Franco Roviello1, Riccardo Piagnerelli2, Francesco Ferrara3, Maximilian Scheiterle3, Lorenzo De Franco3, Daniele Marrelli3. 1. Department of Medicine, Surgery and Neuroscience, Unit of Minimally Invasive Surgery, University of Siena, Italy. Electronic address: franco.roviello@gmail.com. 2. Department of Medicine, Surgery and Neuroscience, Unit of Minimally Invasive Surgery, University of Siena, Italy. 3. Department of Medicine, Surgery and Neuroscience, Unit of Surgical Oncology, University of Siena, Italy.
Abstract
INTRODUCTION: We describe a novel technique that could aid the surgeon to perform a total proctocolectomy with a single docking position of the da Vinci Si HD System. METHODS: Patients were positioned in 20° Trendelenburg lithotomy split legs position. A 12-mm trocar was for camera and 3 more trocars were placed: two robotics on left and right flanks and one laparoscopic in left iliac fossa. The robot was docked between the legs of the patients. RESULTS: Four proctocolectomies were performed. Mean operative time was 235 min (range 215-255); mean blood loss was 100 cc (range 50-200). Median post-operative stay was 6 days. Overall morbidity was 75%, whereas major complications occurred in 25%. Post-operative mortality was null. CONCLUSIONS: The robotic single docking approach to perform total proctocolectomy for ulcerative colitis is a time-saving technique respect to the multiple docking approach.
INTRODUCTION: We describe a novel technique that could aid the surgeon to perform a total proctocolectomy with a single docking position of the da Vinci Si HD System. METHODS:Patients were positioned in 20° Trendelenburg lithotomy split legs position. A 12-mm trocar was for camera and 3 more trocars were placed: two robotics on left and right flanks and one laparoscopic in left iliac fossa. The robot was docked between the legs of the patients. RESULTS: Four proctocolectomies were performed. Mean operative time was 235 min (range 215-255); mean blood loss was 100 cc (range 50-200). Median post-operative stay was 6 days. Overall morbidity was 75%, whereas major complications occurred in 25%. Post-operative mortality was null. CONCLUSIONS: The robotic single docking approach to perform total proctocolectomy for ulcerative colitis is a time-saving technique respect to the multiple docking approach.
Authors: Giorgio Bianchi; Paschalis Gavriilidis; Aleix Martínez-Pérez; Gian Luigi de'Angelis; Mathieu Uzzan; Iradj Sobhani; Federico Coccolini; Carlo Alberto Schena; Maria Clotilde Carra; Giuseppe Spinoglio; Nicola de'Angelis Journal: Front Surg Date: 2022-08-17