Reduced-port robotic anterior resection for left-sided colon cancer using the Da Vinci single-site(®) platform.

Abstract

Background.

Single‐Site® port plus one conventional robotic port, a reduced‐port robotic surgery (RPRS) for left‐sided colorectal cancer, can enable lymphovascular dissection using the Endowrist® function; this allows safe rectal transection through an additional port and maintains the cosmetic advantage of single‐incision laparoscopic surgery.

Methods.

Between August 2014 and December 2014, the study group included 11 patients who underwent a RPRS for left‐sided colon cancer.

Results.

There was one (9.1%) case of descending colon cancer, six (54.5%) cases of sigmoid colon cancer, and four (36.4%) cases of rectosigmoid colon cancer. The mean total operation time and docking time were 289±77 and 17±7 min. The mean times to soft diet and possible length of stay were 5.6±0.8 and 7.4±0.7 days. The mean total number of lymph nodes harvested was 18.7±7.9. The mean proximal and distal resection margins were 7.8±4.7 and 4.7±2.4 cm.

Conclusions.

Reduced‐port robotic surgery for left‐sided colon cancer using the Single‐Site® system appears to be feasible and safe using the new robotic single‐access platform. Copyright © 2015 John Wiley & Sons, Ltd.