Simple Trick for Placement of the Robotic Single-Site Device in Obese Patients.

ABSTRACT

BACKGROUND: The creation of the da Vinci Single-Site© Surgical Platform (DVSSP) allowed robotic surgery to perform single portal procedures. Due to the characteristics of the robotic single-site system, the triangulation of the instruments was optimized, facilitating the execution of the movements. For this, the care in the placement of the portal have fundamental importance. In overweight and patients with obesity, the subcutaneous can impede the ideal positioning of the portal, affecting the movement of the robotic arms and creating discomfort for the surgeon and bringing risks to the patient. TECHNIQUE Three points are made for subcutaneous reduction, allowing better adaptation of the device. EXPERIENCE This technique is performed in all patients with obesity submitted to single-site robotic surgery at our service. CONCLUSION: It is a simple, fast, and low-cost method, allowing more safety to patient and comfort for the surgeon.