ◽  
Economic Burden ◽  
Complicated Diverticulitis ◽  
Robotic Colorectal Surgery

AbstractDiverticular disease is common, and increasing in prevalence worldwide. The treatment for acute and chronic diverticular disease has a huge clinical and economic burden. Surgery is standard for complicated diverticulitis, and there are several benefits to using robotic surgery in these cases. Complicated diverticular disease can result in fistula, fibrosis, and deranged anatomy, which present technical challenges to the surgeon. Understanding and anticipating these anatomical challenges is key to successful surgery. While fears of conversion in complicated cases may stop surgeons from using traditional laparoscopic surgery, robotic surgery is especially promising for enhancing dexterity, visualization, and facilitating completely minimally invasive surgery in these complicated cases. In this chapter, we review end-to-end technical strategies of robotic colorectal surgery for complicated diverticular disease, including cases with colovesicular, colovaginal, and colocutaneous fistulae.

Safety with Innovation in Colon and Rectal Robotic Surgery

2021 ◽  
Vol 34 (05) ◽  
pp. 273-279
Author(s):  
Deborah S. Keller ◽  
Christina N. Jenkins
Keyword(s):  
Clinical Practice ◽  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Disruptive Technology ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Marketing Model ◽  
Sales And Marketing ◽  
Robotic Colorectal Surgery

AbstractRobotic colorectal surgery has been touted as a possible way to overcome the limitations of laparoscopic surgery and has shown promise in rectal resections, thus shifting traditional open surgeons to a minimally invasive approach. The safety, efficacy, and learning curve have been established for most colorectal applications. With this and a robust sales and marketing model, utilization of the robot for colorectal surgery continues to grow steadily. However, this disruptive technology still requires standards for training, privileging and credentialing, and safe implementation into clinical practice.

Sign in / Sign up

Export Citation Format

Share Document