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Robotic surgery for colorectal disease: review of current port placement and future perspectives

Annals of Surgical Treatment and Research 2020년 98권 1호 p.31 ~ 43
이종렬 ( Lee Jong-Lyul ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery

 ( Alsaleem Hassan A. ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
김진천 ( Kim Jin-Cheon ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery

Abstract


Purpose: As robotic surgery is increasingly performed in patients with colorectal diseases, understanding proper port placement for robotic colorectal surgery is necessary. This review summarizes current port placement during robotic surgery for colorectal diseases and provides future perspective on port placements.

Methods: PubMed were searched from January 2009 to December 2018 using a combination of the search terms “robotic” [MeSH], “colon” [MeSH], “rectum” [MeSH], “colorectal” [MeSH], and “colorectal surgery” [MeSH]. Studies related to port placement were identified and included in the current study if they used the da Vinci S, Si, or Xi robotic system and if they described port placement.

Results: This review included 77 studies including a total of 3,145 operations. Fifty studies described port placement for left-sided and mesorectal excision; 17, 3, and 7 studies assessed port placement for right-sided colectomy, rectopexy, transanal surgery, respectively; and one study assessed surgery with reduced port placement. Recent literatures show that the single-docking technique included mobilization of the second and third robotic arms for the different parts without movement of patient cart and similar to previous dual or triple-docking technique. Besides, use of the da Vinci Xi system allowed a more simplified port configuration.

Conclusion: Robot-assisted colorectal surgery can be efficiently achieved with successful port placement without movement of patient cart dependent on the type of surgery and the robotic system.

키워드

Colon; Rectum; Robotics; Robotic surgical procedure; Surgery
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